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Ocular Emergencies in Children: Demographics, Origin, Symptoms, and Most Frequent Diagnoses
Henríquez-Recine1, S Noval1, B Zafra1
1Department of Ophthalmology, La Paz University Hospital, IdiPaz, Madrid, Spain.
Insights
Infectious conjunctivitis and eye trauma are common pediatric emergencies. Increased public awareness and education on prevention are crucial for reducing these occurrences.
Area of Science:
- Ophthalmology
- Pediatrics
- Epidemiology
Background:
- Ocular emergencies in children present unique challenges in emergency room (ER) settings.
- Understanding the epidemiology of these conditions is vital for effective resource allocation and public health initiatives.
Purpose of the Study:
- To delineate the epidemiology of ocular emergencies among pediatric patients presenting to a hospital-based emergency room.
Main Methods:
- A prospective study collected data from 774 children (14 years and younger) at La Paz University Hospital's ER over one year.
- Data included demographics, reason for visit, diagnoses, and referrals.
Main Results:
- Infectious conjunctivitis (29%) and corneal erosion (17%) were the most frequent diagnoses.
- Red eyes (61%) and trauma (17%) were primary reasons for consultation, with higher trauma incidence in summer.
- Severe cases (visual loss, strabismus, leucocoria) constituted 4.65% and were referred by pediatricians.
Conclusions:
- Infectious conjunctivitis is the leading cause of pediatric ocular emergencies.
- Public awareness regarding transmission and treatment of conjunctivitis, and prevention of eye injuries, particularly trauma, is essential.
- Collaboration between ophthalmologists, pediatricians, and educators is recommended to promote eye safety in children.
Purpose:
To describe the epidemiology of ocular emergencies in children in a hospital-based emergency room (ER).
Methods:
The medical reports of all children, 14 years of age and younger, who attended La Paz University Hospital (Madrid, Spain) ER from September 2015 to August 2016 were prospectively collected. Demographic data, origin, symptom for consultation, diagnostic tests, final diagnosis, and final referral of patients were recorded.
Results:
A total of 774 children were attended: 57% boys and 43% girls. Mean age was 5 years (SD 4.10 years, range 0-14 years) without significant differences between sexes. Most children went to the ER because parents or teachers took the decision (75%), 24% were referred from the paediatric ER for evaluation, and 0.78% were referred from another hospital or by an out-clinic ophthalmologist. The reasons for consultation were red eyes (61%), traumatism (17%), referred from the paediatrician to have the fundus explored in children with headache (7%), eyelids problems (7%), and visual loss (7%). The most frequent diagnoses were infectious conjunctivitis (29%), corneal erosion (17%), normal examination (15%), and allergic conjunctivitis (13%). The most severe cases (visual loss, acute strabismus, and leucocoria) were referred by the paediatricians and represented 4.65% of the total patients. Visits occurred more frequently during the third trimester of the year (July-September), with a higher incidence of eye trauma in summer.
Conclusions:
Infectious conjunctivitis was the most frequent pathology. It is necessary to increase public awareness about the symptoms, the way of transmission, and treatment. Ocular trauma was also a common cause of presentation and the majority were contusional and mild. There is also a need for education of parents, teachers, and coaches regarding the potential for eye injuries. Ophthalmologists and paediatricians must take an active role in educating people about the prophylactic measures to prevent eye injuries in children.
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