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A prospective cohort study on the epidemiology of ocular trauma associated with closed-globe injuries in pediatric
Shreya M Shah1, Mehul A Shah1, Romi Singh1
1Department of Pediatric Ophthalmology, Drashti Netralaya, Dahod, Gujarat, India.
Insights
Pediatric closed globe injuries are common, particularly in young males, and can lead to vision loss. Early treatment significantly impacts visual outcomes in children with eye trauma.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Ocular trauma is a significant cause of vision impairment in children.
- Closed globe injuries represent a substantial portion of pediatric eye trauma.
- Understanding the epidemiology of pediatric ocular trauma is crucial for prevention and management.
Purpose of the Study:
- To investigate the epidemiology of mechanical ocular trauma and closed globe injuries in the pediatric population.
- To apply the Birmingham Eye Trauma Terminology System for classification.
- To analyze injury patterns and outcomes in children.
Main Methods:
- Prospective cohort study of pediatric ocular trauma patients (2002-2017).
- Data collection using the International Ocular Trauma Society form.
- Statistical analysis including univariate and cross-tabulation using SPSS 22.
Main Results:
- A cohort of 1010 pediatric patients (0-18 years) with closed globe injuries was analyzed.
- Males constituted 68.3% of cases, with a mean age of 10.2 years.
- Closed globe contusions (68.5%) were more frequent than lamellar lacerations (31.5%).
Conclusions:
- Closed globe injuries are a leading cause of vision loss in children, affecting 24% with severe impairment (<1/60).
- The condition is more prevalent in males and children under 10 years old.
- Timely and appropriate treatment is critical for improving visual outcomes in pediatric patients.
Purpose:
To study the epidemiology of mechanical ocular trauma and closed globe injury using the Birmingham Eye Trauma Terminology System in patients belonging to the pediatric age group.
Methods:
This work involved a prospective cohort study of all ocular trauma patients (pediatric age group) registered between 2002 and 2017 at the ocular trauma care center. The data were collected using the international ocular trauma society form through our online MIS data and exported to the Excel sheet. The statistical analyses including the univariate analysis and cross tabulation were carried out using SPSS 22 software.
Results:
Our cohort consisted of 12687 patients with mechanical ocular trauma. There were 7546 (59.4%) eyes with open globe ocular injuries and 5328 (41.9%) with closed globe injuries. Of all closed globe injury patients, 1010 (19.0%) belonged to the pediatric age group (0-18 years), including 690 males (68.3%) and 320 females (31.7%). The mean age of the patients was 10.2 ± 5.1 years. Of all closed globe injuries, 692 (68.5%) were closed globe contusion and 318 (31.5%) were lamellar laceration.
Conclusion:
Closed globe injury is an important in cause of vision loss in children (24% <1/60). The condition is more prevalent in males and >51.7% in children under 10 years of age. The treatment has significant impact on the visual outcome in patients belonging to the pediatric age group.
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