A Clinical Study of Evaluation and Management of Paediatric Ocular Trauma
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
Between june 2003 to June 2005 in Regional Eye Hospital, Kurnool, Kurnool Medical College, Kurnool, we taken a sample size 95 paediatric ocular trauma cases of 0 – 14 years were selected to identify the causes, demographic clinical profile and evaluation final visual outcome of ocular injuries. In paediatric age 0 – 14 years group the ocular trauma was very common. The trauma to the Eye may be penetrating, blunt, thermal, chemical, IOFB, and others. The causes for these trauma were stick, stone, crackers, ball, needle, toy, thron, fall, chemicals, and glass etc. Due to mention above causes the adenexia and ocular structures may be injured, like lid laceration, conjunctival tear sclero corneal tear, corneal erosions or abrations, Hyphema, secondary glaucoma, vitrious, haemorrhage, retinal detachment, retained IOFB, optic nerve injury, lense dislocation or sub luxation. Among 95 paediatric ocular, patients, some patients were admitted and some patients were treated as OPD cases, for these patients we given medical treatment and medical and surgical treatment where ever necessary. The results and observations were noticed as follows. The commonest type of ocular injury was penetrating injury 55% (n-51), blunt trauma 40% (n-38) and other types noticed. Most of the injuries were occurred at home 43% (n-41), 0-4 year age group affected 71% at home. Male children had ocular trauma 75% (n-71), Female 25%(n-24), 83% (n-73) between the age group 6-14 years. In this study commonest cause were stick 22%, stone 23% fire crackers, 9% and other modes, among 95 paediatric ocular trauma cases were noticed. Laterality concerned 51% (n-41) right eye underwent ocular trauma. Ocular trauma wise in these 95 cases the involvement of conjunctiva 12.23% (n-17), cornea 36% (n-50), sclera 5% (n-7), Hyphema, 7%(n-10), traumatic cataract 13%(n-18), posterior segment damage 5%(n-8), 1%(n-2), orbital injury were affected respectively. The followup period we taken as 3 months for all paediatric Ocular injury cases. Regarding visual outcome in these cases the blunt ocular trauma had better visual outcome than the penetrating trauma 53% cases (n-50) had >6/12 vision, 7%(n-7) blind, 34 cases shown 6/18 to 6/60 vision. The commonest sequelae noted were corneal opacities 45 cases noticed. To conclude home was common place for ocular trauma in paediatric age group 6-14 years, the common cause were stick or stone, penetrating type of injury have been the commonest type, right eye shown predominant involvement good prognosis of vision noticed in blunt ocular trauma. To prevent these ocular injuries awareness, health education, better care of children and avoiding domestic hazards were necessary
Authors and Affiliations
Dr. M. Premanandam
Keywords
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