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Parth S Patel, Aditya Uppuluri, Marco A Zarbin, Neelakshi Bhagat; Epidemiologic Trends in Pediatric Ocular Injury from 2010-2019 in the U.S. Invest. Ophthalmol. Vis. Sci. 2021;62(8):2617.
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© ARVO (1962-2015); The Authors (2016-present)
To describe epidemiologic trends in consumer product-related pediatric ocular injuries from 2010-2019.
This retrospective epidemiological study utilizes data from the National Electronic Injury Surveillance System. Inclusion criteria for this study were: eye injury in patients aged between 1 and 20 years separated into 4 groups: 1-5, 6-10, 11-15 and 16-20 and injury occurring between 2010-2019.
There were an estimated 636,582 ocular injuries in children ages 1-20 with an average age of 9.7 years (SD=5.92) presenting to US EDs; 416,378 (65.4%) were males with a male-to-female ratio of 1.9:1. The incidence of injury in males showed a downward trend over the span of the study while the rate in females remained the same. The greatest number of injuries occurred in the 1-5 age group (31.2%) followed by 6-10 (25.0%), 16-20 (22.4%) and 11-15 years (21.4%). The total number of injuries trended down from 65,724 in 2010 to 56,895 in 2019 as shown in Figure 1. Similarly, the incidence of ocular injury per 1 million persons across the same time period also trended downward.The incidence and frequency of open globe injury displayed a positive trend over this time span. Ocular contusion was the most common diagnosis (45.7%) for the entire group. The most common location of injury was at home (41.7%). Most patients (96.2%) were released from the ED. Fewer than 1% of all ocular injuries were admitted to the hospital. Most ocular injuries occurred in the summer months (May, June and July) and were higher on the weekend compared to a weekday. In all pediatric patients, 27.7% of injuries were sports-related followed by detergents/chemicals (15.9%), toys (11.2%), home workshop equipment (7.5%), kitchenware (5.0%) and home furniture (4.4%), comprising the top 70% of consumer product categories in the entire population. Detergents/chemicals accounted for the most common cause of injury in the youngest age group (Figure 2).
The frequency and rate of pediatric ocular injuries trended downwards nationally over the last decade. Sports and non-powder guns caused the greatest amount of eye injuries in the older pediatric cohorts (11-15 and 16-20 age groups), while detergents/chemicals accounted for nearly 1/3 of all injuries in younger children (0-5).
This is a 2021 ARVO Annual Meeting abstract.
Incidence per 1 million of ocular injury with respect to age groups and gender.
National estimates of ocular injuries from product categories in children ages 1-20
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