Retrospective analysis of the clinical characteristics of childhood ocular trauma, 2020-2024
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Dong Han1, Aijun Tian1, Li Li1
1Hebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Clinical Research Center for Eye Diseases, Hebei Eye Hospital, No.399 Quanbei East Street, Xiangdu District, Xingtai, 054000, China.
Insights
Childhood ocular trauma, often occurring at home, can cause permanent vision loss. Prevention and parental awareness are crucial for reducing pediatric eye injuries and ensuring timely treatment.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Public Health
Background:
- Retrospective analysis of 704 pediatric ocular trauma cases (2020-2024) at Hebei Eye Hospital.
- Investigated age, causes, clinical characteristics, and treatment outcomes.
- Aimed to inform prevention and post-injury management strategies for childhood eye injuries.
Purpose of the Study:
- To analyze the epidemiological characteristics and clinical features of pediatric ocular trauma.
- To identify risk factors and outcomes associated with childhood eye injuries.
- To provide guidance for effective prevention and treatment of pediatric ocular trauma.
Main Methods:
- Systematic retrospective analysis of 704 pediatric patients (aged 1-17) with ocular trauma.
- Data collected on demographics, injury details (location, cause, type), treatment, complications, and visual acuity.
- Statistical analysis including Fisher's exact test and multivariate binary logistic regression.
Main Results:
- Ocular trauma was more prevalent in males (3.57:1 ratio), with home being the most common injury location (40.3%).
- Ocular adnexal trauma was most frequent, followed by open and closed globe injuries. 74.9% received primary repair within 24 hours.
- Lens damage, retinal/optic nerve damage, endophthalmitis, and secondary surgeries were significant factors impacting outcomes (P<0.05).
Conclusions:
- Pediatric ocular trauma can result in irreversible visual impairment.
- Preventive measures and heightened parental awareness are essential for reducing incidence.
- Timely intervention and appropriate treatment are critical for managing childhood eye injuries.
Background:
This study retrospectively analysed and summarized the age, causes, clinical characteristics, and treatment of paediatric patients with ocular trauma hospitalized at Hebei Eye Hospital and aimed to provide effective guidance for the prevention and postinjury treatment of paediatric ocular trauma.
Materials And Methods:
We conducted a systematic retrospective analysis of 704 paediatric patients with ocular trauma who were admitted to the Department of Ocular Trauma at Hebei Eye Hospital from January 2020 to December 2024. Patients included 550 males and 154 females aged 1-17 years, with a mean age of 9.33 ± 4.66 years. A systematic retrospective analysis was conducted on the basis of age, sex, injured eye, initial consultation time, injury location, injury cause, injury type, treatment methods, ocular complications, and visual acuity before and after treatment.
Results:
The male-to-female ratio in this study was 3.57:1, with a higher prevalence in boys. The results of this study revealed that the most common location at which childhood ocular trauma occurred was at home (40.3%) and that the most common type of ocular trauma was ocular adnexal trauma, followed by open and closed ocular trauma. In this study, approximately 74.9% of the children underwent primary tissue repair and suturing within 24 h of their initial consultation, and approximately 16.6% of the children underwent secondary surgeries. Fisher's exact test revealed that accompanying lens damage, accompanying retinal or optic nerve damage, endophthalmitis, admission vision, secondary surgery, and the type of secondary surgery were significantly (P < 0.05). Factors for which P < 0.05 were included in a multivariate binary logistic regression model for analysis. The following factors were statistically significant in the multivariate analysis: lens damage, retinal or optic nerve damage, endophthalmitis, secondary surgery, secondary cataract surgery, and vitrectomy with intraocular lens implantation (P < 0.05).
Conclusion:
In summary, ocular trauma in children may lead to irreversible visual impairment. Therefore, preventive measures and increased awareness regarding eye protection among parents are highly important for reducing the incidence of ocular trauma in children.
