Paediatric traumatic cataracts in Southwest China: epidemiological profile
Abstract Background Paediatric traumatic cataracts are an important but preventable cause of acquired blindness. Understanding the epidemiology of paediatric traumatic cataracts is a prerequisite for prevention. This study aimed to characterize the epidemiological profile of paediatric traumatic cat...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-022-02435-6 |
| _version_ | 1828344332280659968 |
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| author | Pingping Wang Qingyu Fu Hongbo Yin Lin Wang Longqian Liu |
| author_facet | Pingping Wang Qingyu Fu Hongbo Yin Lin Wang Longqian Liu |
| author_sort | Pingping Wang |
| collection | DOAJ |
| description | Abstract Background Paediatric traumatic cataracts are an important but preventable cause of acquired blindness. Understanding the epidemiology of paediatric traumatic cataracts is a prerequisite for prevention. This study aimed to characterize the epidemiological profile of paediatric traumatic cataracts in southwest China. Methods The medical records of children (age range, 0–14 years old) who developed traumatic cataracts following open-globe injuries and were hospitalized at the Department of Ophthalmology at West China Hospital, between January 2011 and December 2020 were retrospectively analyzed. The demographic data, causes of injuries, posttraumatic complications, and visual acuity were recorded and analysed. Results A total of 716 eyes from 716 patients were analysed in this study, including 521 (72.8%) males and 195 females in a gender ratio of 2.67:1; 117 of the patients were of ethnic minorities. Paediatric traumatic cataracts occurred more frequently in winter (32.5%). Sharp metal objects (scissors/knives/needles/sheet metal/nails/darts) – induced ocular injuries accounted for the highest proportion, followed by botanical sticks (wooden sticks /bamboo sticks /bamboo skewers)-induced injuries, and then stationery items (pencils/pens/rulers/paper)-induced injuries. The majority (68.7%) of the patients were aged 2–8 years, and the peak range of age was 4 - 6 years. The injuries were a result of penetrating trauma in 64.9% of patients, and blunt force trauma in the remainder (35.1%). Additionally, 131 (18.3%) cases developed posttraumatic infectious endophthalmitis after injuries. Patients with eye injuries caused by needles (P < 0.001), wooden sticks (P = 0.016), and bamboo skewers (P = 0.002) were at a greater risk of developing infectious endophthalmitis. The most common identified foreign organism was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Among the children who were younger than 5 years, 44.4% (55/124) of those with traumatic cataracts presented a corrected distance visual acuity less than or equal to 0.1 after undergoing cataract surgery, but among the children who were older than 5 years, this proportion was significantly smaller, just 20.4% of children aged 6-10 years (P < 0.001) and 18.4% of children aged 11-14 years (P < 0.001). Conclusion The main causative agents of paediatric traumatic cataracts in southwest China were sharp metal objects, botanical sticks, and stationery items. Specific preventive measures are essential to reduce the incidence of paediatric traumatic cataract. |
| first_indexed | 2024-04-13T23:55:49Z |
| format | Article |
| id | doaj.art-9fbca03b508e41679e4fda010eca62ba |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-13T23:55:49Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-9fbca03b508e41679e4fda010eca62ba2022-12-22T02:23:53ZengBMCBMC Ophthalmology1471-24152022-05-0122111010.1186/s12886-022-02435-6Paediatric traumatic cataracts in Southwest China: epidemiological profilePingping Wang0Qingyu Fu1Hongbo Yin2Lin Wang3Longqian Liu4Department of Ophthalmology, West China Hospital, Sichuan UniversityDepartment of Ophthalmology, West China Hospital, Sichuan UniversityDepartment of Ophthalmology, West China Hospital, Sichuan UniversityDepartment of Ophthalmology, West China Hospital, Sichuan UniversityDepartment of Ophthalmology, West China Hospital, Sichuan UniversityAbstract Background Paediatric traumatic cataracts are an important but preventable cause of acquired blindness. Understanding the epidemiology of paediatric traumatic cataracts is a prerequisite for prevention. This study aimed to characterize the epidemiological profile of paediatric traumatic cataracts in southwest China. Methods The medical records of children (age range, 0–14 years old) who developed traumatic cataracts following open-globe injuries and were hospitalized at the Department of Ophthalmology at West China Hospital, between January 2011 and December 2020 were retrospectively analyzed. The demographic data, causes of injuries, posttraumatic complications, and visual acuity were recorded and analysed. Results A total of 716 eyes from 716 patients were analysed in this study, including 521 (72.8%) males and 195 females in a gender ratio of 2.67:1; 117 of the patients were of ethnic minorities. Paediatric traumatic cataracts occurred more frequently in winter (32.5%). Sharp metal objects (scissors/knives/needles/sheet metal/nails/darts) – induced ocular injuries accounted for the highest proportion, followed by botanical sticks (wooden sticks /bamboo sticks /bamboo skewers)-induced injuries, and then stationery items (pencils/pens/rulers/paper)-induced injuries. The majority (68.7%) of the patients were aged 2–8 years, and the peak range of age was 4 - 6 years. The injuries were a result of penetrating trauma in 64.9% of patients, and blunt force trauma in the remainder (35.1%). Additionally, 131 (18.3%) cases developed posttraumatic infectious endophthalmitis after injuries. Patients with eye injuries caused by needles (P < 0.001), wooden sticks (P = 0.016), and bamboo skewers (P = 0.002) were at a greater risk of developing infectious endophthalmitis. The most common identified foreign organism was Streptococcus, which accounted for 42% (21/50) of all culture-positive specimens and was sensitive to vancomycin. Among the children who were younger than 5 years, 44.4% (55/124) of those with traumatic cataracts presented a corrected distance visual acuity less than or equal to 0.1 after undergoing cataract surgery, but among the children who were older than 5 years, this proportion was significantly smaller, just 20.4% of children aged 6-10 years (P < 0.001) and 18.4% of children aged 11-14 years (P < 0.001). Conclusion The main causative agents of paediatric traumatic cataracts in southwest China were sharp metal objects, botanical sticks, and stationery items. Specific preventive measures are essential to reduce the incidence of paediatric traumatic cataract.https://doi.org/10.1186/s12886-022-02435-6Paediatric traumatic cataractSouthwest ChinaEpidemiologyInfectious endophthalmitis |
| spellingShingle | Pingping Wang Qingyu Fu Hongbo Yin Lin Wang Longqian Liu Paediatric traumatic cataracts in Southwest China: epidemiological profile BMC Ophthalmology Paediatric traumatic cataract Southwest China Epidemiology Infectious endophthalmitis |
| title | Paediatric traumatic cataracts in Southwest China: epidemiological profile |
| title_full | Paediatric traumatic cataracts in Southwest China: epidemiological profile |
| title_fullStr | Paediatric traumatic cataracts in Southwest China: epidemiological profile |
| title_full_unstemmed | Paediatric traumatic cataracts in Southwest China: epidemiological profile |
| title_short | Paediatric traumatic cataracts in Southwest China: epidemiological profile |
| title_sort | paediatric traumatic cataracts in southwest china epidemiological profile |
| topic | Paediatric traumatic cataract Southwest China Epidemiology Infectious endophthalmitis |
| url | https://doi.org/10.1186/s12886-022-02435-6 |
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