Pediatric ocular trauma: Characteristics and outcomes among a French cohort (2007–2016)

Boret, C.; Bréhin, C.; Cortey, C.; Chanut, Myriam; Houzé-Cerfon, Charles-Henri; Soler, V.; Claudet, I.

doi:10.1016/j.arcped.2020.01.002

Cited by 40 publications

(38 citation statements)

References 31 publications

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“…Although prior studies have reported that boys are significantly more likely to suffer ocular trauma than girls, 6,7 our study found only a minor difference. The average age of our patients was 8.9 years old, which aligns with a prior study by Boret and colleagues 6 but is higher than that in a study by Guo and colleagues.…”

Section: Discussioncontrasting

confidence: 93%

“…5 However, multiple studies have documented that the most common location for ocular trauma to occur is at home, followed by outdoors. [1][2][3]6 Therefore the high volume of trauma despite the pandemic may be related to the fact that the risk for ocular trauma remained high as stay-at-home mandates and school closures forced children to remain home. It is also possible that high volume during the pandemic was related to people assuming that going to an ED with a primarily ocular focus would result in a lower risk of COVID exposure than going to a general ED during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…This differs from prior studies, which report that open-globe injuries most commonly occur in preschoolers. 6,7 This J o u r n a l P r e -p r o o f difference could be attributed to variations in locations, populations, or choice of recreational activities.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Benefits and side effects of prisms in the management of diplopia in adults: a prospective study

Tamhankar

Luo

Kwong

et al. 2021

Journal of American Association for Pediatric Ophthalmology and

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Benefits and side effects of prisms in the management of diplopia in adults: a prospective study

Tamhankar

Luo

Kwong

et al. 2021

Journal of American Association for Pediatric Ophthalmology and

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“…In this study, the penetrating injury was the most common type of open-globe injury in children, followed by blunt rupture, which was similar to the results reported by others in Chinese cities such as Shanghai [7], Wenzhou, and Changsha [9], and other countries as Iran [26], the US [11], and Tunisia [27]. However, the result perhaps was contrary if all kinds of ocular injuries were included; the main cause was a blunt strike to the eye [18,28,29]. Rupture had a signi cantly more possibility in vitreous hemorrhage, and retinal detachment compared with penetration.…”

Section: Etiological and Epidemiological Pro Lesupporting

confidence: 83%

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Wang¹,

Yin²,

Wang³

et al. 2021

Preprint

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Background: Pediatric traumatic cataract is an important but preventable cause of acquired monocular blindness. Knowing the epidemiology of pediatric traumatic cataract is the prerequisite for prevention. This study aimed to characterize the epidemiology in the southwest of China. Methods: The medical record of children with lens damage following open-globe injury managed in the West China Hospital (aged 1–14 years) from January 2011 to December 2020 were reviewed, and the demographic data, cause of injury, and post-traumatic complications were recorded and analyzed.Results: A total of 716 eyes of 716 patients were enrolled in this study, including 488 (68.2%) male and 228 female patients in a ratio of 2.14:1; 117 patients were from a minority nationality region. The pediatric traumatic cataract was more likely to occur in winter (40.2%). Sharp metal object–related (scissors/knife/needle/sheet metal/dart) eye injuries accounted for the highest proportion, followed by botanic sticks (wooden /bamboo /bamboo skewers), and stationery (pencil/pen/ruler/paper). A majority (68.7%) of patients were 2–8 years old, with a higher frequency in the age group of 4–6 years. Penetrating trauma accounted for 64.9% of patients, and the remaining were accounted for blunt trauma (35.1%). 131 cases (18.3%) developed into post-traumatic endophthalmitis. The eye injuries caused by needles(P=0.007), wooden sticks(P=0.016), and bamboo skewers(P=0.002) have greater risk for developing into endophthalmitis. The most common organism identified was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Conclusion: The epidemiology of pediatric traumatic cataract in the southwest of China, especially the causative agent, was different from that in other regions, therefore the emphasized educative measures such as informing guardian and children about the causative factors should also be different.

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“…The following strategies are aimed at reducing the incidence of eye trauma to fall into three main categories: legislation and policies, education, and personal eye protection [ 43 ]. One study suggests that French legislation should be stricter about the sale of any airsoft gun to children under 18 years old, and parents must repeat educational warnings to their children handling sharp objects [ 44 ]. Most eye injuries are preventable [ 25 ], for up to 90% of all ocular trauma is thought to be preventable through a combination of use of protective eyewear and education of supervising adults [ 45 ].…”

Section: Resultsmentioning

confidence: 99%

Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study

Zhang

Feng

Yan

2022

Journal of Ophthalmology

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Purpose. The objective of the study was to obtain the incidence characteristics of pediatric ocular trauma in mainland China and provide some feasible suggestions of prevention. Methods. The patients with pediatric ocular injuries, who were (≤14) hospitalized between January 1, 2019, and December 31, 2020, were included. Patient demographics (age and sex), injury natural characteristics (causes, site, and types), geographic location, and interval of hospital admission were analyzed. Results. A total of 13525 cases were identified, and 1973 (14.6%) occurred in children (male accounts 70.9%) with a mean (SD) age of 6.5 (3.4) years. Cases among minors in 2020 dropped by 8.3% compared to 2019, while the former vulnerability to eye injuries has been shifted from the outdoors to home (51.4%, 1015/1973). The main causes of injury are flying objects (31.9%), traffic injury (23.5%), and blunt injury (21.8%), which lead to the main types of injury such as penetrating injury (48.3%), rupture of the globe (18.1%), and contusion trauma (13.1%). If the VA after injury is above CF, the VA after discharge is more likely to be above CF (OR 18.3, 11.9–28.1; p < 0.001 ). Similarly, age (OR 2.0, 1.3–3.1; p = 0.001 ) and intraocular pressure after injury (OR 0.9, 0.9–1.0; p = 0.009 ) also affect the intraocular pressure at discharge. Conclusions. In mainland China, the main injury types are penetrating injury and rupture of the globe with home being the most dangerous place. Prevention strategies should focus on parents’ education and protective measures indoors. Visual acuity after injury can be used as a predictor of visual acuity after treatment.

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Pediatric ocular trauma: Characteristics and outcomes among a French cohort (2007–2016)

Cited by 40 publications

References 31 publications

Benefits and side effects of prisms in the management of diplopia in adults: a prospective study

Benefits and side effects of prisms in the management of diplopia in adults: a prospective study

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study

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