Ocular trauma in the pediatric emergency departments, characteristics and risk factors of immediate sequelae

Mancebo, Julia García; García-Loygorri, C; Romero, Ana I.; López, P. Vázquez

doi:10.1016/j.anpede.2020.07.008

Cited by 3 publications

(16 citation statements)

References 22 publications

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“…19,25,29,32,33 However, most of these studies found the injuries to be more prevalent indoors (eg, at home or in closed-space environments), ranging from 50% to more than 78%. 4,[10][11][12]19,21,25,29,32,[34][35][36] In our view, this finding necessitates the implementation of widespread educational programs because the indoor predominance further does, in fact, reveal the existing caretakers' knowledge gaps. More insults in limited indoor spaces reveal more preventable injuries and the importance of careful supervision by parents and caretakers.…”

Section: Discussionmentioning

confidence: 89%

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Ocular Trauma in Children

et al. 2023

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Objectives This study aimed to determine the epidemiology of eye injuries in children and the influential factors involved. Methods Eighty cases of confirmed ocular trauma were included in this cross-sectional study. Data were obtained via a checklist containing demographic information, site of the insult, the interval between the injury and physician visit, trauma mechanism, and medical history, including previous history of ocular trauma. Results Among 80 children with ocular trauma, 72.5% (n = 58) were boys. A marked preponderance (46.2%) of injuries was seen in the age group younger than 6 years. The youngest patient was a 1-year-old, and the oldest was aged 17. Most (76.25%) of the incidents occurred indoors. A total of 67.5% of accidents were induced by sharp objects (knife and glass). Most accidents occurred in spring, whereas the least number of accidents occurred in winter. The corneoscleral laceration was the most common manifestation, followed by the laceration of the iris, uveal prolapse, hyphema, and cataracts. Furthermore, rare cases of retinal detachment, hypopyon, and corneal epithelial defects were seen. Conclusions The highest incidents of ocular trauma occurred in boys, especially those younger than 6 years. The high number of sharp object injuries is also concerning. These findings provide us with evidence that further educational interventions and supervision are required in these groups to minimize the possible devastating injuries before the opportunity even arises.

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Section: Discussionmentioning

confidence: 89%

“…However, the presence of gun-induced injuries is a matter of deep concern. On the other hand, other studies have vastly contrasting reports, with either blunt [9][10][11]25,36,38 or sharp objects 2,7,31,32 being more common based on the region and the culture of the population the study was conducted on.…”

Section: Discussionmentioning

confidence: 98%

Ocular Trauma in Children

et al. 2023

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“…Z kolei García Mancebo i wsp. wskazują, że najczęściej do urazów oczu w populacji dzieci dochodzi w domu, w szkole lub w trakcie uprawiania sportu [13].…”

Section: Leczenie Chirurgiczne Pourazowegounclassified

“…Krwistek [2,8,11,13] Krwotok podspojówkowy [2,8,9] Ropostek [2,9] Przemieszczenie soczewki [2,7,9] Podwichnięcie Zwichnięcie…”

Section: Powikłania Urazów Gałki Ocznejunclassified

“…Zaćma pourazowa [7,8,11,14,15] RAPD* [2,7,9,11] Wypadnięcie tęczówki [9,11] Dializa tęczówki [2,11] Zapalenie wnętrza gałki ocznej (endophthalmitis) [9,15] Odwarstwienie siatkówki [9,11] Krwotok do ciała szklistego [11,13] *RAPD (relative afferent pupillary defect) -Względne uszkodzenie drogi dośrodkowej odruchu źrenicznego W przypadku uszkodzenia więzadełek od małego do średniego stopnia torebka soczewki może zostać zachowana, a wykorzystanie pierścienia napinającego torebkę zwykle zapewnia stabilność kompleksu torebka-STK. Z kolei w urazach ze znacznym uszkodzeniem aparatu więzadełkowego metoda ta może nie być wystarczająca.…”

Section: Powikłania Urazów Gałki Ocznejunclassified

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Surgical treatment of traumatic lens subluxation

Rękas¹,

Mazurek²,

Krix-Jachym³

et al. 2022

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Urazy oczu stanowią 10-15% wszystkich schorzeń narządu wzroku. Do ich standaryzacji służy klasyfikacja <i>The Birmingham Eye Trauma Terminology</i>. Wskutek urazu może dojść do uszkodzenia rogówki, twardówki, tęczówki, soczewki lub nawet całej gałki ocznej. Jednocześnie uraz jest najczęstszą przyczyną podwichnięcia soczewki, które wymaga zaopatrzenia chirurgicznego. W takim przypadku konieczne jest wybranie odpowiedniej, skutecznej metody leczenia. W Klinice Okulistyki WIM – PIB stosowana jest autorska metoda bezszwowej fiksacji kompleksu torebka-soczewka wewnątrzgałkowa z zastosowaniem pierścienia napinającego torebkę oraz retraktorów tęczówkowych.

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Risk factors of pediatric ocular trauma related to ophthalmic complications

Mori

Kinoshita

Nomura

et al. 2023

Pediatrics International

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BackgroundOcular injury is a leading cause of monocular blindness in children. However, data on the association of injury type with ophthalmological complications are lacking. This study aimed to investigate the risk factors of pediatric ocular injuries related to ophthalmological complications.MethodsThis retrospective, observational study was conducted in a pediatric emergency department (ED) in Japan from March 2010 to March 2021. Patients aged less than 16 years presenting with ocular trauma, diagnosed on the basis of the International Classification of Diseases 10: S05, 0–9, were enrolled. Emergency department follow‐up visits for the same complaint were excluded. The patients' sex, age, arrival time, injury mechanism, symptoms, examinations, diagnosis, history of urgent ophthalmological consultation, outcomes, and ophthalmological complications were investigated. The primary endpoints were the odds ratio (OR) and 95% confidence interval (CI) of the incidence of ophthalmological complications, defined as any new acute complaint or worsening/persistence of an initial complaint following or resulting from ocular trauma.ResultsIn total, 469 patients were analyzed. The median age was 7.3 years; the interquartile range (IQR) was 3.1–11.5 years. The most common diagnosis was contusion (79.3%), followed by lamellar laceration (11.7%). Seven patients (1.5%) had ophthalmological complications during follow up. Bivariate analysis demonstrated that daytime ED visit, impact with a sharp object, animal‐related injury, visual impairment, decreased visual acuity, and open globe injury were factors significantly associated with ophthalmological complications.ConclusionDaytime ED visit, impact with a sharp object, animal‐related injury, visual impairment, decreased visual acuity, and open globe injury were independent factors of ophthalmological complications.

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Ocular trauma in the pediatric emergency departments, characteristics and risk factors of immediate sequelae

Cited by 3 publications

References 22 publications

Ocular Trauma in Children

Ocular Trauma in Children

Surgical treatment of traumatic lens subluxation

Risk factors of pediatric ocular trauma related to ophthalmic complications

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