Pattern of pediatric ocular trauma in kashan
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Davood Aghadoost1, Mohammad Reza Fazel2, Hamid Reza Aghadoost3
1Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran ; Department of Ophthalmology, Kashan University of Medical Sciences, Matini Hospital, Kashan, IR Iran.
Insights
Pediatric ocular trauma, particularly hyphema and lacerations, frequently leads to hospitalization. Preventive measures are crucial to reduce blindness in young boys from eye injuries.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Public Health
Background:
- Ocular trauma presents a significant public health challenge in pediatric populations.
- Eye injuries are a leading cause of acquired monocular blindness in children.
Purpose of the Study:
- To characterize ocular trauma hospitalizations in children under 16 in Kashan.
- To identify common causes, injury locations, and visual outcomes of pediatric ocular trauma.
Main Methods:
- A descriptive, cross-sectional study of 131 pediatric patients (<16 years) admitted for ocular trauma.
- Data collected from April 2006 to March 2009 at Matini Hospital, Kashan.
- Ocular trauma classified using International Ocular Trauma Classification and Birmingham Eye Trauma Terminology.
Main Results:
- The mean age was 7.8 years, with a 5:1 male to female ratio.
- Hyphema (38.1%) and corneoscleral lacerations (27.5%) were the most common injuries.
- Most injuries occurred at home (43%), and 30% presented with visual acuity <20/200.
Conclusions:
- Ocular trauma is a significant cause of unilateral blindness in children, especially boys.
- Urgent need for targeted preventive strategies and public education on eye safety.
Background:
Ocular trauma is a significant health problem in pediatric patients.
Objectives:
The aim of this study was to analyze the characteristics of ocular-trauma-related hospitalization of children in Kashan.
Patients And Methods:
This descriptive, cross-sectional study included 131 children aged less than 16 years with ocular trauma, who were admitted to the Matini Hospital at the Kashan University of Medical Sciences between April 2006 and March 2009. After admission, detailed ocular examination was performed, and their ocular trauma was classified according to the International Ocular Trauma Classification and Birmingham Eye Trauma Terminology systems.
Results:
Mean age of the patients was 7.8 ± 2.2 years (age range, 0-16 years), and male to female ratio 5:1. The most common cause of admission was hyphema (38.1%), followed by corneoscleral laceration (27.5%). Ocular trauma most commonly occurred at home (43%), and 69% of the patients presented to the emergency room within 24 h of injury. In 30% of the patients, initial visual acuity at the time of presentation was less than 20/200 (Figure 1).
Conclusions:
Ocular trauma is a major cause of unilateral blindness, especially in young boys, and hence, preventive measures and education is required.
