| Outcome and prognosis of pediatric patients with delayed diagnosis of open-globe injuries. | |
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MedLine Citation:
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PMID: 19645396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE:Open-globe injuries in children can present in a delayed fashion, potentially increasing the risk of endophthalmitis and delaying surgical intervention. This article presents the outcome of pediatric patients with delayed diagnosis of open-globe injuries for 24 hours or more. METHODS:The study was a retrospective observational case series of patients who presented with open-globe injuries diagnosed 24 hours or more after the injury between July 2002 and March 2007. RESULTS:Thirteen patients were included in the study. The average age at presentation was 5.8 +/- 2.8 years; average follow-up was 11.5 +/- 14.5 months. Mean time of presentation after injury was 9.2 +/- 16.0 days. The most common chief complaints were chronic red eye (7 of 13 patients), eye pain (5 of 13 patients), and decreased vision (4 of 13 patients). All patients had self-sealing corneal wounds; 8 of 13 patients had a visually significant traumatic cataract. One patient had sympathetic ophthalmia. Initial visual acuity was 20/200 or worse in 10 patients, and final visual acuity was 20/40 or better in 6 patients. No patient had endophthalmitis. CONCLUSION:Open-globe injuries, especially self-sealing corneal wounds, can present in a delayed fashion in children or may be missed if obvious findings, such as subconjunctival hemorrhage or prolapsed iris tissue, are not present. Pediatricians should be educated that they should maintain a high level of suspicion in the setting of chronic unilateral red eye, decreased visual acuity, or abnormal red reflex. |
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Authors:
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Olga M Acuna; Kimberly G Yen |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-03-20 |
Journal Detail:
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Title: Journal of pediatric ophthalmology and strabismus Volume: 46 ISSN: 0191-3913 ISO Abbreviation: J Pediatr Ophthalmol Strabismus Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-08-03 Completed Date: 2009-11-12 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: 202-7; quiz 208-9 Citation Subset: IM |
Copyright Information:
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Copyright 2009, SLACK Incorporated. |
Affiliation:
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Cullen Eye Institute, Baylor College of Medicine, Texas Children Hospital, Houston, Texas, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Child, Preschool Diagnosis, Differential Diagnostic Errors Diagnostic Techniques, Ophthalmological* Eye Injuries, Penetrating / diagnosis*, surgery Female Humans Male Ophthalmologic Surgical Procedures / methods* Prognosis Retrospective Studies Time Factors Trauma Severity Indices |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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