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Sensorimotor Outcomes in Pediatric Patients With Ocular Trauma in Baltimore
Insights
Pediatric open globe injuries frequently cause strabismus and poor stereopsis, impacting sensorimotor outcomes. Severe injuries and lower Pediatric Ocular Trauma Scores are linked to worse results in children.
Area of Science:
- Ophthalmology
- Pediatric Traumatology
- Sensorimotor Function
Background:
- Traumatic open globe injuries in children can lead to long-term visual deficits.
- Sensorimotor outcomes like stereopsis and ocular alignment are crucial for visual development.
Purpose of the Study:
- To evaluate sensorimotor outcomes, specifically stereopsis and strabismus, after traumatic open globe injuries in pediatric patients.
- To identify factors associated with these sensorimotor deficits.
Main Methods:
- Retrospective cohort study of 80 pediatric patients with traumatic open globe injuries.
- Data collected included injury mechanism, visual deprivation duration, visual acuity, ocular pathologies, and the Pediatric Ocular Trauma Score (POTS).
Main Results:
- Over 77% of children developed poor stereopsis, and 50% developed strabismus with >6 months follow-up.
- Strabismus was associated with lower POTS (indicating greater injury severity).
- Higher POTS correlated significantly with better stereoacuity.
Conclusions:
- Strabismus and poor stereopsis are common sequelae of pediatric open globe injuries.
- These sensorimotor deficits are linked to poorer initial visual acuity, more severe trauma, and lower presenting POTS.
Purpose:
To evaluate sensorimotor outcomes following traumatic open globe injuries in the pediatric population.
Methods:
A retrospective cohort of 80 pediatric patients aged 0.4 to 17.7 years (mean age: 9.3 years, median age: 8.3 years) presenting with traumatic open globe injury to the Johns Hopkins and University of Maryland Medical Centers was evaluated between January 2006 and January 2020. Parameters included the mechanism of injury, length of time of visual deprivation, initial and final visual acuity, additional eye pathologies, and demographic factors such as age and sex.
Results:
Among children with more than 6 months of follow-up, 77.4% developed poor stereopsis and 50% developed strabismus. Children who developed strabismus had a lower Pediatric Ocular Trauma Score (POTS), indicating greater severity of injury, than children who did not develop strabismus (P = .005, chi-square test). A higher POTS, indicating less severe ocular injury, significantly correlated to a better stereoacuity (P = .001, chi-square test).
Conclusions:
The findings indicate that strabismus and poor stereopsis are common in pediatric open globe injuries, occurring in more than half of children with pediatric open globe trauma. These outcomes are associated with poor presenting visual acuity, more severe ocular trauma, and a lower presenting POTS. [.