| Abstrakt: |
Purpose: To analyze final visual outcome of ocular trauma in Department of Pediatric Ophthalmology in a Tertiary Care Hospital. Methods:240cases of ocular trauma treated in Department of Pediatric Ophthalmology from December 2018 till June 2019 were retrospectively reviewed. Data included age, gender, type of injury, source of injury, time of presentation, initial and final visual acuity, anterior segment and fundus examination, appropriate management and follow ups. Results: This study contained 240patients with age between 1 month to 16 years. Most of them were between 7-12 years (41%), with 172 (71.7%) boys and 68 (28.3%) girls. The most common type of injuries were Domestic 157(65.4%) followed by road traffic accident 47 (19.6 %). 133 (55.4%) cases presented within 12 hours of injury while 52 (21.7%) presented between 12-24 hours, rest of them presented after more than 24 hours of trauma. Closed globe injury occurred in 145 (60.4%) with (NOTE:-)majority of contusion 71 (29.6%) while open globe injury occurred in 95 (39.6%) with majority of penetrating injuries 67 (27.9%). Visual acuity was better than 6/12 in 245 (53.0%) children. Surgical management was required in 147 (61.3%) patients, with majority of ocular sclera/corneal primary repair 67 (27.9%) and most of them were caused by sharp objects68 (28.3%).The final visual acuity was better than 6/12 in 105 eyes (43.8%), 6/18-6/60 in 64 eyes (26.7%), 5/60- 1/60 in 41 eyes (17.1%),less than 1/60 in 15 eyes (6.3%) and 15(6.3%) eyes had final visual outcome of no light perception. Conclusions: The leading two types of ocular injury in our pediatric ophthalmology department were domestic followed by road traffic accident with most of the injuries were in 7-12 years of age with greater number in boys. Significant predictive factors of final visual acuity in pediatric ocular trauma include initial visual acuity, type of injury, source of injury, duration of presentation and management. [ABSTRACT FROM AUTHOR] |
