| Major pediatric ocular trauma in Taiwan. | |
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MedLine Citation:
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PMID: 20349901 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To investigate major pediatric ocular trauma in Taiwan. METHODS: Retrospective review of medical records of all patients 15 years and younger who were hospitalized with a primary diagnosis of eye injury at National Cheng Kung University Hospital, Taiwan, between June 1988 and May 2006. RESULTS: There were 156 children (156 eyes) 1.1 to 15.0 years (mean+/-standard deviation, 7.1+/-0.3 years; boy: girl ratio: 2.1:1). Objects most often causing penetrating injury were scissors (13.5%), pencils/pens (12.2%), broken eyeglasses/spectacles (7.7%), and knives (6.4%). Most blunt trauma occurred in traffic accidents (5.8%). Most injuries occurred at home, followed by on the street, at school, and at sports venues. Injuries were classified as open globe (71.2%), adnexal only (18.6%), or closed globe (10.3%), and included corneal laceration (40.4%), lens damage (27.6%), hyphema (25.6%), and eyelid laceration (23.7%). Most surgical procedures were primary repair (88.5%) or removal of a damaged lens (22.4%). Additional surgery was performed in 19.9% of cases. After treatment, 56.4% of eyes had corneal opacity/scar and 7.1% became phthitic; 52.6% had good visual outcome, whereas 23.1% had poor final vision. Compared with visual acuity measured on admission, final visual acuity was improved in 76.1%, unchanged in 19.7%, and worse in 4.3%. Predictors of worse outcome were open-globe injury and larger wound size, posterior segment involvement, and presence of an intraocular foreign body. CONCLUSIONS: Most of the children hospitalized for major ocular trauma are younger boys with penetrating injuries suffered at home. Most injuries could have been prevented by increased awareness and reduction of risk factors, and the authors urge better public education for improved safety. |
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Authors:
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Mei-Ling Liu; Yi-Sheng Chang; Sung-Huei Tseng; Hon-Chun Cheng; Fu-Chin Huang; Min-Hsiu Shih; Sheng-Min Hsu; Po-Hsiu Kuo |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-03-22 |
Journal Detail:
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Title: Journal of pediatric ophthalmology and strabismus Volume: 47 ISSN: 0191-3913 ISO Abbreviation: J Pediatr Ophthalmol Strabismus Publication Date: 2010 Mar-Apr |
Date Detail:
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Created Date: 2010-03-30 Completed Date: 2010-06-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7901143 Medline TA: J Pediatr Ophthalmol Strabismus Country: United States |
Other Details:
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Languages: eng Pagination: 88-95 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010, SLACK Incorporated. |
Affiliation:
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Department of Ophthalmology, National Cheng Kung University Hospital Dou-Liou Branch, Yunlin, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Age Factors Child Child, Preschool Eye Injuries / diagnosis, epidemiology*, surgery Female Humans Incidence Infant Male Ophthalmologic Surgical Procedures / methods* Prognosis Retrospective Studies Risk Factors Sex Factors Taiwan / epidemiology Trauma Severity Indices Visual Acuity |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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