Vol 5 (2020): Continuous Publishing
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Published online: 2020-11-25

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Ocular penetrating injuries in children

Imane Chabbar1, Amina Berraho1
Ophthalmol J 2020;5:120-124.

Abstract

Background: Ocular penetrating injuries in children are common and potentially serious. They take on a special character because of the major risk of amblyopia that they generate in children. The objective of this work is to analyze the epidemiological and clinical aspects of these serious traumas and to study the functional prognosis in Moroccan children.

Material and methods: We conducted a retrospective study of 83 children between January 2016 and December 2019. The average age of children is 6.5 years, with 64 boys and 19 girls.

Results: The circumstances of penetrating eye injuries are accidental dominated by street games. Corneal wounds represented 67.5% associated with iris prolapse in 39 cases and hyphema in 34 cases. In 30.1% of cases, a post-traumatic cataract is associated, and a foreign body is detected in 6% of cases. Final visual acuity ≥ 5/10 is objectified in 30% of cases.

Results: This study highlights the importance of preventing these serious childhood traumas by implementing education and awareness-raising measures.

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References

  1. McCormack P. Penetrating injury of the eye. Br J Ophthalmol. 1999; 83(10): 1101–1102.
  2. Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998; 5(3): 143–169.
  3. Thylefors B. Epidemiological patterns of ocular trauma. Aust N Z J Ophthalmol. 1992; 20(2): 95–98.
  4. Rostomian K, Thach A, Isfahani A, et al. Open globe injuries in children. J AAPOS. 1998; 2(4): 234–238.
  5. Fong LP. Eye injuries in Victoria, Australia. Med J Aust. 1995; 162(2): 64–68.
  6. Blomdahl S, Norell S. Perforating eye injury in the Stockholm population. An epidemiological study. Acta Ophthalmol (Copenh). 1984; 62(3): 378–390.
  7. Gothwal VK, Adolph S, Jalali S, et al. Demography and prognostic factors of ocular injuries in South India. Aust N Z J Ophthalmol. 1999; 27(5): 318–325.
  8. Umeh RE, Umeh OC. Causes and visual outcome of childhood eye injuries in Nigeria. Eye (Lond). 1997; 11 (Pt 4): 489–495.
  9. Oluyemi F. Epidemiology of penetrating eye injury in ibadan: a 10-year hospital-based review. Middle East Afr J Ophthalmol. 2011; 18(2): 159–163.
  10. Farr AK, Hairston RJ, Humayun MU, et al. Open globe injuries in children: a retrospective analysis. J Pediatr Ophthalmol Strabismus. 2001; 38(2): 72–77.
  11. Beby F, Kodjikian L, Roche O, et al. Traumatismes oculaires perforants de l'enfant. J Fran Ophtalmol. 2006; 29(1): 20–23.
  12. Thompson CG, Kumar N, Billson FA, et al. The aetiology of perforating ocular injuries in children. Br J Ophthalmol. 2002; 86(8): 920–922.
  13. Khokhar S, Gupta S, Yogi R, et al. Epidemiology and intermediate-term outcomes of open- and closed-globe injuries in traumatic childhood cataract. Eur J Ophthalmol. 2014; 24(1): 124–130.
  14. Krishnamachary M, Rathi V, Gupta S. Management of traumatic cataract in children. J Cataract Refract Surg. 1997; 23 Suppl 1: 681–687.
  15. Knyazer B, Levy J, Rosen S, et al. Prognostic factors in posterior open globe injuries (zone-III injuries). Clin Exp Ophthalmol. 2008; 36(9): 836–841.
  16. World Health Organization. Preventing blindness in children. Report of a WHO/IAPB scientific meeting. Hyderabad, India 1999.