Pushker Neelam, Bajaj Mandeep S, Sharma Vidushi, Balasubramanya R
Oculoplastic and Paediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India.
Int Ophthalmol. 2004 Jul;25(4):239-42. doi: 10.1007/s10792-005-5015-3. Epub 2005 Sep 29.
To describe the profile of periorbital trauma in Indian children less than 10 years of age.
Thirty two children with periorbital injuries were evaluated, over a period of 1 year. Demographic features, mechanism and type of injury were noted. Detailed ophthalmic examination and investigations, including X-ray, ultrasonography, and CT scan were done as needed. Patients requiring secondary intervention were followed-up up to 6 months after surgery.
Among the 32 children seen, 20 (63%) were males, 25 of 32 (78%) were between 4 and 7 years of age. Fall was the cause of injury in 31% (10/32) and assault in 28% (9/32). Medial canthal injury was the commonest of all periorbital injuries manifesting as lacrimal drainage obstruction and telecanthus. Associated fractures of the naso-orbital bones were present in 7 patients (22%) and ocular injuries were seen in 18 patients (56%). Secondary intervention was performed in 20 patients and lacrimal drainage procedure was the commonest surgery, performed in 15 out of 20 (75%).
Periorbital injuries in children not only lead to midfacial deformities and lacrimal drainage obstruction but are associated with significant ocular damage also.
