Epidemiological Features of Pediatric Ocular Trauma in Egypt

Abstract

Purpose. To review the epidemiology of serious pediatric ocular trauma presenting to Kasr El Aini Hospital, Cairo University. Methods. Children with serious ocular trauma during a six-month period were examined and their data was analyzed. Results. Eighty eyes of 75 patients were included in this study, with 64% males (P < 0.001) and average age of 5 years (5 months–15 years). There were 67 (83.75%) open globe injuries, 11 (13.75%) closed globe injuries, and 2 (2.5%) chemical injuries. Of the open globe injuries, 24 (30%) were ruptured globes and 43 (53.75%) were lacerations (31 penetrating injuries (38.75%), 6 IOFBs (7.5%), and 6 perforating injuries (7.5%)). Of the closed globe injuries, 3 had hyphema (3.75%), 5 had traumatic cataracts (6.25%), and 3 had vitreous hemorrhage with retinal detachment (3.75%). Forty-two patients (56%) presented within 24 hours, 28 patients (37.33%) presented between 24 hours and 1 week, and 5 patients (6.6%) presented after one week from the time of trauma. Seven eyes developed posttraumatic endophthalmitis (10% of open globe injuries). On leaving the hospital, 55 (68.75%) eyes had poor vision, 13 (16.25%) had moderate vision, and 12 (15%) had good vision. Conclusion. Children at a higher risk of trauma are males, >5 years, unsupervised, and involved in street activities. Immediate comprehensive primary management and secondary rehabilitation are mandatory in these cases.

<p>Ocular Trauma in Pediatric Age Group at a Tertiary Eye Care Center in Central Maharashtra, India</p>

“…Studies have quoted percentage of males affected are more than the females. 3,11,13,22,23,[25][26][27] Our study also showed preponderance to males 38 (62.3%) over females 23 (37.7%). A possible reason for this finding could be that boys are more involved than females in outdoor activities.…”

“…21 Wadeai et al noted an increase in the childhood trauma to the extent of 49.7% in the Egyptian population. 22 In the Nigerian population, the proportion of eye injuries in children was 26.4%. 15 A study from an Arabian country demonstrated a high incidence of pediatric trauma to the tune of 58.5%.…”

“…This finding correlates with other studies from Indian population, 3,11,25,26 and those from all over the world also show the same trend. 13,22,23,27 In this age group, a child starts going to school and is often involved in many sports activities.…”

Clinical Features and Surgical Outcomes of Pediatric Ocular Trauma in Southwest of China

“…In young children, ocular trauma is one of the major threats of monocular blindness [1][2][3][4]. It was reported that the incidence of severe visual impairment or blindness caused by ocular trauma ranged from 2% to 14% in young children [5,6].…”

“…Pars plana vitrectomy (PPV) is a major surgical intervention which has been used to manage severely damaged eyes [9]. Some studies have reported the epidemiological features of pediatric ocular trauma in developing countries, including India [10,11], Egypt [1] and Turkey [7]. However, quite few studies described the clinical characteristics and outcomes of PPV in pediatric ocular trauma.…”