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Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Pediatric eye injuries in upper Egypt.

Dalia M El-Sebaity1, Wael Soliman, Asmaa Ma Soliman

  • 1Department of Ophthalmology, Assiut University Hospital, Assiut, Egypt.

Clinical Ophthalmology (Auckland, N.Z.)
|October 29, 2011
PubMed
Summary

Pediatric ocular trauma is a significant issue in Upper Egypt, with most injuries occurring in young boys due to open globe injuries. Over 86% of affected children experience legal blindness, highlighting the need for improved supervision and environmental risk factor modification.

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Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Public Health

Background:

  • Pediatric ocular trauma presents a substantial public health challenge, particularly in developing regions.
  • Understanding the epidemiology of eye injuries in children is crucial for implementing effective prevention strategies.

Purpose of the Study:

  • To investigate the patterns, causes, and outcomes of pediatric ocular trauma.
  • To analyze demographic data and injury characteristics in children treated at Assiut University Hospital.

Main Methods:

  • A prospective study included 150 pediatric patients (aged ≤16 years) admitted for ocular trauma between July 2009 and July 2010.
  • Data collected included patient demographics, injury circumstances, initial visual acuity, and final visual acuity after 3 months.
Keywords:
epidemiologyocular traumapediatric

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  • Injury types were classified as open globe, closed globe, or chemical injuries.

    • Main Results:

    • The majority of injuries (50.7%) occurred in children aged 2-7 years, with boys disproportionately affected (70.7%).
    • Street (54.7%) and home (32.7%) environments were common settings for injuries, often caused by wood, stones, missiles, and glass.
    • Open globe injuries constituted 67.3% of cases, and 56% of patients had visual acuity worse than 1.3 LogMar (approaching legal blindness) at 3 months follow-up.

    Conclusions:

    • Pediatric ocular trauma is a significant concern in Upper Egypt, with a high incidence of severe injuries.
    • Lack of adult supervision (92%) and socioeconomic factors contribute to these injuries, leading to a high rate of legal blindness (86.6%).
    • Interventions targeting environmental risk factors and improving supervision are essential to reduce pediatric eye morbidity.