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Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
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Paediatric open globe injuries. Visual outcome and risk factors for endophthalmitis

Subina Narang1, Vishali Gupta, Prabhat Simalandhi

  • 1Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Indian Journal of Ophthalmology
|May 11, 2004
PubMed

Insights

Delayed repair of pediatric open globe injuries increases endophthalmitis risk. Early intervention and parental supervision are crucial for preventing this severe complication in children with eye trauma.

Area of Science:

  • Ophthalmology
  • Pediatric Trauma
  • Infectious Disease

Background:

  • Open globe injuries represent a significant cause of vision loss in children.
  • Post-traumatic endophthalmitis is a severe complication that can lead to poor visual outcomes.

Purpose of the Study:

  • To determine the incidence and outcomes of pediatric open globe injuries.
  • To identify risk factors associated with post-traumatic endophthalmitis in children.

Main Methods:

  • Retrospective analysis of 72 pediatric cases of open globe injury.
  • Data collected over a 3-year period (January 1998 - December 2000).
  • Analysis included injury causes, visual acuity outcomes, and endophthalmitis development.

Main Results:

  • Common causes included sports, bow and arrow, and household injuries.
  • 52.86% of patients achieved visual acuity of >= 3/60.
  • Delayed primary repair (>24 hours) was linked to poorer visual acuity and increased endophthalmitis risk.

Conclusions:

  • Delayed surgical repair, bow and arrow, and household injuries are significant risk factors for endophthalmitis.
  • Early referral and enhanced parental supervision can potentially reduce endophthalmitis incidence.
Abstract

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