Major Pediatric Ocular Trauma in Taiwan

Liu, Mei Ling; Chang, Yi‐Ping; Tseng, Sung Huei; Cheng, Hsiu–Chi; Huang, Fu Chin; Shih, Ming Chang; Hsu, Sheng Min; Kuo, Po-Hsiu

doi:10.3928/01913913-20100308-06

Cited by 50 publications

(60 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2,15,16 A Nigerian study 21 indicated that 24.9% of accidents were caused by an adult. In a study published in Thailand, 6 the patient was responsible in 18.6% of cases, followed by classmates (16%) and siblings (6.7%), similar to this research.…”

Section: Discussionsupporting

confidence: 88%

“…3 The group of special interest from the point of view of prevention are children under the age of 8 years at risk of amblyopia, an injury that should be treated and monitored regardless of the involvement of the trauma itself, as it may cause persistent and irreversible visual loss, which has a great impact when it comes to children who still have a long life expectancy. 1 The present study confirmed that accidents occur most often at home, 2,4,6,8,[15][16][17][18] diverging from other research, where 67.3% occurred on the street. 17 In relation to time, most injuries occurred between 2 pm and 8 pm (51%), which corroborates with the literature.…”

Section: Discussionsupporting

confidence: 63%

“…24 In relation to the involvement of eye structures, the literature corroborates with this research, with the cornea being the most affected site. 2,5,6,12,17 In relation to laterality, there was no significant predominance of one eye over the other, and bilateral involvement is rare. 2,12,14,19 Closed trauma predominated in general; 4,11,14,16,18,19 however some studies disagree, with a predominance of open trauma, 2,12,17 which is most prevalent among those older than 7 years, 4,16,21 while chemical trauma and burns were rare.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11][12][13] For this reason, gender is considered to be a strong risk factor. 2,[4][5][6]8,[14][15][16] The male:female ratio varies according to the population and age group, reaching 5.2:1. 13 However, in most studies 2,[4][5][6]8,[14][15][16] the ratio is between 2 to 3:1, which corroborates with this study.…”

Section: Discussionmentioning

confidence: 99%

“…1 Currently the majority of studies are conducted in developed countries; 3 however, local epidemiology is essential for the development of preventive strategies. 6 The aim of this study is to describe the epidemiological profile of emergency pediatric eye trauma at the Hospital de Base do Distrito Federal (HBDF), Brazil, a trauma reference center for the greater federal district area, contributing to the planning and implementation of preventive measures for this injury.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Rohr¹,

Santos

et al. 2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

Objective: To describe the epidemiological profile of ocular trauma in children at the HBDF emergency department. Method: Descriptive, cross-sectional study. We evaluated 103 cases of ocular trauma in children less than 15 years between July 2012 and January 2013. The factors evaluated through semi-structured questionnaire available online were: age, gender, adult supervision, mechanism, type of trauma, time and place, site and nature of injury, visual acuity, need for hospitalization and/or surgery, type of surgery, mother's level of education, and family income. Results: The average age of patients studied was 7.5 years. Boys (68%) predominate in all age groups. Blunt trauma prevailed (55.3%), followed by open (20%). Most of the cases occurred at home, 14 to 20 hours before seeking hospital care. The most common causes were: wood, stone, bicycle, broken glass, and falls. The cornea was affected in 54%. Visual acuity was ≥20/40 in 68.9%. Primary repair of the eye wall was indicated in 70.37% (p-value=0.022). Open traumas were more severe (p-value=0.005) and had more need for intervention (p-value=0.000). The injuries occurred despite the presence of adult supervision in 54% (p-value=0.002). The most severe injuries predominated in the age range 7-15 years (p=0.001). Conclusion: Ocular trauma was more frequent among boys. The mechanisms of injury are the most diverse, and prevail at home. Blunt trauma prevails, but the visual impact is due to open trauma. Programs of prevention and education on child ocular trauma are needed.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Rohr¹,

Santos

et al. 2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury

et al. 2018

View full text Add to dashboard Cite

IMPORTANCE There is a lack of literature describing the incidence of pediatric acute ocular injury and associated likelihood of vision loss in the United States. Understanding national pediatric eye injury trends may inform future efforts to prevent ocular trauma. OBJECTIVE To characterize pediatric acute ocular injury in the United States using data from a stratified, national sample of emergency department (ED) visits. DESIGN, SETTING, AND PARTICIPANTS A retrospective cohort study was conducted. Study participants received care at EDs included in the 2006 to 2014 Nationwide Emergency Department Sample, comprising 376 040 children aged 0 to 17 years with acute traumatic ocular injuries. Data were analyzed from June 2016 to March 2018. EXPOSURES International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes and external-cause-of-injury codes identified children with acute ocular injuries. MAIN OUTCOMES AND MEASURES Demographic and clinical characteristics of children with acute traumatic ocular injuries were collected and temporal trends in the incidence of ocular injuries by age, risk of vision loss, and mechanism of injury were explored. RESULTS In 2014, there were an estimated 163 431 (95% CI, 151 235-175 627) ED visits for pediatric acute ocular injury. Injured children were more often male (63.0%; 95% CI, 62.5-63.5) and in the youngest age category (birth to 4 years, 35.3%; 95% CI, 34.4-36.2; vs 10-14 years, 20.6%; 95% CI, 20.1-21.1). Injuries commonly resulted from a strike to the eye (22.5%; 95% CI, 21.3-23.8) and affected the adnexa (43.7%; 95% CI, 42.7-44.8). Most injuries had a low risk for vision loss (84.2%; 95% CI, 83.5-85.0), with only 1.3% (95% CI, 1.1-1.5) of injuries being high risk. Between 2006 and 2014, pediatric acute ocular injuries decreased by 26.1% (95% CI, −27.0 to −25.0). This decline existed across all patient demographic characteristics, injury patterns, and vision loss categories and for most mechanisms of injury. There were increases during the study in injuries related to sports (12.8%; 95% CI, 5.4-20.2) and household/domestic activities (20.7%; 95% CI, 16.2-25.2). The greatest decrease in high-risk injuries occurred with motor vehicle crashes (−79.8%; 95% CI, −85.8 to −74.9) and guns (−68.5%; 95% CI, −73.5 to −63.6). CONCLUSIONS AND RELEVANCE This study demonstrated a decline in pediatric acute ocular injuries in the United States between 2006 and 2014. However, pediatric acute ocular injuries continue to be prevalent, and understanding these trends can help establish future prevention strategies.

show abstract

Current Concept and Management of Severely Traumatized Tissues in the Inner Coatings of the Globe: Mechanical Injuries, Open Globe with Intraocular Foreign Body Without Traumatic Endophthalmitis

Yan

You

2016

Current Concepts and Management of Eye Injuries

View full text Add to dashboard Cite

Major Pediatric Ocular Trauma in Taiwan

Abstract: Most of the children hospitalized for major ocular trauma are younger boys with penetrating injuries suffered at home. Most injuries could have been prevented by increased awareness and reduction of risk factors, and the authors urge better public education for improved safety.

Cited by 50 publications

References 23 publications

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Profile of pediatric eye trauma at Hospital de Base do Distrito Federal (HBDF), Brasília, Brazil

Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury

Current Concept and Management of Severely Traumatized Tissues in the Inner Coatings of the Globe: Mechanical Injuries, Open Globe with Intraocular Foreign Body Without Traumatic Endophthalmitis

Contact Info

Product

Resources

About