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.
Abstract

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