Related Experiment Videos
[The clinical characteristics and emergency microsurgical care in eye injuries in children]
Insights
This study presents surgical outcomes for 131 children with severe combined eye trauma. The comprehensive approach achieved good visual acuity in 45% of patients, supporting its use in pediatric ophthalmology.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Trauma Care
Background:
- Severe combined anterior segment eye trauma in children presents complex challenges.
- Prompt surgical intervention is critical for preserving visual function.
Observation:
- The study analyzed 131 pediatric patients (ages 2-14) with severe combined eye trauma.
- Common complications included lens injury (84.4%), prolapse of eye coats (34.9%), iris injury (12.8%), hemorrhages (12.8%), and foreign bodies (6.4%).
Findings:
- A multi-modal surgical approach was employed, including wound repair, iridoplasty, lens aspiration, vitrectomy, foreign body removal, and corneoscleral grafting.
- Intraocular lens implantation was performed when indicated.
- Functional outcomes demonstrated a cure with visual acuity of 0.3-1.0 in 45% of patients.
Implications:
- The described surgical strategy is effective for managing severe pediatric eye trauma.
- This approach can be recommended for widespread adoption in ophthalmological practice.
- Improved outcomes highlight the importance of timely and comprehensive surgical management in pediatric ocular trauma.
Abstract:
The paper describes results after primary surgical treatment in 131 children, aged from 2 to 14 years, with severe combined trauma of the anterior segment of the eye complicated by lens injury in 84.4%, prolapse of eye coats in 34.9%, injury of the iris in 12.8%, extensive hemorrhages in 12.8%, intraocular foreign bodies in 6.4%. Besides sutural fixation of corneal and scleral wounds, there were simultaneously made iridoplasty, aspiration of a swelling lens, anterior vitrectomy, removal of a foreign body, organized hyphema and exudate tectonic corneoscleroplasty, and, if indicated, IOL implantation. The functional outcomes (a cure with visual acuity 0.3-1.0 was recorded in 45% of patients) speak in favor of such a method of rendering urgent aid and allow to recommend it into a wide ophthalmological practice.