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Eye injuries in children: the current picture
C J MacEwen1, P S Baines, P Desai
1Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee DD1 9SY.
The British Journal of Ophthalmology
|July 22, 1999
Summary
Paediatric ocular trauma incidence has decreased, with improved outcomes. This study indicates that childhood eye injuries now have a better prognosis than adult injuries, marking a significant advancement in treatment and prevention.
Area of Science:
- Ophthalmology
- Paediatric Medicine
- Trauma Research
Background:
- Paediatric ocular trauma remains a significant concern globally.
- Understanding current trends in causes and outcomes is crucial for effective prevention and management.
Purpose of the Study:
- To investigate the current causes and outcomes of paediatric ocular trauma.
- To assess changes in incidence and prognosis compared to previous data and adult populations.
Main Methods:
- A prospective observational study was conducted over one year in Scotland.
- All children admitted to hospital with ocular trauma were included.
Main Results:
- Blunt trauma was the most common mechanism (65%), often resulting in hyphaema (60%).
- Home injuries were most frequent (51%), with sports injuries common in the 5-14 age group.
- Visual outcomes were generally good, with minimal severe vision impairment and no bilateral blindness.
Conclusions:
- The incidence of paediatric eye injuries has declined.
- Outcomes for paediatric ocular trauma have significantly improved.
- Paediatric eye injuries now appear to have a better prognosis than those in adults.