EPIDEMIOLOGY OF OCULAR INJURY IN PAEDIATRIC POPULATION PRESENTING TO A TERTIARY HEALTH CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 55
Abstract
BACKGROUND Ocular trauma is a worldwide cause of visual morbidity. It includes a spectrum of simple ocular surface foreign bodies, minute corneal abrasions to devastating perforating injuries causing blindness. Children are particularly susceptible to eye trauma. Identification of the cause of injuries among children may help in determining the most effective measures to prevent visual loss. The purpose of this study was to analyse the age and sex distribution, the type of ocular injury, causative agents, and visual status at the time of presentation. MATERIALS AND METHODS A total of 100 children (age 0-14 yrs.) who attended Outpatient Department and Emergency of Regional Institute of Ophthalmology, and got admitted were included in the study. Detailed history regarding mode and type of injury, time of injury and time elapsed to attend the hospital from the onset of injury noted. Visual status recoded. Detailed clinical examination done. Appropriate medical and surgical treatment given after assessing the type of injury according to the standard protocol. RESULTS Our study showed that male children (Male: Female 2.2:1) in the age group of 6 to 10 years (48%) were affected most. Open globe injury was the commonest type (71 %). 44% of children attended hospital 25 to 48 hours after the injury. Domestic injury with the wood stick was the commonest type. Majority of the children had visual acuity between 2/60 and PL+. 95 children required surgical intervention. CONCLUSION We have seen in our study that close supervision at home, school and play ground, public awareness and education regarding the hazardous nature of firecrackers, and road safety measures are critical to prevent the traumatic visual loss in children. Delay in presentation of children to the hospital may lead to substantial damage to the ocular structures during these initial crucial hours.
Authors and Affiliations
Somnath Das, Sandip Samaddar, Parinita Singh
Keywords
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- EP ID EP225885
- DOI 10.14260/Jemds/2017/895
- Views 92
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