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Published on: August 25, 2021
Clinical pattern of pediatric ocular trauma in fast developing country
Huda S Al-Mahdi1, Abdulbari Bener, Shakeel P Hashim
1Dept. of Ophthalmology, Rumailah and Hamad General Hospitals, Hamad Medical Corporation, Qatar. abener@hmc.org.qa
Insights
Pediatric ocular trauma is a significant cause of vision loss, with most injuries being preventable through education and supervision. This study highlights the epidemiology and outcomes of serious eye injuries in children in the Arabian Gulf region.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Research
Background:
- Ocular trauma presents a significant global health challenge, particularly in pediatric populations, often leading to irreversible visual impairment.
- Limited epidemiological data exists regarding pediatric ocular trauma within the Arabian Gulf Countries.
Purpose of the Study:
- To investigate the epidemiology, mechanisms, causes, and outcomes of severe ocular trauma requiring hospitalization in children under 16 years of age.
- To establish baseline data for pediatric ocular trauma in the Arabian Gulf region.
Main Methods:
- A retrospective cohort study design was employed.
- Data was collected from 106 pediatric patients (up to 16 years) admitted for ocular trauma between January 2005 and December 2009.
- Demographic data, injury mechanisms, causes, presenting and final visual acuity, and ocular segment evaluations were analyzed using modified Ocular Trauma Classification Group guidelines.
Main Results:
- The study reviewed 106 cases of pediatric ocular trauma, with a mean age of 6.63 years; boys constituted the majority (77.4%).
- The most common locations for injury were home (42.5%) and street (35.8%). Closed globe injuries (59.4%) were more frequent than open globe injuries (40.6%).
- While final visual acuity improved significantly in both groups, severe vision impairment and blindness were exclusively observed in the open globe injury cohort.
Conclusions:
- The findings underscore that the majority of pediatric eye injuries are preventable.
- Emphasizes the critical role of health education, consistent adult supervision, and targeted preventive measures to mitigate the incidence and severity of childhood ocular trauma.
Background:
Ocular trauma is a significant problem in pediatric patients. Also, leads to visual loss throughout the world there are no data of pediatric ocular trauma in Arabian Gulf Countries in the current literature.
Aim:
To study the epidemiology, mechanism, causes and outcome of serious ocular trauma requiring hospital admission, in children below 16years of age.
Study Design:
A retrospective cohort study.
Subjects:
All pediatric patients (up to 16years of age) presenting with ocular injuries to a tertiary care pediatric ophthalmology and Pediatric Accident Emergency Department 1 January 2005 to 30 December 2009.
Methods:
Each file was studied to find out the demographic data, mechanism and cause of injury. The definitions and classifications of ocular trauma in our study were modified from the Ocular Trauma Classification Group guidelines and Birmingham Eye Trauma Terminology Presenting and final visual acuity were recorded along with details of anterior and posterior segment evaluation.
Results:
Hundred and six files of the children admitted to ophthalmology ward with the diagnosis of ocular trauma between 2005 and 2009 were reviewed. Majority were boys (77.4%). The mean age at admission was 6.63years. A higher incidence of ocular trauma was noted in children above 5years than those below (58.5%). Most number of trauma occurred at home (42.5%, n=45) followed by street (35.8% n=34), school (12.3%, n=13), sporting area (5.7%, n=6). Also, eight patients (8.5%) involved in Road Traffic Accidents (RTA). Closed globe injury occurred more frequently than open globe injury (59.4% vs. 40.6%). Initial visual acuity was more than 6/60 in (55.6%) patients of closed globe while in open globe injury was (37.3%). Final visual acuity was more than 6/18 in (82.5%) patients of closed globe injury group and in (63%) patients of open globe injury group. Severe impairment of vision was found in (11.6%) and blindness (4.7%) only in open globe injury group.
Conclusion:
Most eye injuries in children are preventable so this reflects the importance of health education, adult supervision and application of appropriate measures that is necessary for reducing the incidence and severity of trauma.
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