Epidemiology And Demography Of Open Globe injury in Children

• Main Authors: Sedat Ava, Seyfettin Erdem, Mine Karahan, Mehmet Emin Dursun, Leyla Hazar, Ugur Keklikci
• Format: Article
• Language: English
• Published: Dicle University Medical School 2021-09-01
• Series: Dicle Medical Journal
• Subjects: pediatric; open globe injury; epidemiology; demography; rural
• Online Access: http://diclemedj.org/upload/sayi/82/Dicle%20Med%20J-04718.pdf

Objective: To reveal the epidemiology and demographics of open globe injury in children. Methods: In the study, the medical files of 185 patients aged 15 years and younger who applied to the Dicle University Faculty of Medicine Ophthalmology clinic between April 2017 and April 2019 with open globe injury were retrospectively analyzed. Patients were classified according to age, gender, etiology of trauma, location of trauma, and time of trauma and recorded. Results: A total of 185 eyes of 185 children were included in this study. Of the 185 children, 111 (60%) were boys and 74 (40%) were girls. The mean age of the 185 patients was 7.26 ± 3.80 years. Patients applied to our hospital 1-36 hours after the İnjury. 101 (54.5%) of the injuries were in the right eye and 84 (45.5%) in the left Regarding the localization of injuries, there were 131 (70.8%) corneal, 32 (17.3%) corneoscleral, 9 (4.9%) limbal, and 13 (7%) scleral cases. These injuries were most commonly caused by 92 (49.7%) metallic objects, 22 (11.9%) glass, and 17 (9.2%) wood pieces. Regarding the time of injury, 43 (23.2%) injuries occurred during 1–3 months, 59 (31.8%) occurred during 4–6 months, 50 (27.1%) occurred during 7–9 months, and 33 (17.9%) occurred during 10–12 months. The places where the injuries occurred were 102 (55.1%) houses, 68 (36.8%) outdoors, and 15 (8.1%) schools. Conclusions: Open globe injuries in children were most common in boys, in the age group of 1–5 years, in the right eye, and in the cornea as localization. It was observed that these injuries were mostly caused by metal objects in the 4th to 6th months.