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Pediatric ocular trauma--a clinical presentation.

S Dasgupta1, R Mukherjee, D S Ladi

  • 1Department of Ophthalmology, Dr. R. N. Cooper Hospital, Juhu, Vileparle, Bombay, Maharashtra.

Journal of Postgraduate Medicine
|January 1, 1990
PubMed
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Pediatric ocular injuries are common, with pointed objects like sticks and arrows causing severe eye trauma in children. Increased parental supervision is crucial to prevent these sight-threatening injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Trauma Surgery

Background:

  • Childhood ocular injuries represent a significant public health concern.
  • Understanding causative agents and injury patterns is vital for prevention strategies.

Purpose of the Study:

  • To analyze the epidemiology of ocular injuries in children under 15 years.
  • To identify common causes, injury types, and visual outcomes.
  • To emphasize the need for enhanced parental awareness and supervision.

Main Methods:

  • A prospective, year-long study conducted in a general hospital's Ophthalmology Department.
  • Inclusion of 44 pediatric patients (below 15 years) with ocular trauma.
  • Data collection on age, gender, causative agents, injury severity, and visual acuity.

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Main Results:

  • The 6-10 year age group accounted for 45.45% of cases.
  • A male-to-female ratio of 5.28:1 was observed.
  • Pointed objects (sticks, wires) were primary causes, with a rising trend in bow and arrow injuries.
  • Ocular perforation occurred in 28 cases, with 7 patients experiencing absent light perception.
  • Only 12 patients achieved visual acuity better than 6/18 post-trauma.

Conclusions:

  • Childhood ocular injuries, particularly perforations, often lead to poor visual outcomes.
  • The study highlights the prevalence of injuries from common objects and emerging threats like bow and arrow incidents.
  • Enhanced parental awareness and diligent supervision are strongly recommended to mitigate the incidence of pediatric eye trauma.