Graphite pencils cause ocular injury in pediatric patients: a case series

Purpose: Graphite pencils rarely cause ocular injury. However, the available data are limited. We aimed to identify the demographic data, clinical manifestations, presenting visual acuities, and final visual outcomes in children with ocular injuries caused by graphite pencils. Methods: A retrospecti...

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Main Authors: Kamalul K. Khairil-Ridzwan, Mohmad Zulhisham, Tan, Chew-Ean, Hui, Di Kho, Shuaibah Ab Ghani, Ismail Shatriah
Format: Article
Language:English
English
Published: Permanyer 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/32742/3/Graphite%20pencils%20cause%20ocular%20injury%20in%20pediatric%20patients_%20a%20case%20series.pdf
https://eprints.ums.edu.my/id/eprint/32742/1/Graphite%20pencils%20cause%20ocular%20injury%20in%20pediatric%20patients_%20a%20case%20series%20_ABSTRACT.pdf
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author Kamalul K. Khairil-Ridzwan
Mohmad Zulhisham
Tan, Chew-Ean
Hui, Di Kho
Shuaibah Ab Ghani
Ismail Shatriah
author_facet Kamalul K. Khairil-Ridzwan
Mohmad Zulhisham
Tan, Chew-Ean
Hui, Di Kho
Shuaibah Ab Ghani
Ismail Shatriah
author_sort Kamalul K. Khairil-Ridzwan
collection UMS
description Purpose: Graphite pencils rarely cause ocular injury. However, the available data are limited. We aimed to identify the demographic data, clinical manifestations, presenting visual acuities, and final visual outcomes in children with ocular injuries caused by graphite pencils. Methods: A retrospective case series was conducted of children who had ocular trauma due to graphite pencils and was treated at Sabah Women and Children Hospital, Malaysia, from May 2015 to April 2018. The information about age, gender, presenting visual acuity, site and severity of injury, and treatment received were documented for each case. The final visual acuity at 6-month post-trauma was recorded. Results: Eight boys were recruited. The mean age was 8.4 years, and ranged from 5 to 10 years old. All had unilateral ocular involvement. The left eye was affected in 62.5% of the patients. The injuries occurred both at home and in schools, with equal distribution of closed and open globe injuries. About 75.0% had injuries that involved the conjunctival, corneal, and scleral tissues and the remaining 25.0% had injuries to the deeper structures including the iris, lens and vitreous. A presenting visual acuity worse than 6/12 (20/40) was documented in 62.5% of the patients and 37.5% had a final visual acuity 6/12 (20/40) or worse, mainly due to corneal scars. Conclusions: Injuries caused by graphite pencils mainly affected boys aged from 5 to 10 years. The majority of the boys had injuries to the anterior segment structures, and 62.5% had final visual acuities of 6/9 (20/30) and better. These injuries are essentially preventable.
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spelling ums.eprints-327422022-06-09T03:41:19Z https://eprints.ums.edu.my/id/eprint/32742/ Graphite pencils cause ocular injury in pediatric patients: a case series Kamalul K. Khairil-Ridzwan Mohmad Zulhisham Tan, Chew-Ean Hui, Di Kho Shuaibah Ab Ghani Ismail Shatriah RE1-994 Ophthalmology RJ1-570 Pediatrics Purpose: Graphite pencils rarely cause ocular injury. However, the available data are limited. We aimed to identify the demographic data, clinical manifestations, presenting visual acuities, and final visual outcomes in children with ocular injuries caused by graphite pencils. Methods: A retrospective case series was conducted of children who had ocular trauma due to graphite pencils and was treated at Sabah Women and Children Hospital, Malaysia, from May 2015 to April 2018. The information about age, gender, presenting visual acuity, site and severity of injury, and treatment received were documented for each case. The final visual acuity at 6-month post-trauma was recorded. Results: Eight boys were recruited. The mean age was 8.4 years, and ranged from 5 to 10 years old. All had unilateral ocular involvement. The left eye was affected in 62.5% of the patients. The injuries occurred both at home and in schools, with equal distribution of closed and open globe injuries. About 75.0% had injuries that involved the conjunctival, corneal, and scleral tissues and the remaining 25.0% had injuries to the deeper structures including the iris, lens and vitreous. A presenting visual acuity worse than 6/12 (20/40) was documented in 62.5% of the patients and 37.5% had a final visual acuity 6/12 (20/40) or worse, mainly due to corneal scars. Conclusions: Injuries caused by graphite pencils mainly affected boys aged from 5 to 10 years. The majority of the boys had injuries to the anterior segment structures, and 62.5% had final visual acuities of 6/9 (20/30) and better. These injuries are essentially preventable. Permanyer 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32742/3/Graphite%20pencils%20cause%20ocular%20injury%20in%20pediatric%20patients_%20a%20case%20series.pdf text en https://eprints.ums.edu.my/id/eprint/32742/1/Graphite%20pencils%20cause%20ocular%20injury%20in%20pediatric%20patients_%20a%20case%20series%20_ABSTRACT.pdf Kamalul K. Khairil-Ridzwan and Mohmad Zulhisham and Tan, Chew-Ean and Hui, Di Kho and Shuaibah Ab Ghani and Ismail Shatriah (2021) Graphite pencils cause ocular injury in pediatric patients: a case series. Mexican Journal of Ophthalmology (Revista Mexicana de Oftalmología), 95. pp. 1-8. ISSN 2604-1731 https://www.rmo.com.mx/files/rmo_20_116_graphite.pdf https://doi.org/10.24875/RMOE.M21000189 https://doi.org/10.24875/RMOE.M21000189
spellingShingle RE1-994 Ophthalmology
RJ1-570 Pediatrics
Kamalul K. Khairil-Ridzwan
Mohmad Zulhisham
Tan, Chew-Ean
Hui, Di Kho
Shuaibah Ab Ghani
Ismail Shatriah
Graphite pencils cause ocular injury in pediatric patients: a case series
title Graphite pencils cause ocular injury in pediatric patients: a case series
title_full Graphite pencils cause ocular injury in pediatric patients: a case series
title_fullStr Graphite pencils cause ocular injury in pediatric patients: a case series
title_full_unstemmed Graphite pencils cause ocular injury in pediatric patients: a case series
title_short Graphite pencils cause ocular injury in pediatric patients: a case series
title_sort graphite pencils cause ocular injury in pediatric patients a case series
topic RE1-994 Ophthalmology
RJ1-570 Pediatrics
url https://eprints.ums.edu.my/id/eprint/32742/3/Graphite%20pencils%20cause%20ocular%20injury%20in%20pediatric%20patients_%20a%20case%20series.pdf
https://eprints.ums.edu.my/id/eprint/32742/1/Graphite%20pencils%20cause%20ocular%20injury%20in%20pediatric%20patients_%20a%20case%20series%20_ABSTRACT.pdf
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