Indications for Pediatric Ocular Prosthesis Fitting at a Referral Center in the Middle East

Area of Science:

• Ophthalmology
• Pediatric Medicine
• Public Health

Background:

• Trauma is a primary cause of globe loss in adults, but pediatric data are limited.
• Understanding pediatric globe loss causes is crucial for targeted interventions.
• The Middle East region has specific demographic and healthcare considerations.

Purpose of the Study:

• To identify the primary diagnoses leading to globe loss in children requiring ocular prosthesis.
• To analyze the surgical procedures associated with pediatric globe loss.
• To inform strategies for reducing ocular morbidity in children.

Main Methods:

• Retrospective review of children fitted with ocular prostheses over one year.
• Data collection from a referral eye hospital in the Middle East.
• Analysis of underlying diagnoses and surgical interventions.

Main Results:

• Retinoblastoma, trauma, and congenital microphthalmia/anophthalmia were the most frequent diagnoses for pediatric globe loss.
• Enucleation and evisceration were the most common surgical procedures.
• Procedures were specifically linked to retinoblastoma and trauma, respectively.

Conclusions:

• Pediatric globe loss in the region is significantly influenced by retinoblastoma, trauma, and congenital conditions.
• Ocular morbidity can be mitigated through enhanced family education, safety precautions, and genetic counseling.
• Addressing these key diagnoses is vital for improving pediatric eye health outcomes.