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Miner Yuan, Xin Wen, Xiaofeng Lin; Clinical features of infantile and childhood ocular trauma. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5948.
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© ARVO (1962-2015); The Authors (2016-present)
To summarize the clinical features of severe ocular trauma in infants and children.
This was a retrospective case series. In-patient cases of children and infants, aged from 1 month to 14 years old, with ocular trauma during 2011 to 2015 in Zhongshan Ophthalmic Center were gathered. Demographic characteristics, vulnerants, ocular findings, especially the injured region, and complications were analyzed.
Five hundred and forty-three patients were included, in which there were 87 infantile patients (16.02%) aged under 3 years old, 236 pre-school children (43.46%) aged from 3 to 6 years old, and 220 school children (40.52%) aged from 7 to 14 years old. Male patients held the majority with a proportion of 70.35% and 382 patients in total. A trend could be seen that the male predominance became more obvious as the onset age increased (58.62% in infants, 68.22% in pre-school children, 77.27% in school children, p=0.004). Infants were more likely to suffer from the sight-threatening injuries in which the posterior segment of the eyeball were involved, with a higher incidence of region-2 and -3 injuries compared with the other 2 groups (39.08% in infants, 12.29% in pre-school children, 14.09% in shool children, p<0.001). Differences were found in vulnerants and injury factors among 3 groups, though sharp instruments always accounted for the majority (78.05% in infants, 76.21% in pre-school children, 57.41% in school children, 66.48% in total). Infants tended to get their eyes hurt because of tumble (9.76% vs 2.19% in children, p=0.002), broken glass (20.31% vs 4.71% in children, p<0.001) and animals (10.94% vs 2.36% in children, p=0.04), while pre-school children were at higher risk of scissors and knives injuries (43.93% vs 28.13% in infants and 29.03% in school children, p=0.004) and school children were more vulnerable to blunt trauma which might related to fighting (29.63% vs 17.62% in pre-school children and 12.20% in infants, p<0.001). In addition, endophthalmitis was more common in pre-school children (22.03% vs 11.49% in infants and 14.55% in school children, p=0.043).
There were some special features of infantile and childhood oculer trauma with respect to demographic characteristics, vulnerants, injuried region and complication. Parents should take specific attention to prevent their kids from sight-threatening harm and ensure them a bright future.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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