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A survey of incidental ocular trauma by pencil and pen

Seyed Ali Tabatabaei1, Mohammad Soleimani1, Morteza Naderan1

  • 1Department of Ophthalmology, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 1336616351, Iran.

International Journal of Ophthalmology
|October 27, 2018
PubMed

Insights

Pediatric eye injuries from writing instruments, often involving colored pencils, occur most frequently in the superomedial quadrant. Prompt diagnosis and imaging are crucial, especially for potential brain injuries.

Area of Science:

  • Ophthalmology
  • Pediatric Trauma
  • Ocular Injury

Background:

  • Self-inflicted ocular trauma in children presents unique challenges.
  • Writing instruments are a common cause of pediatric eye injuries.

Purpose of the Study:

  • To identify characteristic features of ocular trauma caused by writing instruments in children.
  • To highlight potential associated injuries and visual outcomes.

Main Methods:

  • A prospective cross-sectional study included 36 children with self-inflicted ocular trauma from writing instruments.
  • Data collected included injury site, instrument type, foreign body presence, associated injuries, and visual acuity.

Main Results:

  • The superomedial quadrant was the most common injury site (55.5%), with colored pencils being the leading cause (44.4%).
  • Foreign bodies were found in 30.5% of cases. Two patients (5.6%) had associated brain injuries.
  • Final best corrected visual acuity (BCVA) was significantly better with nasal entrance site injuries (P<0.05).

Conclusions:

  • Ophthalmologists must maintain a high suspicion for penetrating eye injuries from writing instruments in young children.
  • Associated brain injuries require prompt investigation with imaging.
  • The medial canthal area warrants special attention due to its high incidence in these injuries.
Abstract

Keywords:
childrenocularpediatricpenciltrauma

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