Visual outcome and ocular survival in pediatric ocular trauma

  • Lavanya G Rao Department of Ophthalmology, Srinivasa Medical College, Suratkal
  • Sulatha V Bhandary Department of Ophthalmology, Manipal University, Manipal
  • Krishna Rao Addoor Department of Community Medicine, Manipal University, Manipal
  • Aditi Singh Department of Ophthalmology, Manipal University, Manipal
  • Suma Nair Department of Ophthalmology, Manipal University, Manipal
  • V.S. Binu Department of Community Medicine, Manipal University, Manipal
DOI: https://doi.org/10.35119/asjoo.v15i4.292
Keywords: causes, ocular trauma, paediatric age group, preventive measures

Abstract

Purpose: Ocular injuries in children are a major under-recognized cause of ocular morbidity and can be prevented by identifying the etiology and implementing measures to prevent these injuries. This study intends to assess the visual outcome and ocular survival in paediatric ocular trauma.

Design: A descriptive study set in a tertiary care teaching hospital in Southern India.

Methods: A total of 56 children less than 18 years of age with ocular trauma during the period August 2010 to August 2012were studied. Injuries were classified as per modified Ocular Trauma Classification System (OTCS). Final visual outcome was assessed at the end of 1, 3, & 6 months.

Results: Of the 56 children assessed 87.5% were that of boys. About 12% were under-fives and almost 66% were in the age range of 5-14 years.  And majority   (47.45 %) had sustained trauma in  the streets. Closed globe injury predominated (69.49%). At presentation, grade I  injury  noted  in 28 eyes (47.45%), grade II  in 1 (1.69%), grade III in 3 (5.08%) , grade IV in  8  (13.55%) , PL negative in 3 (5.08 %)  and un-cooperative in 16 cases  (27.11 %). At six months, good vision noted in 44 eyes (74.6%), moderate in 5 (8.47%), poor vision in 1 (1.69 %), PL negative in 4 (6.77%), un-cooperative 4 cases (6.77%). 4 eyes had phthisis (6.77%) and 1 eye (1.69%) was eviscerated.

Conclusions: Ocular trauma in childhood was more common in the male child, mostly due to road traffic accidents.  Ocular trauma being a significant cause of visual loss in childhood, awareness campaigns are necessary.

Author Biographies

Lavanya G Rao, Department of Ophthalmology, Srinivasa Medical College, Suratkal

Professor and head

Sulatha V Bhandary, Department of Ophthalmology, Manipal University, Manipal

Additional professor

Krishna Rao Addoor, Department of Community Medicine, Manipal University, Manipal

Professor and head

Suma Nair, Department of Ophthalmology, Manipal University, Manipal

Associate Professor

References

1. Parver LM. Eye trauma: The neglected disorder. Arch Ophthalmol1986;104:1452-1453.
2. Moreira CA, Debert-Ribeiro M, Belfort R. Epidemiological study of eye injuries in Brazilian children. Arch Ophthalmol 1988;106:781-784.
3. Pieramici DJ, Sternberg P, Aaberg TM, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol1997;123:820-831.
4. MacEwen CJ, Baines PS, Desai P. Eye injuries in children: The current picture. Br J Ophthalmol 1999;83:933-936.
5. Strahlman E, Elman M, Daub E, Baker S. Causes of pediatric eye injuries. A population based study. Arch Ophthalmol 1990;108:603-606.
6. Diniz MC, Tzelikis PFM, Alvin HS, et al. Trauma ocular em criança abaixo de 15 anos: prevenção baseadaem estatísticas. Rev Bras Oftalmol 2003;62:96-101.
7. LaRoche GR, McIntyre L, Schertzer RM. Epidemiology of severe eye injuries in childhood. Ophthalmology 1988;95:1603-1607.
8. Silva RE, Nassaralla BRA. Prevalência de trauma ocular infantil no ambulatório de SUS do Instituto de olhos de Goiânia. Rev Bras Oftalmol 1998;57:865-868.
9. Apjit K, Ajai A. Paediatric ocular trauma. Curr Sci 2005;89:43-46.
10. Cariello AJ, Moraes NS, Mitne S, et al. Epidemiological findings of ocular trauma in childhood. Arq Bras Oftalmol 2007;70:271-275.
11. Grin TR, Nelson LB, Jeffers JB. Eye injuries in childhood. Pediatrics1987;80:13-17.
Published
2017-12-05
How to Cite
Rao, L., Bhandary, S., Addoor, K., Singh, A., Nair, S., & Binu, V. (2017). Visual outcome and ocular survival in pediatric ocular trauma. Asian Journal of Ophthalmology, 15(4). https://doi.org/10.35119/asjoo.v15i4.292
Issue
Vol 15 No 4 (2017)
Section
Original Articles

Copyright (c) 2016 Asian Journal of Ophthalmology

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