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Ocular Trauma in Pediatric Age Group at a Tertiary Eye Care Center in Central Maharashtra, India
Ashok Hukumchand Madan1, Rajesh Subhash Joshi1, Preeti Dasharath Wadekar1
1Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra 440012, India.
Insights
Pediatric ocular trauma, often caused by sports, affects children in Maharashtra. A rapid action team is proposed to prevent vision loss from these eye injuries.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Pediatric ocular trauma is a significant cause of visual impairment in children.
- Understanding the demographic profile and injury patterns is crucial for prevention and management.
Purpose of the Study:
- To investigate the demographic characteristics of pediatric ocular trauma cases.
- To analyze the visual outcomes and common causes of eye injuries in children.
Main Methods:
- A prospective, interventional study was conducted over one year at a tertiary eye care center in central Maharashtra.
- Included were 350 children aged 15 years and younger with eye injuries.
- Demographic data, injury details, and visual acuity were recorded, with a 6-month follow-up.
Main Results:
- Ocular trauma was observed in 66 (18.9%) children, with a mean age of 8.33 years.
- Sports-related injuries (18), followed by wooden stick (14) and firecracker (11) incidents, were common causes.
- Perforating corneal injuries (47.5%) were most frequent, with 92.3% of open globe injuries requiring surgery.
Conclusions:
- Sports activities are a major cause of pediatric ocular trauma in central Maharashtra.
- Establishing a rapid action ocular trauma team is recommended to mitigate blindness from such injuries.
Purpose:
To study the demographic profile and visual outcome in pediatric ocular trauma.
Study Design:
Prospective and interventional study.
Setting:
Tertiary eye care center in central Maharashtra.
Materials And Methods:
The study included all children of age group 15 years and younger sustaining eye injuries and presented to the outpatient department or emergency services. The duration of the study was 1 year. A detailed medical history was obtained. Demographic profile was noted. A detailed ocular examination included visual acuity, slit-lamp biomicroscopy, and fundus examination. All patients were followed up to 6 months.
Results:
Out of 350 children examined, 66 (18.9%) had ocular trauma. The mean age at presentation was 8.33 ± 4.03 years. Children aged 6-10 years (39.3%) were most commonly affected followed by children from 11 to 15 years (36.1%). There were no significant differences between rural (54.1%) and urban (45.9%) children. Most (63.9%) had open and 24.6% had closed globe injuries. Perforating injuries to the cornea (n=29, 47.5%) was the most common injury. Sports-related injuries were common (n= 18) followed by wooden stick- (n = 14) and firecracker-related (n = 11) injuries. In the open and closed globe injuries, 36 (92.3%) and 5 (33.3%) patients, respectively, required immediate surgical intervention.
Conclusion:
Sports-related activities were a common cause of ocular trauma in the pediatric age group in the central region of Maharashtra. We propose setting of rapid action ocular trauma team to prevent blindness occurring due to trauma.
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