Pediatric Penetrating Eye Injuries at Assiut University Hospital, Assiut, Egypt
Asian Journal of Research and Reports in Ophthalmology,
Introduction: Ocular trauma can be a devastating injury, causing disability for a lifetime in children. Ocular trauma is an important cause of morbidity and can cause unilateral blindness in children. Pediatric eye injuries account for approximately 8-14% of total injuries in children.
Aim: This prospective study aims to identify pattern, severity, causes, management, and outcome of penetrating eye traumas among study cases.
Subjects and Methods: The current study is an observational, analytic, follow-up, hospital-based study included 64 children aged less than 18 years who presented with penetrating eye injuries seeking health care at Ophthalmology Department, Assiut University Hospitals. The study conducted during a period extended from beginning of July 2016 to end of June 2017.
The study concluded that male subjects comprised 70.3%, of study cases, compared with 29.7% for female ones, rural patients comprised vast majority of cases (85.9%), hitting eye with an object was the most common cause of eye injuries among study children, (62.5%), home accidents comprised more than one-half of total study cases (52.1%), 81. 3% of cases sought care within 24 hours since occurrence of accidents. Regarding the pattern of eye trauma contracted by the study cases, results documented that perforating injuries comprised 46.9%, then penetrating injuries 31.3%, then ruptured globe comprised 12.5%, and lastly intra ocular foreign body (IOFB) comprised 9.4% of total cases. Concerning the outcome of the study cases, which measured by VA, it is concluded that 49.0% vs 51.0% improved and not improved respectively.
- Only 51 cases out of the total 64 study cases were subjected to visual acuity (VA) measurement as an indicator for vision improvement of the traumatized cases recruited in the current study. The other 13 cases which had no VA measurement, were too young (≤ 3 years), or uncooperative, so, they gave unreliable responses, hence, they were excluded from this assessment.
- Some cases didn’t follow the researcher’s instructions regarding the optimal number of follow-up visits.
Statistical Analysis: The collected data had been revised and coded before data entry. Then the revised data was saved in the computer via using both EXCEL-2016 & SPSS "Version 19" programs. Then, data cleaning occurred, then the data was subjected to data analysis which included descriptive analysis in the form of frequencies, percentages, means, and standard deviations (SD), as well as cross-tabulation between independent and dependent variables. Chi-square test and Fisher Exact test were used to compare qualitative variables. Paired samples t-test was used to compare quantitative variables between pre-test and post-test. A P-value of less than 0.05 was considered statistically significant. The study results were illustrated in tables and figures as shown in the results section.
- Ocular trauma
- devastating injury
- visual outcome.
How to Cite
Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700592/ on 6/2/2019
Mac Ewen CJ, Baines PS, Desai P. Eye injuries in children: The current picture. Br J Ophthalmol; 1999.
(Accessed on 20 June 2019 by guest)
Kaur A, Agrawal A. Pediatric ocular trauma. Department of Ophthalmology, King George’s Medical University, Lucknow 226 003, India. Current Science. 2005;89(1):10.
Available:https://pdfs.semanticscholar.org/d85a/28005f7ad007b3842163f2da25593c987984.pdf on 2/4/2018
Theresa Gladiola, Merca B, Marissa Valbuena. Epidemiology and visual outcomes of pediatric ocular trauma cases in a tertiary hospital. Philipp J Ophthalmol. 2014;39:27-32.
El-Sebaity DM, Soliman W, Soliman AM, Fathalla AM. Pediatric eye injuries in upper Egypt. Clinical Ophthalmology. 2011;5: 1417–1423.
Serrano JC, Chalela P, Arias JD. Epidemiology of childhood ocular trauma in a northeastern Colombian region. Arch Ophthalmol. 2003;121(10):1439–1445.
Ebrahim Abdullah Yehia Al Wadeai, Amr Abdellatif Osman, Tamer A. Macky, Mahmoud M. Soliman. Epidemiological features of pediatric ocular Trauma in Egypt. J Ophthalmol. 2016;2016:7874084.
(Published online 2016 Oct 5)
Rabab Elseht, Mohamed Seleem. The effect of behavior disorders on ocular trauma and visual outcome in children in Middle Delta, Egypt Governorate, Egypt. Departments of Ophthalmology & Psychia-try and Neurology, Tanta University Hospital, Gharbia. Journal of the Egyptian Ophthalmological Society. 2017;110:65–70.
Franzco MS, Subhashini Kadappu, Sue Silveira MHSc (Ed), Frank Martin Franzco. Children’s Hospital at West mead, West mead, New South Wales, Australia, Etiology and outcome of open and closed globe eye injuries in children. Clinical and Experimental Ophthalmology. 2013;41: 427–434.
Janna Minderhoud Ruth MA, Van Nispen Astrid AAM, Heijthuijsen Victoria AA. Beunders Anne-Marie T, Buenode Mesquita-Voigt, Annette C. Moll, Dennis RA. Mans, Peerooz Saeed. Epidemiology and etiology of childhood ocular Trauma in the Republic of Suriname. ACTA Ophthalmologica; 2016.
Shazia Qayum, Rafiq Anjum, Punita Garg. Epidemiological pattern of ocular trauma in a tertiary hospital of northern India. International Journal of Biomedical Research. 2016;7(7):420-422.
ISSN: 0976-9633 (Online); 2455-0566 (Print) Journal.
Richard Maw, Roberto Pineda, Louis R. Pasquale, M. Reza Dana. Traumatic ruptured globe injuries in children. Int Ophthalmol Clin. 2002;42(3):157-65.
Available:https://www.ncbi.nlm.nih.gov/pubmed/12131592 on 2/3/2019
Rohit Saxena, Rajesh Sinha, Amitabh Purohit, Tanuj Dada, Rasik B. Vajpayee, Raj V. Azad. Pattern of pediatric ocular Trauma in India. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Indian Journal of Pediatrics. 2002; 69.
Edita Puodžiuvienė, Giedrė Jokūbauskienė, Monika Vieversytė, and Kirwan Asselineau. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. Puodžiuvienė, Lithuania. BMC Ophthalmology. 2018;18: 10.
Dulal S, Ale JB, Sapkota YD. Profile of pediatric ocular trauma in mid-western hilly region of Nepal. Nepal J Ophthalmol. 2012;4(7):134-137.
Abd-Elmonem Elhesy. Retrospective study of ocular trauma in Mansoura Ophthalmic Center, Mansoura University, Mansoura, Egypt; 2018.
Davood Aghadoost, Mohammad Reza Fazel, Hamid Reza Aghadoost. Pattern of pediatric ocular Trauma in Kashan Iran. Arch Trauma Res. 2012;1(1):35-37.
Soliman MM, Macky TA. (Kasr El Aini Hospital, Cairo, Egypt) Pattern of ocular trauma in Egypt. Graefe's Archive for Clinical and Experimental Ophthalmology. 2008;246(2):205–212.
View at Google Scholar Soliman MM1, Macky TA
PS Mallika, AK Tan, T Asok, HA Faisal, S Aziz, G Intan. Pattern of ocular trauma in Kuching, Malaysia. List, Malays. Malays Fam Physician. 2008;3(3):140–145.
Published online 2008 Dec 31.
Kirti Singh, Ankush Mutreja, Mainak Bhattacharyya, Sonal Dangda. Epide-miology and implications of ocular trauma admitted to a tertiary care hospital in North India. Guru Nanak Eye Centre, Delhi, India; 2017.
Available:https://doi.org/10.17925/ USOR. 2017.10.01.64
Subina Narang, Vishali Gupta, Prabhat Simalandhi, Amod Gupta, Srishti Raj, Mangat R. Dogra. Paediatric Open globe injuries. Visual Outcome and Risk Factors for Endophthalmitis; 2018.
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