Related Experiment Videos
Penetrating ocular trauma in children by "broomstick bows and arrows"
Insights
Pediatric ocular trauma from broomstick archery is severe but surgically treatable. Surgical intervention achieved 85% anatomical success and 62% functional success in Indian children, highlighting the importance of prompt treatment for penetrating eye injuries.
Area of Science:
- Ophthalmology
- Pediatric Trauma Surgery
- Public Health
Background:
- Ocular trauma from "broomstick bows and arrows" represents a unique and severe penetrating eye injury in Indian children.
- These high-velocity, contaminated missiles can inflict significant damage to the eye.
- Understanding surgical outcomes is crucial for managing this specific pediatric injury pattern.
Purpose of the Study:
- To present the surgical treatment results for 100 children with ocular trauma caused by broomstick bows and arrows.
- To evaluate both anatomical and functional success rates following surgical intervention.
- To identify factors associated with poor anatomical outcomes in this patient cohort.
Main Methods:
- Retrospective analysis of 100 pediatric patients undergoing surgical treatment for broomstick archery-related ocular trauma.
- Assessment of anatomical success defined as successful globe reconstruction with retinal attachment.
- Evaluation of functional success based on improvement in visual acuity using Snellen lines or specific thresholds.
Main Results:
- Anatomical success was achieved in 85% of the eyes.
- Functional success, defined by improved visual acuity, was attained in 62% of cases.
- Factors predicting poor anatomical success included combined anterior and posterior segment involvement, endophthalmitis, and retinal detachment.
Conclusions:
- Surgical treatment offers significant anatomical and functional recovery for children with broomstick archery ocular trauma.
- Prompt surgical intervention is vital, though complex injuries and complications like endophthalmitis impact outcomes.
- Further research into preventative strategies and optimized surgical techniques is warranted for this specific type of penetrating eye injury.
Abstract:
Ocular trauma by "broomstick bows and arrows" is a unique penetrating injury among Indian children. Hitting the eye with a great velocity, these highly contaminated missiles may cause severe damage. The results of surgical treatment of 100 children who suffered such trauma are presented. Anatomic success, ie, successful reconstruction of the globe with attached retina, was attained in 85 (85%) of these eyes. Functional success, ie, improvement in visual acuity of two Snellen lines in eyes with measurable preoperative acuity, or improvement to at least 2/60 in the eyes with preoperative acuities of light perception or hand movements, was attained in 62 (62%) of the eyes. Of the functionally successful eyes, an acuity of 6/9 or better was achieved in 28 (45.2%). Factors predictive of poor anatomical success were: injuries involving both anterior and posterior segment (P < .02), endophthalmitis (P < .05), and presence of retinal detachment with or without proliferative vitreoretinopathy (P < .05). Mean follow up was 4.5 +/- 3.59 months (range, 2 to 24 months).