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Clinical analysis of posterior segment injury in left-behind children in China
Zhongcui Sun1, Xiaonan Zhuang1, Gezhi Xu1
1Eye and ENT Hospital of Fudan University, Fenyang Road, No 83, Shanghai, China.
Insights
Left-behind children (LBC) with posterior segment ocular trauma experience more severe injuries and worse visual outcomes compared to other children. This highlights an urgent need for improved guardianship and timely medical intervention for LBC.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Evaluating posterior segment ocular injury severity and prognosis in left-behind children (LBC) versus other children (NLBC).
- Assessing the impact of delayed care on ocular trauma outcomes in vulnerable pediatric populations.
Purpose of the Study:
- To compare the severity and visual prognosis of posterior segment injuries in LBC versus NLBC.
- To identify factors contributing to poorer outcomes in LBC with ocular trauma.
Main Methods:
- Retrospective, controlled analysis of pediatric patients with posterior segment injury.
- Comparison of two groups: LBC (n=48) and NLBC (n=44).
- All patients underwent 25G transconjunctival sutureless pars plana vitrectomy.
Main Results:
- LBC presented with delayed treatment, worse baseline vision, and poorer visual prognosis compared to NLBC.
- LBC experienced more vitrectomies, complicated surgeries, lens removal, and silicone oil tamponade.
- Lower Ocular Trauma Score (OTS) was observed in the LBC group.
Conclusions:
- Posterior segment ocular trauma is more severe in LBC, often complicated by infectious endophthalmitis, leading to worse visual prognosis.
- Lack of care and delayed treatment significantly impact outcomes for LBC.
- Strengthening guardianship and ensuring prompt medical attention for LBC with ocular trauma is critical.
Background:
We aimed to evaluate the severity and prognosis of posterior segment injury between left-behind children (LBC) and guarded children (NLBC).
Methods:
A retrospective, controlled analysis of a case series was performed. Patients diagnosed with posterior segment injury in Department of vitreous and retinal, the Affiliated Ophthalmology and Otolaryngology Hospital of Fudan University were included in this study. Patients were divided into two groups, including LBC group (n = 48) and NLBC group (n = 44). All the children underwent 25G transconjunctival sutureless pars plana vitrectomy.
Results:
Compared with NLBC, LBC had delayed treatment, worse baseline vision and visual prognosis, lower OTS rating, more times of vitrectomies, more complicated surgical procedures, and higher rate of lens removal and silicone oil tamponade.
Conclusions:
Due to lack of care and delayed treatment, posterior segment ocular trauma in the LBC was more severe, more common complicated with infectious endophthalmitis, and had worse visual prognosis. It was urgent to enforce the guardianship in LBC.
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