Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study

Kedwany, Salma Mohamed; Saleh, Mohamed G. A.; Tohamy, Dalia; Mostafa, Magdi Mohammad

doi:10.2147/opth.s282080

Cited by 7 publications

(8 citation statements)

References 29 publications

(46 reference statements)

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“…The main causes of paediatric traumatic cataracts in the present study were sharp metal objects, followed by botanical sticks, and stationery items. The results of the present study were different from Yu et al’s findings [ 7 ] on pediatric traumatic cataracts in Shanghai, which showed toys to be the second main cause; in other countries, such as in India, the main causes were wooden splinters, bows, and arrows [ 19 , 20 ], while the main cause in Egypt was wooden sticks [ 10 ].…”

Section: Discussioncontrasting

confidence: 99%

“…To prevent such serious conditions, evidence-based information on the causes of these injuries, public education and preventive measures are necessary. Studies on paediatric ocular trauma have been performed in the east [ 7 ], south [ 8 ], and south-central [ 9 ] parts of China, as well as other countries, such as Egypt [ 10 ] and the United States [ 11 ]. However, the aetiology and epidemiological characteristics often vary along with the socioeconomic status [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Paediatric traumatic cataracts in Southwest China: epidemiological profile

Wang

Yin

et al. 2022

BMC Ophthalmol

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Background Paediatric traumatic cataracts are an important but preventable cause of acquired blindness. Understanding the epidemiology of paediatric traumatic cataracts is a prerequisite for prevention. This study aimed to characterize the epidemiological profile of paediatric traumatic cataracts in southwest China. Methods The medical records of children (age range, 0–14 years old) who developed traumatic cataracts following open-globe injuries and were hospitalized at the Department of Ophthalmology at West China Hospital, between January 2011 and December 2020 were retrospectively analyzed. The demographic data, causes of injuries, posttraumatic complications, and visual acuity were recorded and analysed. Results A total of 716 eyes from 716 patients were analysed in this study, including 521 (72.8%) males and 195 females in a gender ratio of 2.67:1; 117 of the patients were of ethnic minorities. Paediatric traumatic cataracts occurred more frequently in winter (32.5%). Sharp metal objects (scissors/knives/needles/sheet metal/nails/darts) – induced ocular injuries accounted for the highest proportion, followed by botanical sticks (wooden sticks /bamboo sticks /bamboo skewers)-induced injuries, and then stationery items (pencils/pens/rulers/paper)-induced injuries. The majority (68.7%) of the patients were aged 2–8 years, and the peak range of age was 4 - 6 years. The injuries were a result of penetrating trauma in 64.9% of patients, and blunt force trauma in the remainder (35.1%). Additionally, 131 (18.3%) cases developed posttraumatic infectious endophthalmitis after injuries. Patients with eye injuries caused by needles (P < 0.001), wooden sticks (P = 0.016), and bamboo skewers (P = 0.002) were at a greater risk of developing infectious endophthalmitis. The most common identified foreign organism was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Among the children who were younger than 5 years, 44.4% (55/124) of those with traumatic cataracts presented a corrected distance visual acuity less than or equal to 0.1 after undergoing cataract surgery, but among the children who were older than 5 years, this proportion was significantly smaller, just 20.4% of children aged 6-10 years (P < 0.001) and 18.4% of children aged 11-14 years (P < 0.001). Conclusion The main causative agents of paediatric traumatic cataracts in southwest China were sharp metal objects, botanical sticks, and stationery items. Specific preventive measures are essential to reduce the incidence of paediatric traumatic cataract.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Paediatric traumatic cataracts in Southwest China: epidemiological profile

Wang

Yin

et al. 2022

BMC Ophthalmol

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“…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. Generally, boys are more likely to try aggressive and violent nature of activities than girls do and the curiosity drives them to try new and exciting activities which make males most of the pediatric eye trauma patients [ 28 , 29 ].…”

Section: Resultssupporting

confidence: 94%

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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“…In India, the main causes were wooden splinter, bow, and arrow [20,21]. And in Egypt, the main causes was wooden sticks [10]. In the present study, toy and recracker accounted for a smaller percentage.…”

Section: Etiological and Epidemiological Pro Lecontrasting

confidence: 52%

“…To prevent such serious conditions, evidence-based information on the causes of these injuries and education and prevention measures are necessary. Studies on pediatric ocular trauma have been performed in the east [7], south [8], and southcentral [9] parts of China and other country, such as Egypt [10] and US [11]. However, the etiology and epidemiological characteristics are different based on the socioeconomic status [12].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

Wang¹,

Yin²,

Wang³

et al. 2021

Preprint

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Background: Pediatric traumatic cataract is an important but preventable cause of acquired monocular blindness. Knowing the epidemiology of pediatric traumatic cataract is the prerequisite for prevention. This study aimed to characterize the epidemiology in the southwest of China. Methods: The medical record of children with lens damage following open-globe injury managed in the West China Hospital (aged 1–14 years) from January 2011 to December 2020 were reviewed, and the demographic data, cause of injury, and post-traumatic complications were recorded and analyzed.Results: A total of 716 eyes of 716 patients were enrolled in this study, including 488 (68.2%) male and 228 female patients in a ratio of 2.14:1; 117 patients were from a minority nationality region. The pediatric traumatic cataract was more likely to occur in winter (40.2%). Sharp metal object–related (scissors/knife/needle/sheet metal/dart) eye injuries accounted for the highest proportion, followed by botanic sticks (wooden /bamboo /bamboo skewers), and stationery (pencil/pen/ruler/paper). A majority (68.7%) of patients were 2–8 years old, with a higher frequency in the age group of 4–6 years. Penetrating trauma accounted for 64.9% of patients, and the remaining were accounted for blunt trauma (35.1%). 131 cases (18.3%) developed into post-traumatic endophthalmitis. The eye injuries caused by needles(P=0.007), wooden sticks(P=0.016), and bamboo skewers(P=0.002) have greater risk for developing into endophthalmitis. The most common organism identified was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Conclusion: The epidemiology of pediatric traumatic cataract in the southwest of China, especially the causative agent, was different from that in other regions, therefore the emphasized educative measures such as informing guardian and children about the causative factors should also be different.

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Outcome of Pediatric Traumatic Cataract in Upper Egypt: A Tertiary Center Study

Cited by 7 publications

References 29 publications

Paediatric traumatic cataracts in Southwest China: epidemiological profile

Paediatric traumatic cataracts in Southwest China: epidemiological profile

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

Pediatric Traumatic Cataract in Southwest China: Epidemiological Profile

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