Clinical Profile and Management Outcome of Paediatric Penetrating Ocular Trauma in a Tertiary Eye Centre in Eastern India
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Globally an estimated 70 million blind years are caused by childhood blindness. This study was done to evaluate the pattern, causes and treatment outcome of penetrating ocular trauma in pediatric age group. Material and Methods: This prospective interventional study was conducted among children (<14 yrs) with penetrating ocular trauma, who presented in our tertiary eye center between April 2014 to March 2017. The Demographic data, causes, type, extent & severity of injuries and impact on vision were identified and analyzed. Primary Perforation repair was done under General anaesthesia. Results: Out of 86 patients, 55 (63.95%) were boys and 31(36.04%) were girls with age ranging from 2 -14years. Most of the injuries occurred at home (n=38, 44.18%) while rest (n=48,55.82%) occurred away from home e.g. playground (n=20,23.25%), street/Road (n=12, 13.95%) and school (n=16, 18.6%). Most common cause of injury was projectile objects (34.56%), followed by sharp objects (19.51%), iron rod (18.0%), firework /cracker (9.76%), vegetative matter/thorns (6.7%) while the less common causes were animal injury (4.5%) road traffic accidents (3.4%). Commonest type of injury was isolated globe injury (51.22%) followed by perforation with associated lid and adnexal injury (43.90%) and orbital fracture (21.95%). Left eye was affected in 46.34%. The most common complication was hyphema (31.70%) followed by iris prolapse/ iridodialysis (21.95%), traumatic cataract (19.51%), vitreous hemorrhage/ retinal detachment (14.63%), endophthalmitis (6.10%) and disorganized globe or phthisis (13.41%). Conclusion: Children are assets for a nation and even trivial ocular trauma has devastating visual potentials. This study emphasizes the need for eye injury prevention in young children whether at home or outside by active participation of the parents,teachers or care takers. It will minimise the individual as well as national losses.
Authors and Affiliations
Bhawesh Chandra Saha, Rashmi Kumari
Keywords
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