Epidemiology of Ocular Trauma in a Pediatric Referral Unit, Sao Paulo, Brazil

Pereira, Ricardo; Paschoalato, Melanie Berchara; Peixoto, Andressa Oliveira; Marson, Fernando Augusto Lima; Fraga, Andréa de Melo Alexandre

doi:10.1007/s13312-021-2247-x

Cited by 4 publications

(9 citation statements)

References 13 publications

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“…Some studies have also focused on the time between injury and treatment [ 38 ]. One report noted that the average time (range) between the accident and seeking medical care was 17.4 hours (10 minutes to 14 days) [ 25 ], and in this study, we found that the average time interval between the occurrence of eye trauma and hospitalization of juveniles was 1 day. Based on clinical experience and publications [ 38 ], timely treatment can bring about a relatively good prognosis.…”

Section: Resultssupporting

confidence: 67%

“…As reported, the curiosity and reckless imitation combined with immature motor skills and limited general knowledge make juveniles more vulnerable to eye injuries [ 24 ]. When minors make dangerous attempts, probably out of fear, they often hide from their parents [ 25 ] and that is when tragedies happen. Consistent with other similar studies [ 26 , 27 ], the male-to-female ratio is 2.4 : 1 in this study.…”

Section: Resultsmentioning

confidence: 99%

“…One study suggests that French legislation should be stricter about the sale of any airsoft gun to children under 18 years old, and parents must repeat educational warnings to their children handling sharp objects [ 44 ]. Most eye injuries are preventable [ 25 ], for up to 90% of all ocular trauma is thought to be preventable through a combination of use of protective eyewear and education of supervising adults [ 45 ]. However, most patients do not take required measures or have lack of awareness of protection.…”

Section: Resultsmentioning

confidence: 99%

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Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study

Zhang

Feng

Yan

2022

Journal of Ophthalmology

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Purpose. The objective of the study was to obtain the incidence characteristics of pediatric ocular trauma in mainland China and provide some feasible suggestions of prevention. Methods. The patients with pediatric ocular injuries, who were (≤14) hospitalized between January 1, 2019, and December 31, 2020, were included. Patient demographics (age and sex), injury natural characteristics (causes, site, and types), geographic location, and interval of hospital admission were analyzed. Results. A total of 13525 cases were identified, and 1973 (14.6%) occurred in children (male accounts 70.9%) with a mean (SD) age of 6.5 (3.4) years. Cases among minors in 2020 dropped by 8.3% compared to 2019, while the former vulnerability to eye injuries has been shifted from the outdoors to home (51.4%, 1015/1973). The main causes of injury are flying objects (31.9%), traffic injury (23.5%), and blunt injury (21.8%), which lead to the main types of injury such as penetrating injury (48.3%), rupture of the globe (18.1%), and contusion trauma (13.1%). If the VA after injury is above CF, the VA after discharge is more likely to be above CF (OR 18.3, 11.9–28.1; p < 0.001 ). Similarly, age (OR 2.0, 1.3–3.1; p = 0.001 ) and intraocular pressure after injury (OR 0.9, 0.9–1.0; p = 0.009 ) also affect the intraocular pressure at discharge. Conclusions. In mainland China, the main injury types are penetrating injury and rupture of the globe with home being the most dangerous place. Prevention strategies should focus on parents’ education and protective measures indoors. Visual acuity after injury can be used as a predictor of visual acuity after treatment.

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Section: Resultssupporting

confidence: 67%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study

Zhang

Feng

Yan

2022

Journal of Ophthalmology

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“…19,25,29,32,33 However, most of these studies found the injuries to be more prevalent indoors (eg, at home or in closed-space environments), ranging from 50% to more than 78%. 4,[10][11][12]19,21,25,29,32,[34][35][36] In our view, this finding necessitates the implementation of widespread educational programs because the indoor predominance further does, in fact, reveal the existing caretakers' knowledge gaps. More insults in limited indoor spaces reveal more preventable injuries and the importance of careful supervision by parents and caretakers.…”

Section: Discussionmentioning

confidence: 88%

“…Studies have also revealed that most of the patients comprised male individuals with ages ranging from a few months to 18 years, averaging from 5 to 10 1,4,9–13 . The objects and activities that might lead to the said injuries also vary by age, sex, and the environment (ie, indoor or outdoor settings), with the most common of the mechanisms reported to date ranging from projectiles to blunt and sharp instruments most commonly occurring not only indoors (ie, at home) but also outdoors (ie, school or sports areas) 9 …”

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confidence: 99%

Ocular Trauma in Children

et al. 2023

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Objectives This study aimed to determine the epidemiology of eye injuries in children and the influential factors involved. Methods Eighty cases of confirmed ocular trauma were included in this cross-sectional study. Data were obtained via a checklist containing demographic information, site of the insult, the interval between the injury and physician visit, trauma mechanism, and medical history, including previous history of ocular trauma. Results Among 80 children with ocular trauma, 72.5% (n = 58) were boys. A marked preponderance (46.2%) of injuries was seen in the age group younger than 6 years. The youngest patient was a 1-year-old, and the oldest was aged 17. Most (76.25%) of the incidents occurred indoors. A total of 67.5% of accidents were induced by sharp objects (knife and glass). Most accidents occurred in spring, whereas the least number of accidents occurred in winter. The corneoscleral laceration was the most common manifestation, followed by the laceration of the iris, uveal prolapse, hyphema, and cataracts. Furthermore, rare cases of retinal detachment, hypopyon, and corneal epithelial defects were seen. Conclusions The highest incidents of ocular trauma occurred in boys, especially those younger than 6 years. The high number of sharp object injuries is also concerning. These findings provide us with evidence that further educational interventions and supervision are required in these groups to minimize the possible devastating injuries before the opportunity even arises.

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An Observational Study of Ocular Trauma in Aswan University Hospital

Gabr,

Kamel,

ELBARAWY

et al. 2024

Egyptian Journal of Ophthalmology, (Mansoura Ophthalmic Center)

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Purpose: to review the epidemiology of ocular trauma among ophthalmic patients attending to Aswan University Hospital Patients & methods: A cross-sectional hospital based study estimating patients sustained ocular trauma within one year period (Jan 2020 -Dec 2020), the association between variables was checked by Chi-square test Results: 701 eyes of 607 patients had sustained ocular trauma in one year period (2020). The mean age of the patients was (23.02 ± 11.52) years, (79.7%) were males and (20.3%) were females, with a male to female ratio of (3.9:1). The majority of injuries were adnexal injuries (38.5%) followed by globe injuries (26.4%), extra global foreign body (18.1%), chemical injuries (2.7%) and intra mural foreign body (0.9%). In globe injuries; (10%) ( 70) were open globe; ((60) eyes with rupture globe, (6) eyes with penetrating injury, (3) eyes with intraocular foreign body) and (16.4%) (115) were closed globe; ((4.4%) (25) were contusion whereas (12%) (52) were lamellar laceration). The most common eye injury was periocular ecchymosis and oedema (19.1%). Conclusion:Ocular trauma is a major problem for monocular morbidity and blindness. Workers and students as involved in street activities and workplaces were the most affected.

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Epidemiology of Ocular Trauma in a Pediatric Referral Unit, Sao Paulo, Brazil

Cited by 4 publications

References 13 publications

Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study

Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study

Ocular Trauma in Children

An Observational Study of Ocular Trauma in Aswan University Hospital

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