Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran

Abstract Aim To determine the prevalence of ocular trauma in Iranian children aged 6–12 years. Methods This population-based cross-sectional study, comprised the first phase of the Shahroud Schoolchildren Eye Cohort Study on primary school children using cluster sampling in urban areas and census in...

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Main Authors: Hassan Hashemi, Reza Pakzad, Mehdi Khabazkhoob, Abbasali Yekta, Mohammad Hassan Emamian, Akbar Fotouhi
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02541-5
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author Hassan Hashemi
Reza Pakzad
Mehdi Khabazkhoob
Abbasali Yekta
Mohammad Hassan Emamian
Akbar Fotouhi
author_facet Hassan Hashemi
Reza Pakzad
Mehdi Khabazkhoob
Abbasali Yekta
Mohammad Hassan Emamian
Akbar Fotouhi
author_sort Hassan Hashemi
collection DOAJ
description Abstract Aim To determine the prevalence of ocular trauma in Iranian children aged 6–12 years. Methods This population-based cross-sectional study, comprised the first phase of the Shahroud Schoolchildren Eye Cohort Study on primary school children using cluster sampling in urban areas and census in rural areas. The students underwent the measurement of uncorrected and corrected visual acuity as well as non-cycloplegic, cycloplegic, and subjective refraction. The history of trauma, hospitalization, and surgery due to trauma was collected from parents using a questionnaire. Results The data of the trauma history was recorded for 5267 out of 5620 students. The mean age of the students was 9.7 ± 1.7 years (range: 6–12 years), 53.7% of them were boys, and 79.3% were from urban areas. A positive history of ocular trauma was found in 285 participants, and the lifetime prevalence of ocular injury (95% CI) was 5.2% (4.6–5.9). Blunt trauma was the most common ocular injury with a prevalence of 66.2%. There was a significant positive assocation between ocular trauma and living in rural areas (OR: 1.49, p: 0.012), older age (OR: 1.17, p < 0.001), and male sex (OR: 1.62, p: 0.002). Furthermore, 9.3% and 4.7% of the traumas required hospitalization and surgical intervention, respectively. Conclusion This study found a marked prevalence of ocular trauma compared to previous studies. Male sex, older age, and living in rural areas were associated with ocular trauma, which could be due to differences in lifestyle preference, outdoor exposure, and dangerous situations. Educational programs and safety instructions should be encouraged.
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spelling doaj.art-f5bdc8d37b75486086bf783bdf768bfd2022-12-22T01:33:31ZengBMCBMC Ophthalmology1471-24152022-07-012211710.1186/s12886-022-02541-5Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, IranHassan Hashemi0Reza Pakzad1Mehdi Khabazkhoob2Abbasali Yekta3Mohammad Hassan Emamian4Akbar Fotouhi5Noor Research Center for Ophthalmic Epidemiology, Noor Eye HospitalDepartment of Epidemiology, Faculty of Health, Ilam University of Medical SciencesDepartment of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesDepartment of Optometry, Mashhad University of Medical SciencesOphthalmic Epidemiology Research Center, Shahroud University of Medical SciencesDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical SciencesAbstract Aim To determine the prevalence of ocular trauma in Iranian children aged 6–12 years. Methods This population-based cross-sectional study, comprised the first phase of the Shahroud Schoolchildren Eye Cohort Study on primary school children using cluster sampling in urban areas and census in rural areas. The students underwent the measurement of uncorrected and corrected visual acuity as well as non-cycloplegic, cycloplegic, and subjective refraction. The history of trauma, hospitalization, and surgery due to trauma was collected from parents using a questionnaire. Results The data of the trauma history was recorded for 5267 out of 5620 students. The mean age of the students was 9.7 ± 1.7 years (range: 6–12 years), 53.7% of them were boys, and 79.3% were from urban areas. A positive history of ocular trauma was found in 285 participants, and the lifetime prevalence of ocular injury (95% CI) was 5.2% (4.6–5.9). Blunt trauma was the most common ocular injury with a prevalence of 66.2%. There was a significant positive assocation between ocular trauma and living in rural areas (OR: 1.49, p: 0.012), older age (OR: 1.17, p < 0.001), and male sex (OR: 1.62, p: 0.002). Furthermore, 9.3% and 4.7% of the traumas required hospitalization and surgical intervention, respectively. Conclusion This study found a marked prevalence of ocular trauma compared to previous studies. Male sex, older age, and living in rural areas were associated with ocular trauma, which could be due to differences in lifestyle preference, outdoor exposure, and dangerous situations. Educational programs and safety instructions should be encouraged.https://doi.org/10.1186/s12886-022-02541-5Ocular traumaCross-sectional studyPrevalenceChildrenIran
spellingShingle Hassan Hashemi
Reza Pakzad
Mehdi Khabazkhoob
Abbasali Yekta
Mohammad Hassan Emamian
Akbar Fotouhi
Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran
BMC Ophthalmology
Ocular trauma
Cross-sectional study
Prevalence
Children
Iran
title Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran
title_full Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran
title_fullStr Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran
title_full_unstemmed Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran
title_short Prevalence of ocular trauma in 6–12-year-old children living in Shahroud, Iran
title_sort prevalence of ocular trauma in 6 12 year old children living in shahroud iran
topic Ocular trauma
Cross-sectional study
Prevalence
Children
Iran
url https://doi.org/10.1186/s12886-022-02541-5
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