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Characteristics of pediatric ocular trauma in a tertiary hospital in Israel 2011-2020 - How can public prevention
Asaf Israeli1, Mollie Wald1, Shadi Safuri1,2
1The Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Insights
Pediatric ocular trauma remained stable from 2011-2020, with non-adolescent males most affected. Most injuries, often from falls or play, did not require surgery.
Area of Science:
- Ophthalmology
- Pediatric Emergency Medicine
- Trauma Research
Background:
- Pediatric ocular trauma presents a significant public health concern.
- Understanding trends and characteristics is crucial for prevention and management.
- Previous studies have varied in scope and geographic focus.
Purpose of the Study:
- To analyze the characteristics and trends of pediatric ocular trauma.
- To describe injury patterns, mechanisms, and outcomes over a decade (2011-2020).
- To assess the stability of ocular trauma incidence relative to pediatric emergency department visits.
Main Methods:
- Retrospective descriptive study design.
- Data collected from pediatric ocular trauma cases at a single healthcare campus (2011-2020).
- Analysis included demographics, visual acuity, diagnoses, injury mechanisms, and surgical interventions.
Main Results:
- The ratio of pediatric ocular trauma to total pediatric emergency department visits remained stable (p=0.714).
- Males, particularly non-adolescent males (44.7%), were the most affected demographic.
- Common causes included eyelid lacerations and periorbital hematomas; falls and play were leading mechanisms, varying by age. Most cases were managed conservatively.
Conclusions:
- Pediatric ocular trauma incidence relative to emergency department visits was consistent throughout the study period.
- Non-adolescent males represent a key demographic for ocular injuries.
- Injury mechanisms differ across age groups, and surgical intervention is infrequently required.
Purpose:
To describe and analyze characteristics and trends of pediatric ocular trauma during 2011-2020.
Methods:
Retrospective descriptive study. Data were collected on all pediatric ocular trauma cases that presented to a Rambam Health Care Campus during 2011-2020. Data included age, gender, visual acuity, diagnosis, injury mechanism and surgical repair.
Results:
Median BCVA at presentation was 0.96 (logMAR). Males and non-adolescent males specifically were the most prominent groups (70.6% and 44.7%, respectively). The ratio of ocular trauma cases to total pediatric emergency department (ED) visits was stable during 2011-2020 (p = 0.714) regardless of gender (p = 0.832 and p = 0.545 for boys and girls, respectively). The leading causes were partial thickness eyelid laceration, periorbital hematoma, and extraocular muscle contusion, all of which were stable over the study period (p = 0.678, p = 0.203 and p = 0.398, respectively). Falls and children play were the most common mechanisms (25.8% and 18.4%, respectively), but differed between age groups. Most patients did not require consecutive operation and were treated conservatively (p < 0.01).
Conclusion:
Pediatric ocular injuries to pediatric ED visits ratio remained stable during 2011-2020, regardless of gender. Non-adolescent males accounted for nearly half of all cases, with different mechanisms for each age group. Consecutive surgery was rarely necessary.
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