Characteristics of Hospitalized Pediatric Patients Following Traumatic Open Globe Injuries; a Cross-sectional Study
Archives of Academic Emergency Medicine,
Vol. 12 No. 1 (2024),
1 January 2024
,
Page e28
https://doi.org/10.22037/aaem.v12i1.2175
Abstract
Introduction: One of the main causes of acquired blindness and impairment in children is ocular trauma. This study aimed to evaluate the epidemiological and clinical characteristics of pediatric patients hospitalized with open globe injuries (OGI).
Methods: A retrospective cross-sectional study was conducted on children diagnosed with OGI at a referral Hospital affiliated with Isfahan University of Medical Sciences, Isfahan, Iran, from 2014 to 2018.
Results: 375 OGI medical records were detected during the study period. The common culprits for OGI in boys were knives (21.3%), wood (19.7%), metal bodies (12.2%), and glass (11.8%). In girls, the common causes were knives (28.7%), glass (24.3%), pencils (11.3%), and wood (10.4%). Boys had a greater rate of Intraocular foreign body (IOFB) (p= 0.052but had lower odds of blindness compared to girls (OR=0.48; 95% CI: (0.24, 0.98); p = 0.04). Patients with corneal lacerations had lower chances of long-term admission than those with corneal and scleral lacerations (OR= 0.35, 95% CI: (0.17, 0.69); p = 0.02).
Conclusion: Most pediatric OGIs occur in boys. knives were the principal culprit for OGI, followed by glass and wood. Boys had a greater IOFB rate but lower blindness odds than girls.
- Eye Injury
- Trauma
- Visual Impairment
- Blindness
- Pediatrics
How to Cite
References
Boret C, Brehin C, Cortey C, Chanut M, Houzé-Cerfon C-H, Soler V, et al. Pediatric ocular trauma: characteristics and outcomes among a French cohort (2007–2016). Archives de Pediatrie. 2020;27(3):128-34.
He Y, Nian S, Wu N, Wang Y, Yu T, Liu Y. Clinical Features and Surgical Outcomes of Pediatric Ocular Trauma in Southwest of China. 2018.
Kuhn F, Morris R, Mester V, Witherspoon CD. Terminology of mechanical injuries: the Birmingham eye trauma terminology (BETT). Ocular traumatology: Springer; 2008. p. 3-11.
Négrel A-D, Thylefors B. The global impact of eye injuries. Ophthalmic epidemiology. 1998;5(3):143-69.
Loon SC, Tay WT, Saw SM, Wang JJ, Wong TY. Prevalence and risk factors of ocular trauma in an urban south‐east Asian population: the Singapore Malay Eye Study. Clinical & experimental ophthalmology. 2009;37(4):362-7.
Narang S, Gupta V, Simalandhi P, Gupta A, Raj S, Dogra MR. Paediatric open globe injuries. Visual outcome and risk factors for endophthalmitis. Indian journal of ophthalmology. 2004;52(1):29.
Madan AH, Joshi RS, Wadekar PD. Ocular Trauma in Pediatric Age Group at a Tertiary Eye Care Center in Central Maharashtra, India. Clin Ophthalmol. 2020;14:1003-9. Epub 2020/04/14. doi: 10.2147/opth.S244679. PubMed PMID: 32280195; PubMed Central PMCID: PMCPMC7132001.
Peyman A, Dehghani A, Mortazavi SA, Dehghani S, Esfahanian F, Pourazizi M. Pediatric Open Globe Injuries Caused by Firecrackers in a Tertiary Eye Care Hospital in Iran. Pediatr Emerg Care. 2023;39(3):130-4. Epub 2022/09/14. doi: 10.1097/pec.0000000000002846. PubMed PMID: 36099539.
Al-Mahdi HS, Bener A, Hashim SP. Clinical pattern of pediatric ocular trauma in fast developing country. International emergency nursing. 2011;19(4):186-91.
Lee C, Su W, Lee L, Yang M. Pediatric ocular trauma in Taiwan. Chang Gung medical journal. 2008;31(1):59.
Dehghani A, Rafiemanzelat AM, Ghaderi K, Pourazizi M, Feizi A. Post-traumatic endophthalmitis prophylaxis with oral ciprofloxacin in comparison to intravenous cephazolin/gentamicin. J Res Med Sci. 2018;23:98. Epub 2019/01/01. doi: 10.4103/jrms.JRMS_384_18. PubMed PMID: 30595706; PubMed Central PMCID: PMCPMC6283000.
Li X, Zarbin MA, Bhagat N. Pediatric open globe injury: a review of the literature. Journal of emergencies, trauma, and shock. 2015;8(4):216.
Balaghafari A, Siamian H, Aligolbandi K. Ocular trauma: 2 years retrospective study in Sari, Iran. Materia socio-medica. 2013;25(4):230.
Hashemi H, Khabazkhoob M, Emamian MH, Shariati M, Mohazzab-Torabi S, Fotouhi A. Past history of ocular trauma in an Iranian population-based study: Prevalence and its associated factors. Middle East African journal of ophthalmology. 2015;22(3):377.
Bourne RR, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, Jonas JB, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. The Lancet Global Health. 2017;5(9):e888-e97.
Nelson LB, Wilson TW, Jeffers JB. Eye injuries in childhood: demography, etiology, and prevention. Pediatrics. 1989;84(3):438-41.
Cascairo MA, Mazow ML, Prager TC. Pediatric ocular trauma: a retrospective survey. Journal of pediatric ophthalmology and strabismus. 1994;31(5):312-7.
Vasnaik A, Vasu U, Battu RR, Kurian M, George S. Mechanical eye (globe) injuries in children. Journal of pediatric ophthalmology and strabismus. 2002;39(1):5-9.
Al-Bdour MD, Azab MA. Childhood eye injuries in North Jordan. International ophthalmology. 1998;22(5):269-73.
Tomazzoli L, Renzi G, Mansoldo C. Eye injuries in childhood: a retrospective investigation of 88 cases from 1988 to 2000. European journal of ophthalmology. 2003;13(8):710-3.
Hill JR, Crawford BD, Lee H, Tawansy KA. Evaluation of open globe injuries of children in the last 12 years. Retina. 2006;26(7):S65-S8.
Serrano JC, Chalela P, Arias JD. Epidemiology of childhood ocular trauma in a northeastern Colombian region. Archives of Ophthalmology. 2003;121(10):1439-45.
Fong LP, Fong LP. Eye injuries in Victoria, Australia. Medical journal of Australia. 1995;162(2):64-8.
Chakraborti C, Giri D, Choudhury KP, Mondal M, Datta J. Paediatric ocular trauma in a tertiary eye care center in Eastern India. Indian journal of public health. 2014;58(4):278.
Singh S, Sharma B, Kumar K, Dubey A, Ahirwar K. Epidemiology, clinical profile and factors, predicting final visual outcome of pediatric ocular trauma in a tertiary eye care center of Central India. Indian journal of ophthalmology. 2017;65(11):1192.
Katiyar V, Bangwal S, Gupta SK, Singh V, Mugdha K, Kishore P. Ocular trauma in Indian pediatric population. Journal of Clinical Ophthalmology and Research. 2016;4(1):19.
Nikandish M. Patterns of the Eye Emergencies Referring to the Valiasr Hospital in Birjand, Iran, During the “Nowruz” Holiday 2019. Modern Care Journal. 2020;17(1).
Wang W, Zhou Y, Zeng J, Shi M, Chen B. Epidemiology and clinical characteristics of patients hospitalized for ocular trauma in South‐Central China. Acta ophthalmologica. 2017;95(6):e503-e10.
Madan AH, Joshi RS, Wadekar PD. Ocular trauma in pediatric age group at a tertiary eye care center in central Maharashtra, India. Clinical Ophthalmology (Auckland, NZ). 2020;14:1003.
Onakpoya OH, Adeoye AO. Childhood eye diseases in southwestern Nigeria: a tertiary hospital study. Clinics. 2009;64(10):947-51.
Dehghani AR, Rezaei L, Salam H, Mohammadi Z, Mahboubi M. Post traumatic endophthalmitis: incidence and risk factors. Glob J Health Sci. 2014;6(6):68-72. doi: 10.5539/gjhs.v6n6p68. PubMed PMID: 25363107.
Bunting H, Stephens D, Mireskandari K. Prediction of visual outcomes after open globe injury in children: A 17-year Canadian experience. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2013;17(1):43-8. doi: https://doi.org/10.1016/j.jaapos.2012.10.012.
Han SB, Yu HG. Visual outcome after open globe injury and its predictive factors in Korea. The Journal of trauma. 2010;69(5):E66-72. Epub 2010/04/21. doi: 10.1097/TA.0b013e3181cc8461. PubMed PMID: 20404759.
- Abstract Viewed: 452 times
- pdf Downloaded: 962 times
Download Statastics
Make a Submission
SJR
COPE
