Clinical pattern of pediatric ocular trauma in fast developing country

Al-Mahdi, Huda S.; Bener, Abdulbari; Hashim, Shakeel P

doi:10.1016/j.ienj.2011.06.008

Cited by 66 publications

(90 citation statements)

References 16 publications

(37 reference statements)

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“…[16] In addition, similar results were reported by studies in the literature. [19][20][21] A Chinese study comprising overall age groups reported that the majority of ocular traumas were work related and resulted in substantial loss of vision.…”

Section: Discussionsupporting

confidence: 83%

“…[26] Many studies have reported that the cornea and sclera are the most commonly involved areas in open injuries. [8,13,15,16,24,[27][28][29] Likewise, in the present study, cornea involvement owing to trauma was the most prevalent in both the groups, followed by iris involvement and lens injury. Eyelid involvement, traumatic cataract development, traumatic injury of the lens, intravitreal hemorrhage, and retinal injury were more commonly found in the adult group than in the pediatric group.…”

Section: Discussionsupporting

confidence: 63%

“…Many epidemiological studies have reported that ocular trauma is more common among males than among females. [13][14][15][16][17][18][19] In our sample, ocular trauma was also more frequent in males, with the male:female ratios of 1.4:1 and 6:1 in the pediatric and adult groups, respectively.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of pediatric and adult cases with open globe injury and factors affecting the visual outcome: a retrospective analyses of 294 cases from Turkey

Karagöz

Sarı²,

Kubaloğlu³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 63%

See 1 more Smart Citation

Characteristics of pediatric and adult cases with open globe injury and factors affecting the visual outcome: a retrospective analyses of 294 cases from Turkey

Karagöz

Sarı²,

Kubaloğlu³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…15 In developing countries, treatment of ocular trauma is often inadequate or delayed, and thus outcomes are significantly worse than those in developed nations. 16 Public policy should be aimed at promoting eye protection and behaviors to reduce the incidence of eye trauma. 17 We anticipate that our review of existing eye protection strategies, highlighting successful interventions and policies in pediatric eye injury prevention, will be useful for policy makers and manufacturers of eye protection along with physicians, optometrists, and other health care providers who treat children.…”

mentioning

confidence: 99%

“…12 Between 44% and 76% of pediatric ocular injuries occur at home. 13,14,16,17 A total of 86 articles were identified as relevant to the research question. These included 6 prospective and retrospective interventional studies (Table 1), 9 observational studies relating to attitudes and use of eye protection (Table 2), and 35 prospective and retrospective hospital-and population-based reviews of eye injuries (Table 3).…”

mentioning

confidence: 99%

Eye Injury Prevention for the Pediatric Population

Hoskin

Philip

Yardley

et al. 2016

Asia-Pacific Journal of Ophthalmology

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Each year an estimated 3.3 to 5.7 million pediatric eye injuries occur worldwide. It is widely reported that 90% of ocular injuries are preventable. Our aim was to identify legislation and policies, education, and mandatory eye protection strategies that have successfully contributed to reducing rates of children's eye injuries. A literature search was conducted using the terms "pediatric" or "children" or "adolescent" and "ocular" or "eye" and "protection" or "injury prevention." Articles were retrieved based on titles and abstracts and assessed in the context of our research question. Strategies identified aimed at reducing ocular trauma fell into 3 broad categories: legislation and policies, education, and personal eye protection. Policies including restrictions on the sale and supply of certain consumer products, mandatory vehicle seatbelts, and laminated windscreens in vehicles have assisted in reducing children's eye injuries. Educational tools aimed at children and their caregivers have been effective in changing attitudes to eye health and safety. Effective pediatric eye injury prevention systems require a multifactorial approach combining legislation, policies, standards, education, and personal eye protection to limit exposure to ocular hazards. A paucity of standardized measurement and lack of funding have limited advances in the field of children's eye injury prevention. Improved eye injury surveillance and research funding along with collaboration with health care providers are important components for strategies to prevent pediatric ocular trauma.

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Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury

et al. 2018

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IMPORTANCE There is a lack of literature describing the incidence of pediatric acute ocular injury and associated likelihood of vision loss in the United States. Understanding national pediatric eye injury trends may inform future efforts to prevent ocular trauma. OBJECTIVE To characterize pediatric acute ocular injury in the United States using data from a stratified, national sample of emergency department (ED) visits. DESIGN, SETTING, AND PARTICIPANTS A retrospective cohort study was conducted. Study participants received care at EDs included in the 2006 to 2014 Nationwide Emergency Department Sample, comprising 376 040 children aged 0 to 17 years with acute traumatic ocular injuries. Data were analyzed from June 2016 to March 2018. EXPOSURES International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes and external-cause-of-injury codes identified children with acute ocular injuries. MAIN OUTCOMES AND MEASURES Demographic and clinical characteristics of children with acute traumatic ocular injuries were collected and temporal trends in the incidence of ocular injuries by age, risk of vision loss, and mechanism of injury were explored. RESULTS In 2014, there were an estimated 163 431 (95% CI, 151 235-175 627) ED visits for pediatric acute ocular injury. Injured children were more often male (63.0%; 95% CI, 62.5-63.5) and in the youngest age category (birth to 4 years, 35.3%; 95% CI, 34.4-36.2; vs 10-14 years, 20.6%; 95% CI, 20.1-21.1). Injuries commonly resulted from a strike to the eye (22.5%; 95% CI, 21.3-23.8) and affected the adnexa (43.7%; 95% CI, 42.7-44.8). Most injuries had a low risk for vision loss (84.2%; 95% CI, 83.5-85.0), with only 1.3% (95% CI, 1.1-1.5) of injuries being high risk. Between 2006 and 2014, pediatric acute ocular injuries decreased by 26.1% (95% CI, −27.0 to −25.0). This decline existed across all patient demographic characteristics, injury patterns, and vision loss categories and for most mechanisms of injury. There were increases during the study in injuries related to sports (12.8%; 95% CI, 5.4-20.2) and household/domestic activities (20.7%; 95% CI, 16.2-25.2). The greatest decrease in high-risk injuries occurred with motor vehicle crashes (−79.8%; 95% CI, −85.8 to −74.9) and guns (−68.5%; 95% CI, −73.5 to −63.6). CONCLUSIONS AND RELEVANCE This study demonstrated a decline in pediatric acute ocular injuries in the United States between 2006 and 2014. However, pediatric acute ocular injuries continue to be prevalent, and understanding these trends can help establish future prevention strategies.

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Clinical pattern of pediatric ocular trauma in fast developing country

Cited by 66 publications

References 16 publications

Characteristics of pediatric and adult cases with open globe injury and factors affecting the visual outcome: a retrospective analyses of 294 cases from Turkey

Characteristics of pediatric and adult cases with open globe injury and factors affecting the visual outcome: a retrospective analyses of 294 cases from Turkey

Eye Injury Prevention for the Pediatric Population

Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury

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