Epidemiology and prognostic factors of open globe injuries in a Tunisian pediatric population
| Autor: | J Sayadi, Leila Nacef, Noura Zerei, H Zgolli, M Mekni, K. El Amri, A. Chebbi, Ines Malek |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Tunisia Visual acuity Adolescent genetic structures Visual impairment Visual Acuity Vision Low Poison control Context (language use) Blindness Eye injuries 03 medical and health sciences 0302 clinical medicine Injury prevention Humans Medicine Child Retrospective Studies Rupture Trauma Severity Indices business.industry Infant Retrospective cohort study Prognosis medicine.disease Eye Injuries Penetrating eye diseases Ophthalmology Eye Foreign Bodies Child Preschool 030221 ophthalmology & optometry Female medicine.symptom business Penetrating trauma |
| Zdroj: | Journal Français d'Ophtalmologie. 43:604-610 |
| ISSN: | 0181-5512 |
| Popis: | INTRODUCTION Childhood ocular trauma is a preventable cause of visual impairment and blindness worldwide. The purpose of our study was to determine demographic, etiologic, and clinical characteristics, visual outcome, and factors affecting visual prognosis in children with open globe injuries (OGI) and to analyze the predictive value of ocular trauma scoring systems for OGI in children. METHODS We conducted a retrospective study enrolling 120 pediatric patients hospitalized for OGI from January 2010 to March 2017. Age, gender, date of trauma, time between trauma and presentation, place and circumstances of injury, etiology, visual acuity (VA), wound location and type of injury based on the Birmingham Eye Trauma Terminology, and the clinical signs were recorded. We recorded the number of surgical procedures performed, complications and visual outcomes. RESULTS The mean age was 7.38 years. In all, 62.5% of the patients were male, and 37.5% were female. The gender ratio was observed to decrease with increasing age. The mean time interval between injury and consultation was 22.80±42.68hours. Injuries usually occurred at home (80%) followed by playgrounds and sports venues (8.3%), the street (6.7%) and school (5%). All of the OGI's were accidental, and the main context was play (70%). The most common traumas were penetrating injury (60.8%) and metal (30%) objects. Penetrating trauma accounted for 68.3% of cases, followed by rupture (27.5%) and intraocular foreign body (IOFB) (7.5%). Initial VA was |
| Databáze: | OpenAIRE |
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