Epidemiologic and Clinical Features of Open-Globe Injuries in Childhood
Pur po se: To evaluate the epidemiologic and clinical features of open-globe injuries in childhood. Ma te ri al and Met hod: The records of the pediatric patients who were evaluated for open-globe injuries between 2007 and 2011 in our department were retrospectively screened. Age, gender, time, se...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
Published: |
Galenos Yayinevi
2012-01-01
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Series: | Türk Oftalmoloji Dergisi |
Subjects: | |
Online Access: | http://www.oftalmoloji.org/article_2117/Epidemiologic-And-Clinical-Features-Of-Open-globe-Injuries-In-Childhood |
Summary: | Pur po se: To evaluate the epidemiologic and clinical features of open-globe injuries in childhood.
Ma te ri al and Met hod: The records of the pediatric patients who were evaluated for open-globe injuries between 2007 and 2011 in our
department were retrospectively screened. Age, gender, time, setting, localization and cause of injury, follow-up time, complications, number
of surgeries, initial and final visual acuity were assessed.
Re sults: A total of 37 patients were enrolled in the study. Of 37 patients, 12 (32.4%) were girls and 25 (67.6%) were boys with a mean
age of 9.9±4.5. Boy/girl rate was likely to increase as the age increased (p=0.018). Twenty-one (56.8%) patients were injured during play.
The time interval between injury and admission to the hospital was 15.9±29.4 hours. Injuries were most likely to have occurred on the
street (48.6%) and at home (40.5%). Boys were more likely to be injured on the street (68%), whereas girls were more likely to be injured
at home (83.3%) (p=0.001). The most common objects causing injury were sharp metal and wood tools (29.7% - for both genders). Injury
was corneal in 22 (59.5%) patients and scleral in 8 (21.6%) patients. In 18 (48.6%) patients, the injury was complicated, and cataract was
the most common complication. Reoperation was needed in 16 (43.2%) patients. Final visual acuity was equal to or better than 0.5 in 54%
of the patients. Final visual acuity correlated with initial visual acuity (p=0.004, r=0.491).
Dis cus si on: Open-globe injuries in childhood mostly occur at home or on the street via sharp wood or metal objects. Nearly a quarter of
all patients suffer from low vision as a result of these injuries which are mostly preventable. (Turk J Ophthalmol 2012; 42: 16-9) |
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ISSN: | 1300-0659 2147-2661 |