Epidemiological findings of ocular trauma in childhood

Angelino Julio Cariello1, Nilva Simerem Bueno Moraes, Somaia Mitne

  • 1Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil. angelino65@yahoo.com

Insights

Childhood ocular trauma, often caused by household accidents with objects like stones or wood, predominantly affects male schoolchildren. Prevention programs are crucial for reducing these eye injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Emergency Medicine
  • Public Health

Background:

  • Ocular trauma is a significant cause of visual impairment in children.
  • Understanding the epidemiology of childhood eye injuries is essential for developing targeted prevention strategies.

Purpose of the Study:

  • To detail the epidemiological characteristics of ocular trauma in children presenting to an emergency unit.
  • To identify common causes, mechanisms, and locations of eye injuries in pediatric patients.

Main Methods:

  • Retrospective study of 273 patients under 16 years old treated for ocular trauma.
  • Data collected included age, sex, injury details, visual acuity, and management.
  • Study period: September 2001 to September 2004 at the Federal University of São Paulo.

Main Results:

  • Most affected age group: 7-10 years (39.9%).
  • Leading causes: external agents (stone, iron, wood) (27.9%), domestic accidents (53.1%).
  • Closed globe injuries predominated (73.6%); 63.4% had initial visual acuity >20/40.

Conclusions:

  • Childhood ocular trauma is more common in male schoolchildren.
  • Home environment and common objects are frequent sources of injury.
  • Urgent need for educational and preventive programs to reduce pediatric eye injuries.
Abstract