Clinical profile of paediatric patients presenting with ocular trauma to tertiary care centre
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 5
Abstract
Abstract: The purpose of this study was to analyse the clinical profile of the paediatric patients (age < 15yrs) presenting with ocular trauma to tertiary care hospital. Materials and Methods: Retrospective review of records of past 2 yrs(2014-2016). The cases were grouped according to The System of Ocular Trauma Classification Group classification system. Demographic details like age and sex, activity at time of injury, identifiable objects causing injury, presence or absence of supervision during injury were noted with follow-up period of 30 days from the medical records.In our study, total 64 patients with 86 eyes were included. The age-group more affected was between age group of 6-10 yrs (56% i.e 35pts). Boys (62%) were affected more than girls (38%). Adnexal injuries found in 20% (17eyes), whereas closed and open globe injuries in 62% open (54 eyes)and 18 % close (15eyes) respectively. The most common type of open globe injury was (type B), zone (II), pupil (B) & grade(D). The most common type of close globe injury was(type A ), zone (I), pupil (B) & grade (A).Most of children reported to casualty within 24 hours 90% (78 eyes) remaining after 24 hours 10% .The objects causing injury were sharp objects(18%),blunt objects(8%), household objects(14%). The other causes of injury were sports(20%), accidental fall (22%),chemical and road traffic accidents (RTA) were (5% each),burn (3%), animal bite (4%) The final visual acuity(VA) in 69% eyes were better than 20/40,(31%) eyes had VA of 20/50 to 20/100 and poor visual outcome in remaining eyes .Most of the ocular injuries occurred at home(60%), at playground(22%), accidental fall(18%) and others.The most common age group affected was 6-10 years. The most common type of injury in Close Globe injury was contusion and Open globe injury was penetrating injury. Boys were affected more than girls. The time of reporting to casualty was within 24 hours. Sharp objects, blunt objects, and household objects were common objects of injury. The places of injury were home, playground, and others. Most of the children achieved best corrected visual acuity more than 6/18. Visual outcomes with blunt ocular trauma were better than penetrating injuries.Most of visual losses in injuries are preventable by increasing awareness regarding availability of nearby health care centres, hazards of firecrackers, providing safety environment to children in home, in schools & on playgrounds and necessity of earliest approach to health care centre. All these will be definitely helpful to reduce the social & economic burden of society & psychological complexes in children. And every ocular casualty should be dealt seriously. Keywords:Ocular trauma, open and closed globe injuries, paediatric age-group
Authors and Affiliations
Mohod Smita, Ambedkar Sanjeevani, Matey Prajakta
Keywords
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