Traumatic Cataract in Children in Eastern China: Shanghai Pediatric Cataract Study

Abstract

Traumatic cataract is a main cause of visual impairment in pediatric populations and is preventable. Awareness of the causes and consequences of pediatric eye trauma play roles in health education and prevention of blindness. We conducted a retrospective chart review based on 5-year clinical data of pediatric traumatic cataract cases treated at the Eye and Ear, Nose and Throat Hospital of Fudan University, Shanghai, China. Clinical features including demographic data, injury mechanism, and causative agents were analyzed. A total of 321 eyes of 321 children (male, 74.1%) were included. Penetrating injury accounted for 76.6% of all injuries; 65% of children with such injuries underwent their first surgery on the day of injury. The average age at injury was 6.3 ± 3.7 years, while the peak age was from two to eight years. The main causes of ocular injury were sharp metal objects, toys, and wooden sticks. The causative agent changed with increasing age; however, scissors were the leading cause within almost all age groups. Cataract surgery significantly improved visual acuity in children with traumatic cataract. These findings add information regarding the characterization of pediatric traumatic cataract in China and can help guide safety education and preventative measures.

Clinical Features and Surgical Outcomes of Pediatric Ocular Trauma in Southwest of China

“…Our finding was consistent with previous reports [13,15,16,21,22] on children ocular trauma that penetrating injury caused by sharp objects had absolute predominance. Other causes include wooden stick, firecrackers, recreational activities and accidental domestic injuries.…”

“…The ratio of male to female was 4.3:1 (99 males and 23 females) in this study, higher than the sex ratio of 1.18:1 derived from the latest available census data in China [13]. Moreover, many studies reported a higher incidence of trauma in males than in females [7,9,[13][14][15][16], showing an average male-to-female ratio which ranged between 1.2:1 and 5.2:1. In our study, the male to female ratio was increased as patients grew, which was consistent with a study conducted by Yu Du et al [13] in Shanghai, China.…”

“…Moreover, many studies reported a higher incidence of trauma in males than in females [7,9,[13][14][15][16], showing an average male-to-female ratio which ranged between 1.2:1 and 5.2:1. In our study, the male to female ratio was increased as patients grew, which was consistent with a study conducted by Yu Du et al [13] in Shanghai, China. They found the peak of sex ratio was at 12:1 around 10 -12 years old.…”

Epidemiology of pediatric eye injuries requiring hospitalization in rural areas of Wenzhou and Changsha, China: a 10-year retrospective study

“…However, it has been reported that 90% of eye injuries are preventable; therefore, identification of the frequency and spectrum of these injuries in a defined population and targeted educational and legislative efforts may be useful tools to minimize the incidence of eye injuries [7]. The epidemiology surrounding eye injuries has been reported in Beijing, Shanghai, Guangzhou, Chaoshan and Zhengzhou [8,9]. However, there is not enough data to compare rates in the United States, Europe, and Australia, especially for pediatric populations.…”

Profil penderita katarak traumatika di Rumah Sakit Umum Pusat Sanglah Kota Denpasar, Bali-Indonesia

“…Mereka mengatakan bahwa kebanyakan pasien dengan trauma tumpul tidak mengingat penyebab traumanya karena terkena secara tiba-tiba saat melakukan aktivitas di luar ruangan. 7 Memon dkk juga menunjukkan hasil serupa pada studi yang dilakukan di populasi umum dimana benda penyebab tersering dari katarak traumatika adalah benda tajam dengan persentase 68,3%, mereka menjelaskan hasil ini disebabkan karena kebanyakan sampel mereka adalah anak-anak hingga dewasa muda dan hanya 24,4% sampel mereka adalah dewasa. 8 Visus yang ditemukan kebanyakan adalah 1/300.…”