Indian Journal of Clinical and Experimental Ophthalmology

  • Year: 2015
  • Volume: 1
  • Issue: 2

Profile of pediatric ocular trauma at a tertiary eye care centre in Northern India

  • Author:
  • Rajendra P Maurya1,, Virendra P. Singh2, Ishan Yadav3, Mahendra K. Singh2, C.P. Mishra4, Prithvi R. Sen5, Abhijeet Kunwar6
  • Total Page Count: -2
  • DOI:
  • Page Number: 76 to 73

1Assistant Professor, Department of Ophthalmology, Trauma Center Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India

2Professor, Department of Ophthalmology, Trauma Center Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India

3Senior Resident, Department of Ophthalmology, Trauma Center Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India

4Professor, Department of Preventive and Social Medicine, Trauma Center Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India

5Senior Medical Officer, Emergency Outpatient Department, Trauma Center Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India

6Senior Resident, Trauma Center Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India

Abstract

To evaluate the pattern, causes and treatment outcome of ocular trauma in pediatric age group.

This prospective interventional study was conducted among all patients, up to 16 years of age, with ocular trauma, who visited the Ophthalmology OPD and Emergency OPD of S S Hospital, Banaras Hindu University, Varanasi between October 2011 to April 2014. The Demographic data, causes, type, extent & severity of injuries and impact on vision were identified and analyzed.

Out of 82 patients, 54 (65.85%) were boys and 28(34.15%) were girls. The age ranged from 2–16 years. Mechanical injuries accounted for 78.05%, while rests were chemical (12.20%) and thermal/firework injury (9.76%). Most of the injuries occurred at home (n=28, 34.15%) while rest (66.85%) occurred away from home e.g. playground (n=20, 24.39%), street/Road (n=18, 21.95%) and school (n=16, 19.51%). Most common cause of injury was projectile objects like ball/stone/toy gun/gulli (24.39%), followed by sharp objects like knife/needle/wire (19.51%), fall (15.85%), RTA (14.63%) and firework/cracker (9.76%) while the least common cause was animal injury (4.88%). Commonest type of injury was globe injury (51.22%) followed by Lid & particular injury (43.90%) and orbital fracture (21.95%). 29.27% had open globe injury while 21.95% had closed globe injury. Left eye was affected in 46.34%, Right eye in 42.68%, while in 10.98% cases both the eyes were injured. The most common complication was hyphema (31.70%) followed by traumatic cataract (21.95%), iris prolapse/iridodialysis (19.51%), vitreous hemorrhage/retinal detachment (14.63%), endophthalmitis (6.10%) and disorganized globe or phthisis (13.41%). 47.56% injured children were treated surgically while rest 52.44% were managed by medical treatment. Initial visual acuity was good (>/= 6/12) in 36.59%, moderate vision(6/18-6/60) in 26.83% and poor vision (<6/60) in 21.95% while assessment was not possible in 14.63%. Final visual acuity was 6/18 or better in 46.34%, between <6/18 to 3/60 in 21.95% and <3/60 to no PL in 19.51%. Final visual acuity could not be evaluated in 12.20% cases.

This study emphasizes the need for eye injury prevention in children particularly during playing and while moving on road/street.

Keywords

Blunt trauma, Corneal laceration, Cracker injury, Hyphema, Penetrating injury