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Volume 26 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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Volume 26 |
July - September 2010 |
Number 3 |
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Frequency of different types of paediatric
ocular trauma attending a tertiary care
paediatric ophthalmology departmentSorath Noorani 1, Jamshed Ahmed 2,
Aurangzeb Shaikh 3, Ziauddin Ahmed Shaikh4ABSTRACT
Objective: To assess the etiological factors and circumstances associated with the occurrence of eye injuries in children attending a tertiary care pediatric ophthalmology department.
Methodology: This study was conducted at the Department of Pediatric Ophthalmology, Civil Hospital, Karachi from August 2007 to July 2009. Personal information, clinical findings and management plan was recorded on a prescribed performa. Variables studied included: age, sex, date of injury, place of injury, involved eye, circumstance and mechanism of injury, initial visual acuity and immediate management.
Results: A total of 462 patients under the age of 16 years presented with ocular trauma. There were 297(64.3%) males and 165(35.7%) females. Mean age was 7.03 ± 3.61 years. Most cases 198 (42.9%) belonged to the schoolgoing age group (6 to 11years). The injuries occurred most frequently at home (215 patients, 46.5%).Blunt trauma occurred in 228(49.4%) cases followed by penetrating in 162(35.1%) cases. Injuries restricted to the eyelid occurred in 61 (13.2%) accidents, closed globe injury occurred in 338 (73.1%) and open globe injury in 63 (13.7%) accidents. Visual acuity was better than 6/12 in 245 (53.0%) children. Two hundred and fifteen children (46.5%) were prescribed only general measures like pressure patching, warm or cold compresses antibiotics or lubricant eye drops. Surgical management was required in 121(26.2%) patients.
Conclusions: This study has shown frequencies of different type of ocular trauma which can be minimized by taking preventive measures as adopted in developed countries.
KEY WORDS:
Paediatric Ocular Trauma, Paediatric Ophthalmology.Pak J Med Sci July - September 2010 Vol. 26 No. 3 567-570
How to cite this article:
Noorani S, Ahmed J, Shaikh A, Shaikh ZA. Frequency of different types of paediatric ocular trauma attending a tertiary care paediatric ophthalmology department. Pak J Med Sci 2010;26(3):567-570
1. Dr. Sorath Noorani, MBBS, FCPS.
Assistant Professor,
Eye Unit I,
2. Dr. Jamshed Ahmed, MBBS, MCPS, FCPS.
Assistant Professor,
Eye Unit III,
3. Dr. Aurangzeb Shaikh, MBBS, FCPS.
Research Associate
PCB Cell, Eye OPD,
Civil Hospital,
Karachi.
4. Dr. Ziauddin Ahmed Shaikh,
FRCS (Edin) FRCOphth (Lond), DO (Lond)
Professor,
Department of Ophthalmology,
1-3,4: Dow University of Health Sciences,
Karachi - Pakistan.Correspondence:
Dr. Jamshed Ahmed,
Assistant Professor,
House No.700,
First Floor,
PIB Colony,
Karachi. Pakistan.
E-mail:jamshi_62@yahoo.com
* Received for Publication: February 2, 2010
* Accepted: May 20, 2010
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