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Pediatric Ocular Trauma: Not Just a Pediatric Trauma Center Problem
Zoe Flyer1,2, John Schomberg3, Andreina Giron1
1Division of Pediatric Surgery, Children's Hospital of Orange County, Orange.
Pediatric Emergency Care
|September 17, 2025
Summary
Pediatric ocular trauma patients are treated similarly in pediatric trauma centers (PTC) and other trauma centers. Younger and Hispanic children were more likely treated at PTCs, with more abuse reports noted in non-PTCs.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Pediatric Medicine
Background:
- Pediatric ocular trauma is a leading cause of monocular blindness.
- Treatment of pediatric eye injuries can vary by facility type.
- This study compares treatment patterns in verified pediatric trauma centers (PTC) versus other trauma centers (non-PTC).
Purpose of the Study:
- To investigate factors influencing the choice of treating facility for pediatric ocular trauma.
- To compare treatment characteristics and outcomes between PTCs and non-PTCs.
- To identify potential disparities in care for pediatric eye injuries.
Main Methods:
- Retrospective cross-sectional study using the National Trauma Data Bank 2019.
- Analysis of pediatric patients (ages 1-18) with ICD-10 ocular trauma diagnoses.
- Logistic regression models assessed associations between treatment facility, injury type, and transfer pathways, adjusting for confounders.
Main Results:
- No significant difference in injury severity (ISS >15) or ocular injury mechanisms between PTCs and non-PTCs.
- Younger children (median age 10 vs 13) and more Hispanic children were treated at PTCs.
- More child abuse reports were identified in non-PTCs (67.6%) compared to PTCs (32.4%).
- Hispanic ethnicity was inversely associated with direct emergency department to operating room transfer.
Conclusions:
- Pediatric ocular traumas are treated at PTCs and non-PTCs with similar severity.
- Younger and Hispanic children are more frequently treated at PTCs.
- Further research is needed to evaluate outcomes and optimize treatment pathways for pediatric ocular trauma.
