Pattern of pediatric ocular trauma in rural area of Marathwada

Pardhi, Chandrakishor Hemraj; Nandedkar, Varsha; Shelke, E B; Bhojane, Vidya Ramnath; Awatade, Vaibhav Popat

doi:10.4103/2320-3897.163256

Cited by 6 publications

(7 citation statements)

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“…In the study, pattern of paediatric ocular trauma in rural area of Marathwada by Chandrakishor Hemraj Pardhi et al, 26 at the end of 2 months, best corrected visual acuity of more than 6/18 achieved in 68% eyes, 6/18 to 6/60 in 12% eyes, <6/60 to finger counting close to face in 8% eyes, Perception of Light (PL) positive and Projection of Rays (PR) and PL denied in (1%) each eyes. Better visual outcome is achieved in this study and the cause can be the type of injury.…”

Section: Discussionmentioning

confidence: 99%

Visual Outcome of Ocular Injury in Paediatric Population Presenting at Tertiary Eye Care Centre in West Bengal

Das¹,

Sasmal²,

Singh³

2017

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BACKGROUND Ocular trauma is an important worldwide cause of visual morbidity. It includes a spectrum of simple ocular surface foreign bodies, minute corneal abrasions to devastating perforating injuries causing blindness. Children are particularly susceptible to ocular trauma. Identification of the cause of injuries among children may help in determining the most effective measures to prevent visual loss. The purpose of this study is to analyse visual status at the time of presentation and to find the time gap between the occurrence of trauma and presentation, intervention and visual outcome in paediatric ocular trauma at Regional Institute of Ophthalmology, Kolkata, West Bengal. MATERIALS AND METHODS A total of 100 children (age 0-14 yrs.) who attended outpatient department and emergency of Regional Institute of Ophthalmology and got admitted were included in the study. Detailed history regarding mode of injury, type of injury, time of injury and time elapsed to attend the hospital from the onset of injury noted. Recording of visual acuity and detailed clinical examination done. Appropriate medical and surgical treatment given as per the standard protocol after assessing the type of injury. Visual outcome assessed by doing follow up at presentation at 1 month and 6 month after injury. RESULTS Our study showed that 37% of the children who presented to us had visual acuity between 2/60 and Perception of light (PL) positive. 7% had vision between 6/6 and 6/12. PL was denied in 5% patients. Majority (44%) of the children who suffered ocular trauma presented to our hospital between 25-48 hrs. of injury. 88 out 100 patients who were hospitalised were operated within the first 24 hours. At one month after injury, 28% had visual acuity between 6/60 and 3/60 and six months after injury, 25% had visual acuity between 6/18 and 6/36. CONCLUSION Close supervision at home, school and playground, public awareness and education regarding the hazardous nature of firecrackers and road safety measures are critical to prevent the traumatic visual loss in children. Delay in presentation of children to the hospital may lead to substantial damage to the ocular structures during these initial crucial hours.

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Section: Discussionmentioning

confidence: 99%

Visual Outcome of Ocular Injury in Paediatric Population Presenting at Tertiary Eye Care Centre in West Bengal

Das¹,

Sasmal²,

Singh³

2017

jebmh

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“…(10) In our study, males were more commonly affected. (2,8,11) Open globe injuries were more ( Fig. 2) and had visual acuity < 1/60 at presentation, which deteriorated further.…”

Section: Discussionmentioning

confidence: 99%

“…Paediatric injuries occurring most frequently at home has been stated in many studies also. (4,7,8,9) Many of these injuries are preventable. (10) In our study, males were more commonly affected.…”

Section: Discussionmentioning

confidence: 99%

Scenario of Paediatric Ocular Injuries

Singh¹,

Sodani²,

Varma³

et al. 2017

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“…Most childhood EI occur in recreational environments and are caused by physical mechanisms such as toys or artifacts that can be easily manipulated by children. Adult traumas, however, usually occur due to occupational accidents [ 8 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological findings of childhood ocular trauma in a public hospital in Colombia

D'Antone

Flórez

García³

et al. 2021

BMC Ophthalmol

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Background Eye injury is a serious worldwide public health problem that may cause blindness. In children, blindness has functional impact and psychosocial implications. As indicated in many worldwide studies, identification of risk factors associated with the socio-cultural context may prevent eye injuries. The objetive of the study is to describe the sociodemographic and epidemiological characteristics of pediatric eye injury and its effects on ocular structures in a public hospital from Colombia. Method A retrospective cross-sectional study was carried out between January 1, 2015, and December 31, 2017, in a tertiary public hospital of a medium-sized city located in the Northeast of Colombia. Children under 15 years old with trauma to the eyeball or its adnexa were included. The Birmingham Eye Trauma Terminology System (BETTS) was used. Eye burns and Ocular adnexa were also included. Results 61 cases of eye injuries were recorded, 67.21% (41 cases) of which were males. 57.37% (35 cases) corresponded to closed-globe injuries both contusion and lamellar laceration. Visual acuity fluctuated between 20/20 and 20/40. 14.75% (9 cases) were open-globe injuries while 50% (4 cases) were penetrating trauma. 27.86% of the injuries (17 cases) did not directly compromise the eyeball, 58.82% (10 of these cases) of which corresponded to eyelid wounds, and neither of those had visual acuity information. Conclusion The study showed that the majority of eye injuries in children under 15 years old, from a public hospital in the Northeast of Colombia, are closed globe, caused by blows, and occur in males.

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Pattern of pediatric ocular trauma in rural area of Marathwada

Cited by 6 publications

References 0 publications

Visual Outcome of Ocular Injury in Paediatric Population Presenting at Tertiary Eye Care Centre in West Bengal

Visual Outcome of Ocular Injury in Paediatric Population Presenting at Tertiary Eye Care Centre in West Bengal

Scenario of Paediatric Ocular Injuries

Epidemiological findings of childhood ocular trauma in a public hospital in Colombia

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