Clinical and epidemiological characteristics of pediatric patients with post-traumatic open globe injury

Authors : Gamze YILDIRIM BİÇER, Kürşad Ramazan ZOR

Pages : 789-796

Doi:10.17826/cumj.1282325

View : 24 | Download : 65

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Purpose: The aim of this study was to determine the epidemiology and clinical features of pediatric traumatic open globe injuries in our region. Materials and Methods: Medical records of patients under the age of 18 who were diagnosed with open globe injury between January 2012 and December 2022 were retrospectively reviewed. Demographic data of the patients such as age, gender, time of injury, area of injury, type of injury, and cause of injury were recorded. Initial and final visual acuity and ocular findings at admission were recorded. Factors associated with final visual acuity were evaluated. Results: The mean age of the patients was 7.62 ±4.22 years. The majority of the patients were male insert ignore into journalissuearticles values(n=28, 66,7%);. The right eye was the most injured insert ignore into journalissuearticles values(n=30, 71.4%);. The initial visual acuity of approximately 72.5% insert ignore into journalissuearticles values(n=29); of the patients was worse than 20/200. And the final visual acuity of 50% of the patients insert ignore into journalissuearticles values(n=20); was below 20/200. The most common type of injury was penetrating trauma insert ignore into journalissuearticles values(n=18, 42.9%);. The region with the highest trauma was Zone I insert ignore into journalissuearticles values(n=30, 71.4%);. The most traumatic materials were metallic objects insert ignore into journalissuearticles values(n=13, 31%);. The most common accompanying clinical finding was lens damage insert ignore into journalissuearticles values(n=18, 42.9%);. Iris damage, lens damage, hyphema, vitreous hemorrhage, retinal detachment, endophthalmitis, type of injury, material causing the injury, and injury area were significantly associated with final vision. Conclusion: In our region, open globe injuries were mostly observed in boys under 12 years in the pediatric age group. Penetrating and cutting metallic objects seem to be the most important cause of trauma. Parents and all caregivers should be informed of the seriousness of open globe injuries to prevent possible injuries.
Keywords : acil cerrahi, oküler travma, açık glob yaralanması, pediatrik travmalar, görme kaybı