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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.
Insights
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.
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.
Abstract:
A year long study of ocular injuries in children below the age of 15 years was conducted in the Ophthalmology Department of a general hospital. Fortyfour cases were studied. Of these 45.45% were in the age group of 6-10 years. The male to female ratio was 5.28 : 1. Pointed objects viz. sticks, wires etc. were found to be the common causative agents; the recent trend being of bow and arrow injuries. Ocular perforation was observed in 28 cases. On follow up of all the cases with ocular trauma, only 12 patients were found to have a visual acuity better than 6/18; perception of light was absent in 7 patients. A need for increased parental awareness and supervision of children is stressed upon.