Open globe injuries in children

Rostomian, Khodam; Thach, Allen B.; Isfahani, Amir; Pakkar, Alireza; Pakkar, Roya; Borchert, Mark

doi:10.1016/s1091-8531(98)90058-1

Cited by 44 publications

(38 citation statements)

References 7 publications

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“…4,7,8 We have shown a male predominance of 5.7:1. Our average age was 9.8 years, comparable to other similar case series.…”

Section: Discussionmentioning

confidence: 67%

“…These findings correlate well with the literature, 5-8,10,11 whereby retinal detachment, vitreous haemorrhage, wounds greater than 10 mm long, and hyphaema have also been associated with poor final VA. 7,8,11 Only two of our patients had a retinal detachment, the BCVA outcomes of which were 6/12 and HM.…”

Section: Discussionmentioning

confidence: 78%

“…Others have recognised sharp injuries occurring more commonly in children and hold the view that those injuries have a better visual outcome compared to blunt injuries. 4,7,8 The influence of amblyogenic factors on final VA is difficult to assess due to the differences in injury type and the small sample size. All children aged 5 years or less had a final BCVA of less than 6/12 compared to 56% of those 6 years or over who achieved final VAs of better than 6/12 (P ¼ 0.06).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Open globe injuries in children: factors predictive of a poor final visual acuity

Gupta

Rahman

Leatherbarrow

2008

Eye

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“…4,7,8 We have shown a male predominance of 5.7:1. Our average age was 9.8 years, comparable to other similar case series.…”

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Open globe injuries in children: factors predictive of a poor final visual acuity

Gupta

Rahman

Leatherbarrow

2008

Eye

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“…The incidence was similar to some reports in the literature 5,6,9 although traumatic retinal detachment was higher in males than in females in both groups (data not shown) as found also by others. 4,5,[12][13][14][15] In our study, rhegmatogenous retinal detachment was statistically less common and exudative retinal detachment was statistically more common in the paediatric group than in adults. The differences reflected the different aetiologies for retinal detachment in children and adults.…”

Section: Retinal Detachment Types Causes and Incidencesmentioning

confidence: 83%

Paediatric vs adult retinal detachment

Rumelt

Sarrazin

Averbukh

et al. 2006

Eye

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Objective To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric vs adult retinal detachment. Patients and methods One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years. Of them, 144 eyes (90%) of 127 (93%) children were treated and compared with a sample of 56 consecutive retinal detachments in 50 adults (over the age of 18 years). The parameters for comparison included cause, type of retinal detachment, its extent, macular involvement, number of tears, number and types of surgery, and the anatomic and functional surgical outcome. Results Statistically significant differences were found in the type of retinal detachment. Rhegmatogenous RD was less common (P ¼ 0.004), and exudative RD was more common (P ¼ 0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (Po0.001), while myopia, posterior vitreous detachment, and retinal detachment following cataract surgery were less common in this group compared with adults (Po0.001, o0.001, and 0.001, respectively). Ocular pathologies associated with retinal detachment were more common in the paediatric group (Po0.001). Initial and last visual acuity of 420/400, last visual acuity of 420/40, and retinal complete reattachment were higher in adults (Po0.001). Conclusions The type of retinal detachment, causes and outcomes were statistically different between paediatric and adult cases. The less successful functional and anatomical outcomes of retinal detachment surgery in children may reflect the different aetiologies and indicate the need for aetiology-specific treatment strategies according to each aetiology.

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“…[1][2][3] It has been reported that approximately 43% cases occur in people younger than 18 years of age. 4 Incomplete or even inaccurate injury descriptions, as well as poor cooperation during the ocular examination and postoperative follow-up make it difficult to evaluate the prognosis of pediatric OGI.…”

Section: Introductionmentioning

confidence: 99%