Pediatric ocular injuries: a 3-year review of patients presenting to an emergency department in Canada

Archambault, Cyril; Gabias, Caroline; Fallaha, Nicole; Bélanger, Caroline; Superstein, Rosanne

doi:10.1016/j.jcjo.2018.02.006

Cited by 20 publications

(25 citation statements)

References 6 publications

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“…Other studies also find that blunt trauma and assault are some of the most common mechanisms of injury to the periorbital area as well, 14,15 although it tends to vary with the study and region. Consistent with many other studies, 5,6,[14][15][16] most patients in our study were male (61.4%) (Figure 4). This also varies by region.…”

Section: Discussionsupporting

confidence: 92%

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Prevalence of Pediatric Periorbital Trauma at a US-Mexico Border Level 1 Trauma Center, 10 Year Retrospective Review

Skidmore

Kener

Garcia

2021

FACE

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Introduction: Due to its location in the middle third of the face, the periorbital area is exposed to external forces that may cause blunt and/or penetrating trauma. This anatomical location houses important structures for vision, cosmesis, and upper and lower facial skeletal stability. Trauma in this area puts the patient at risk for injuries to important structures, that, when damaged at early age, may have permanent debilitating consequences. Methods: After obtaining IRB approval, we evaluated ER admissions at a Level 1 Trauma Center located in the US-Mexico border over a 10-year-period. Inclusion criteria included patients younger than 18 years old with diagnosis of trauma to the face involving the periorbital region. Results: From January 2009 to December 2018, 1192 pediatric patients were admitted to the Level 1 Trauma Center with trauma that involved the periorbital area amongst other injuries. Mean age was 8, STD 5.2. 61.4% were male patients. The most common mechanism of injury was fall (365) followed by blunt trauma (305) and motor vehicle accident (MVA) (108). 29.4% of patients required admission, and 18.8% required a surgical intervention. Conclusion: Periorbital trauma in the pediatric population may bring lifelong consequences due to deformity, dysfunction, or loss of the structures that are contained within this anatomical area. Further studies are warranted to assess risk factors and to provide prevention measures to avoid trauma and complications due to injury to these important structures.

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Section: Discussionsupporting

confidence: 92%

“…Multiple reports support that periocular and ocular trauma is more common in males. [5][6][7] Dog bites are a common etiology of periocular and ocular trauma. [7][8][9][10][11][12] Another study concluded that the majority of injuries occurred for patients ages 5 to 9 during free play.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Pediatric Periorbital Trauma at a US-Mexico Border Level 1 Trauma Center, 10 Year Retrospective Review

Skidmore

Kener

Garcia

2021

FACE

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“…A value between 20/20 and 20/40 visual acuity was recorded for lamellar laceration CGI. This VA data was also recorded by Archambault et al in Canada between 2007 and 2010 [ 28 ] for contusion-type CGI and by Serrano et al in Northeast Colombia [ 14 ] with a minimal difference in the VA range between 20/20 and 20/50.…”

Section: Discussionsupporting

confidence: 80%

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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“…1 Major ocular features of WWS include persistent fetal vasculature and retinal dysgenesis (causing retinal nonattachment), microphthalmia, megalocornea, Peter's anomaly, hypertelorism, cataract, corneal opacity, and glaucoma. 3 Ultrasonography is essential in identifying several of these features, which are often unapparent on clinical examination. Although several patients with WWS have demonstrated ocular findings on prenatal ultrasonography, reports of ocular B-scan ultrasonography findings in WWS are very limited.…”

Section: Footnotes and Disclosurementioning

confidence: 99%

“…2 A recent Canadian report found that traumatic ocular injuries most commonly occurred during free play in the pediatric population. 3 Tabatabaei et al found that the majority of ocular traumas from pencils were in male patients. 4 Intraocular graphite has been shown to cause severe inflammation and endophthalmitis, 5 whereas patients with traumatic injuries from pencils tend to have good visual outcomes if no penetration of the globe occurred.…”

mentioning

confidence: 99%

Colouring outside the lines: a case of corneal intrastromal foreign body

Mishra

Pollmann

Laroche

2020

Canadian Journal of Ophthalmology

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Pediatric ocular injuries: a 3-year review of patients presenting to an emergency department in Canada

Cited by 20 publications

References 6 publications

Prevalence of Pediatric Periorbital Trauma at a US-Mexico Border Level 1 Trauma Center, 10 Year Retrospective Review

Prevalence of Pediatric Periorbital Trauma at a US-Mexico Border Level 1 Trauma Center, 10 Year Retrospective Review

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

Colouring outside the lines: a case of corneal intrastromal foreign body

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