Epidemiological findings of ocular trauma in childhood

Arquivos Brasileiros de Oftalmologia

Angelino Julio Cariello²  Nilva Simerem Bueno Moraes¹  Somaia Mitne¹  Celina Shizuka Oita¹  Bruno Machado Fontes¹  Luiz Alberto Soares Melo Jr¹ 

[1] ,Universidade Federal de São Paulo Department of Ophthalmology São Paulo SP ,Brazil

关键词: Eye injuries;    Childhood;    Eye injuries;    penetrating;    Emergency service;    hospital;    Traumatismos oculares;    Infância;    Ferimentos oculares penetrantes;    Serviço hospitalar de emergência;   

DOI  :  10.1590/S0004-27492007000200015

来源: SciELO

【 摘 要 】

PURPOSE: To describe epidemiological findings of ocular trauma in childhood in an emergency unit. METHODS: A retrospective study was carried out including patients under 16 years old who were treated for ocular trauma at the emergency unit of the Federal University of São Paulo from September 2001 to September 2004. Age, sex, involved eye, place, circumstance and mechanism of injury, initial visual acuity and immediate management were recorded. RESULTS: A total of 273 patients were included in the study. The age group comprising most cases was 7 to 10 years (39.9%). The most frequent cause of ocular injury was traumatism by external agents like stone, iron and wood objects (27.9%). The commonest place was the home (53.1%). Initial visual acuity was over 20/40 in 63.4% of cases. Closed globe injury occurred in 201 (73.6%) accidents. Seventy-six children (27. 8%) were treated with medicines and in forty-eight (17.6%) cases surgery was necessary. CONCLUSION: Ocular trauma in childhood was more frequent in the male schoolchild and was due mostly to traumatism with agents like stone, wood and iron pieces, domestic utensils and leisure objects. The injuries occurred most frequently at home. Closed globe injuries predominated. Programs of education and prevention for ocular trauma in childhood are necessary.

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