Ocular trauma in the pediatric age group: a systematic review
Abstract Background Ocular traumas are the leading cause of acquired unilateral blindness in the pediatric age group. The aim of this study is to determine the incidence of pediatric ocular injuries, the etiological factors that cause them, and to make some preventive recommendations. Methods This w...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-12-01
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| Series: | Egyptian Pediatric Association Gazette |
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| Online Access: | https://doi.org/10.1186/s43054-022-00125-y |
| _version_ | 1811302004849377280 |
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| author | Emine Özdemir Kaçer İlker Kaçer |
| author_facet | Emine Özdemir Kaçer İlker Kaçer |
| author_sort | Emine Özdemir Kaçer |
| collection | DOAJ |
| description | Abstract Background Ocular traumas are the leading cause of acquired unilateral blindness in the pediatric age group. The aim of this study is to determine the incidence of pediatric ocular injuries, the etiological factors that cause them, and to make some preventive recommendations. Methods This was a retrospective observational study of pediatric ocular trauma (age < 18 years) presented to the pediatric emergency unit of our tertiary university hospital between January 2016 and December 2020. Demographic data such as age, gender, season, duration of admission, trauma etiology, and type of injury were recorded. Patients with missing medical records were excluded from the study. Results Two hundred two patients aged a mean of 107.4 ± 40.7 months including 87 females (43.07%) and 115 males (56.93%) were included in the study. Most of the patients (n = 135, 66.83%) were in the 7–11 years of age group. The vast majority of the study population lived in the urban area (n = 119, 58.91%). Most injuries were seen in the summer (n = 108, 53.47%). 59.41% of all patients had closed globe injuries. Hyphema (32.5%) and endophthalmitis (26.6%) were the most common in closed globe injuries. Of the open globe injuries, 39 were penetrating (47.5%), 12 were perforated (14.6%), and 23 were intraocular foreign body injuries (28%). It was determined that the places where the injury occurred were mostly in situations where family control was reduced, such as weddings, holidays, and playgrounds (80.69%). The most common causes of injury were toy guns (35.15%), stones (28.71%), and fireworks (16.34%). Conclusion This analysis is the first study to provide data on childhood ocular trauma in Aksaray. Most of the childhood ocular injuries can be prevented with simple precautions. For this purpose, effective and preventive strategies should be developed such as raising public awareness, providing parental control, and early intervention. |
| first_indexed | 2024-04-13T07:20:15Z |
| format | Article |
| id | doaj.art-5a772d9cd20a4c3f9dda4cedd4ab0bd1 |
| institution | Directory Open Access Journal |
| issn | 2090-9942 |
| language | English |
| last_indexed | 2024-04-13T07:20:15Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Pediatric Association Gazette |
| spelling | doaj.art-5a772d9cd20a4c3f9dda4cedd4ab0bd12022-12-22T02:56:38ZengSpringerOpenEgyptian Pediatric Association Gazette2090-99422022-12-017011610.1186/s43054-022-00125-yOcular trauma in the pediatric age group: a systematic reviewEmine Özdemir Kaçer0İlker Kaçer1Department of Pediatrics, Faculty of Medicine, Aksaray UniversityDepartment of Emergency Medicine, Aksaray Education and Research HospitalAbstract Background Ocular traumas are the leading cause of acquired unilateral blindness in the pediatric age group. The aim of this study is to determine the incidence of pediatric ocular injuries, the etiological factors that cause them, and to make some preventive recommendations. Methods This was a retrospective observational study of pediatric ocular trauma (age < 18 years) presented to the pediatric emergency unit of our tertiary university hospital between January 2016 and December 2020. Demographic data such as age, gender, season, duration of admission, trauma etiology, and type of injury were recorded. Patients with missing medical records were excluded from the study. Results Two hundred two patients aged a mean of 107.4 ± 40.7 months including 87 females (43.07%) and 115 males (56.93%) were included in the study. Most of the patients (n = 135, 66.83%) were in the 7–11 years of age group. The vast majority of the study population lived in the urban area (n = 119, 58.91%). Most injuries were seen in the summer (n = 108, 53.47%). 59.41% of all patients had closed globe injuries. Hyphema (32.5%) and endophthalmitis (26.6%) were the most common in closed globe injuries. Of the open globe injuries, 39 were penetrating (47.5%), 12 were perforated (14.6%), and 23 were intraocular foreign body injuries (28%). It was determined that the places where the injury occurred were mostly in situations where family control was reduced, such as weddings, holidays, and playgrounds (80.69%). The most common causes of injury were toy guns (35.15%), stones (28.71%), and fireworks (16.34%). Conclusion This analysis is the first study to provide data on childhood ocular trauma in Aksaray. Most of the childhood ocular injuries can be prevented with simple precautions. For this purpose, effective and preventive strategies should be developed such as raising public awareness, providing parental control, and early intervention.https://doi.org/10.1186/s43054-022-00125-yBlindnessEmergency medicineFireworksOcular traumaOpen globe ınjuriesPediatrics |
| spellingShingle | Emine Özdemir Kaçer İlker Kaçer Ocular trauma in the pediatric age group: a systematic review Egyptian Pediatric Association Gazette Blindness Emergency medicine Fireworks Ocular trauma Open globe ınjuries Pediatrics |
| title | Ocular trauma in the pediatric age group: a systematic review |
| title_full | Ocular trauma in the pediatric age group: a systematic review |
| title_fullStr | Ocular trauma in the pediatric age group: a systematic review |
| title_full_unstemmed | Ocular trauma in the pediatric age group: a systematic review |
| title_short | Ocular trauma in the pediatric age group: a systematic review |
| title_sort | ocular trauma in the pediatric age group a systematic review |
| topic | Blindness Emergency medicine Fireworks Ocular trauma Open globe ınjuries Pediatrics |
| url | https://doi.org/10.1186/s43054-022-00125-y |
| work_keys_str_mv | AT emineozdemirkacer oculartraumainthepediatricagegroupasystematicreview AT ilkerkacer oculartraumainthepediatricagegroupasystematicreview |