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Aetiology of perforating eye injury
A J Luff1, P R Hodgkins, R J Baxter
1Southampton Eye Hospital.
Insights
Parental awareness is key to preventing childhood perforating ocular trauma. Most eye injuries occur domestically or during play, highlighting the need for increased caregiver vigilance and safety measures.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Injury Prevention
Background:
- Perforating ocular injuries in children represent a significant public health concern.
- Understanding the aetiology and trends of these injuries is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the causes of perforating ocular injuries in children.
- To identify potential preventive measures based on injury patterns.
Main Methods:
- Retrospective analysis of case notes from 143 pediatric patients over a 10-year period.
- Data collection focused on injury setting, circumstances, and demographic factors.
Main Results:
- The majority of injuries occurred in domestic settings (34%) or during play (19%).
- Boys were four times more likely to sustain ocular injuries than girls.
- A notable decrease in road traffic accident-related injuries was observed compared to previous studies.
Conclusions:
- Parental awareness is the most critical factor in preventing childhood perforating ocular trauma.
- Targeted educational initiatives focusing on domestic safety and supervised play are recommended.
Abstract:
This study addresses the aetiology of perforating ocular injury in childhood and possible preventive measures. Data have been collected from the case notes of 143 patients presenting over a 10 year period to a single ophthalmic unit. Injuries occurred most often in a domestic setting (34%) or with a child at play (19%) and showed an overall four to one ratio of boys to girls. Sports injuries accounted for 15% and assault for 8% of all injuries. A changing pattern of ocular injury is evident: road traffic accidents constituted 6% of injuries, compared with 31% in a similar study published in 1976. The role of litigation is discussed, particularly with regard to firearms, which accounted for 8% of injuries. It is concluded that the most important factor in the prevention of perforating ocular trauma is parental awareness, 53% of injuries occurring with the child in a domestic setting or at play.
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