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[Pediatric ocular trauma: a retrospective survey]
1Zhongsan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Insights
Pediatric ocular trauma, common in 4-8 year olds, can lead to severe vision loss. The type of eye injury significantly impacts visual outcomes, highlighting the need for preventative measures.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Trauma Research
Context:
- Pediatric ocular injuries represent a significant public health concern.
- Understanding risk factors is crucial for developing effective prevention strategies.
- Previous studies have explored causes, but trends in severe visual impairment require further investigation.
Purpose:
- To identify risk factors associated with pediatric ocular injuries.
- To determine trends and preventable causes of severe visual impairment in children.
- To analyze the relationship between injury characteristics and visual prognosis.
Summary:
- A retrospective analysis of 487 pediatric ocular trauma cases (age ≤15) from 1989-1992 was conducted.
- The study found a 3:1 male to female ratio, with most injuries occurring in 4-8 year olds.
- Non-perforating anterior segment trauma was most common; visual outcome strongly correlated with injury type (Visual outcome = 0.963775 - 0.0896543 x type of injury).
Impact:
- 65% of patients achieved best corrected visual acuity of 0.3 or better.
- 19% of patients experienced severe visual impairment (best corrected visual acuity ≤0.05).
- Findings underscore the importance of injury type in predicting visual outcomes and guiding treatment for pediatric eye trauma.
Purpose:
To determine the risk factors for pediatric ocular injuries, especially those resulting in severe visual impairment, and to identify the trends and preventable causes.
Methods:
A retrospective survey was conducted for all pediatric trauma cases at Zhongshan Ophthalmic Center from January 1989 through December 1992. Four hundred eighty-seven cases of 15 years old or younger were recruited in this study. Stepwise regression analysis was used to identify the relations between the visual prognosis and the potential risk factors (age, gender, time after injury, type of injury, and cause of injury)
Results:
The male to female ratio was approximately 3:1, and most were 4 to 8 years old. Non--perforating trauma in the anterior segment was the most common type of injury. The final recorded best corrected visual acuity was 0.3 or better in 65% of the patients, while 19% were found to be 0.05 or worse with best correction. The following formula was generated by multiple linear regression model: Visual outcome = 0.963775 - 0.0896543 x (type of injury).
Conclusion:
Pediatric ocular trauma may cause severe visual impairment and occurs most frequently at the age of 4 to 8 years. The visual outcome is mainly associated with the type of injury.