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Clinical Profile, Etiology, and Outcome of Infantile Ocular Trauma: A Developing Country Perspective

Vedang D Shah1, Madhu Uddaraju1, Amitabh Singh2

  • 1From the Department of Ophthalmology, Aravind Eye Hospital, Madurai.

Pediatric Emergency Care
|June 21, 2017
PubMed

Insights

Infantile ocular trauma, often caused by self-infliction, requires early presentation and consistent follow-up for favorable outcomes. Caregiver awareness is crucial for managing this common pediatric eye injury.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Public Health

Background:

  • Infantile ocular trauma is a significant cause of morbidity in infants.
  • Underreporting of pediatric eye injuries poses challenges in understanding its true prevalence.
  • Developing countries face unique challenges in managing and preventing infantile ocular trauma.

Purpose of the Study:

  • To investigate the clinical characteristics, causes, and outcomes of ocular trauma in infants.
  • To identify the etiological factors contributing to corneal trauma in this age group.
  • To assess the clinical course and recovery patterns of infantile ocular injuries in a tertiary care setting.

Main Methods:

  • A retrospective analysis of corneal trauma cases in infants (≤12 months) was conducted over two years.
  • Data collected included clinical presentation, etiology, microbiological findings, and patient outcomes.
  • Study involved infants treated at a tertiary care hospital.

Main Results:

  • Seventy-six infants were analyzed, with 69% presenting within 24 hours of injury.
  • Self-infliction by the child's hand was the primary cause (49%), leading to corneal abrasion (45%) and infective keratitis (25%).
  • Infants with regular follow-up showed complete recovery, highlighting the importance of consistent medical care.

Conclusions:

  • Self-inflicted injuries are the leading cause of infantile corneal trauma.
  • Early presentation and consistent follow-up are critical for positive outcomes in pediatric ocular injuries.
  • Increased caregiver awareness is essential to reduce the incidence and improve management of infantile ocular trauma.
Abstract

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