Characteristics of pediatric ocular trauma in a pediatric emergency department in Japan

Kinoshita, Masakazu; Ihara, Takateru; Mori, Takaaki

doi:10.1016/j.ajem.2023.05.012

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…In 231 cases, a medical visit was made within 12 hours of the trauma, and 279 cases were referred to medical centers in less than one day, which shows that parents are aware of the consequences of eye injuries. 28 In this study, surgical treatment was performed in 17% of the patients. The statistical differences with studies conducted by Sharifzadeh et al (25%), Mayouego Kouam et al (6.79%), and Shoja & Miratashi (58.3%) are due to the difference in the study population as sometimes only hospitalized patients have been studied.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Profile of Pediatric Ocular Trauma in Hamadan, 2020

Eslami,

Doosti-Irani,

Naseri

et al. 2023

Epidemiol Health System J

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Background and aims: Ocular traumas are among the most important causes of visual acuity loss and acquired unilateral blindness in children, with permanent effects on their psychological and social development. The epidemiology of ocular traumas, especially those of children in different societies, is affected by the culture and level of education, lifestyle, and socioeconomic level. Considering that no accurate statistics on these injuries have been reported in Hamadan, Iran, this study aimed to investigate the epidemiology of various types of injuries in children following ocular traumas in Hamadan. Methods: This cross-sectional study included 293 patients under 18 years of age with ocular trauma who were visited in Farshchian Sina hospital in 2019. A detailed medical history was obtained including demographic information, type of injury, initial and final visual acuity, cause of injury, mother’s occupational status, and the delay between trauma and the examination, and the examiner-recorded definitive care. Finally, the data were analyzed using Excel software, and a significance level of 0.05 was used. Results: Out of 293 patients examined, 38.91% were female, and 61.09% were male. Children aged 1-5 years (30.72%) were the most commonly affected group, followed by those aged 6-10 years (29.35%). There were 19 cases of chemical injury, 33 cases of penetrating trauma, and 241 cases of blunt trauma. The mean initial vision in patients was 0.31±0.347 logMAR, and the mean final vision was 0.06±0.084 logMAR. In 94 patients, it was impossible to check visual acuity due to their lower age. Besides, 49.83% of injuries happened at home. Conclusion: In this research, the most common type of ocular trauma was blunt trauma in male patients, which occurred at home in the presence of the mother. Therefore, it is obvious that the most effective way to prevent these incidents is that parents should pay more attention to their children, implement well-established safety precautions while playing at home, and use standard play equipment.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Profile of Pediatric Ocular Trauma in Hamadan, 2020

Eslami,

Doosti-Irani,

Naseri

et al. 2023

Epidemiol Health System J

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“…The association of boys with high OPH severity may be related to the fact that 74.6% of the children with injuries are boys, which is inherently associated with the high severity of injuries (Table 5). Relevant studies show that boys account for 63%-68% of children with ocular injuries who visit EDs (13,15). The role of older age could be explained by the tendency for outside-the-home injuries in older children ( sports, assault, eye pain, visual loss/blur, diplopia, and other visual symptoms (Appendix 9).…”

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confidence: 99%

Profile of pediatric ophthalmic referrals in a single emergency department in Korea

Cha,

Kim,

Chung

2024

Pediatr Emerg Med J

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Purpose: This study was performed to examine a comprehensive profile of ophthalmic (OPH) referrals based on diagnosis in a single emergency department (ED) in Korea.Methods: We analyzed the clinical profiles of children (< 18 years) who underwent immediate OPH referrals in a tertiary hospital ED, from March 2013 through December 2022. Exclusion criteria were a visit related to procedural complication and a discharge before thorough evaluation. We focused on a diagnosis-based high OPH severity requiring emergency surgery or hospitalization. The profiles were compared according to the severity and age group (0-3, 4-6, 7-12, and 13-17 years).Results: A total of 1,939 children consisted of 1,281 (66.1%) with injury and 658 (33.9%) with non-injury. Top 3 injuries were orbital fracture, hyphema, and corneal abrasion whereas top 3 non-injuries were keratoconjunctivitis, cellulitis, and hordeolum. Children with high OPH severity (54.5%) had significantly lower proportions of girls (26.5% vs. 38.9%), visits on weekend/holiday (34.4% vs. 43.4%), and most non-injury chief complaints, and higher proportions of 13-17 years (41.1% vs. 23.6%), injury (87.7% vs. 40.1%), emergency surgery (4.9% vs. 0.1%), in-ED procedure (9.3% vs. 2.4%), hospitalization (4.0% vs. 0.8%), and most injury mechanisms. With increasing age, high OPH severity, orbital fracture, and hyphema increased in proportions, in contrast to a decreasing tendency in corneal abrasion, keratoconjunctivitis, cellulitis, and hordeolum (all Ps for trend ≤ 0.001). There were 610 (31.5%) children with low OPH severity or no OPH diagnosis.Conclusion: True OPH emergencies may be more common in injured, older, or male children. This finding could be useful in focusing on emergencies while diverting less urgent cases to outpatient departments or outside ophthalmology clinics.

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Prevalence, Characteristics, and Management of Pediatric Ocular Trauma in Riyadh, Saudi Arabia: A Retrospective Analysis

Alabdulkader,

Alsiwat,

Almatar

et al. 2024

Healthcare

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Purpose: Ocular trauma is a major cause of visual impairment; however, little is known about its burden in Saudi Arabia. Therefore, this study aimed to determine the epidemiological characteristics of ocular trauma in pediatric patients in Riyadh, Saudi Arabia. Patients and methods: Medical records of pediatric patients diagnosed with eye injuries between January 2016 and December 2020 were retrospectively reviewed. Demographic and injury characteristics were collected, and ocular trauma injuries were classified according to the Birmingham Eye Trauma Terminology. Results: A total of 855 injured patients were included in the study, of whom 525 (61.4%) were boys. Patient age ranged from one month to 18 years. Most ocular injuries occurred in children aged 5–9 years. The injuries were more prevalent in boys than in girls. Closed globe injuries accounted for 70% of cases, open globe injuries for 21%, and other injuries for 9%. Most ocular injuries occurred at home (n = 87, 42%), followed by school (n = 61, 30%). Conclusions: These results may inform the implementation and targeting of interventions to reduce or prevent eye injuries in children. Further, they highlight the importance of well-planned prevention programs to prevent eye injuries from occurring in children’s daily lives.

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Characteristics of pediatric ocular trauma in a pediatric emergency department in Japan

Cited by 3 publications

References 22 publications

Epidemiological Profile of Pediatric Ocular Trauma in Hamadan, 2020

Epidemiological Profile of Pediatric Ocular Trauma in Hamadan, 2020

Profile of pediatric ophthalmic referrals in a single emergency department in Korea

Prevalence, Characteristics, and Management of Pediatric Ocular Trauma in Riyadh, Saudi Arabia: A Retrospective Analysis

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