Hosseini Hamid, Masoumpour Masoumeh, Keshavarz-Fazl Fatemeh, Razeghinejad M Reza, Salouti Ramin, Nowroozzadeh Mohammad Hosein
Poostchi Ophthalmology Research Center, Shiraz School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Middle East Afr J Ophthalmol. 2011 Apr;18(2):136-40. doi: 10.4103/0974-9233.80702.
To evaluate the clinical and epidemiological characteristics of children with ocular trauma.
We retrospectively reviewed the medical records of 278 children (aged 15 years or less) hospitalized with ocular injuries and treated as inpatients at a tertiary referral center in Shiraz, Iran, from 2005 to 2008. Nominal variables were evaluated with a Chi-square test. A P-value less than 0.05 indicated statistical significance.
The cohort was comprised of 205 (74%) males, outnumbering females by a ratio of 2.81/1. The mean age was 7.6 ± 3.96 years. Rural residents comprised 125 (45%) of the cohort. Sharp objects caused ocular injury in 211 (76%) cases, and 207 (74%) cases had open-globe injuries. The lens was injured in 62 (30%) cases at initial examination and 89 (43%) patients according to ultrasound examination (P = 0.006). Twenty-eight cases (10%) developed post-traumatic endophthalmitis. Endophthalmitis was associated with needle injury [odd ratio (OR) = 19.25] and presence of intraocular foreign body (OR = 3.48). Visual acuity of patients with closed-globe injuries was 20/200 or better on both initial and final examinations. Visual acuity of patients with open-globe injuries were in the range of light perception to 20/200.
Trauma is an important cause of childhood ocular morbidity in southern Iran. Playing with sharp objects is an important cause of ocular trauma in children, and most injuries can be prevented by careful supervision.
评估儿童眼外伤的临床和流行病学特征。
我们回顾性分析了2005年至2008年在伊朗设拉子一家三级转诊中心住院并接受治疗的278名15岁及以下眼外伤儿童的病历。采用卡方检验评估名义变量。P值小于0.05表示具有统计学意义。
该队列包括205名（74%）男性，男女比例为2.81/1。平均年龄为7.6±3.96岁。农村居民占该队列的125名（45%）。锐器导致211例（76%）眼外伤，207例（74%）为开放性眼球损伤。初次检查时62例（30%）晶状体受损，超声检查显示89例（43%）患者晶状体受损（P = 0.006）。28例（10%）发生创伤后眼内炎。眼内炎与针刺伤[比值比（OR）= 19.25]和眼内异物存在（OR = 3.48）相关。闭合性眼球损伤患者初次和最终检查时视力均为20/200或更好。开放性眼球损伤患者视力在光感至20/200之间。
外伤是伊朗南部儿童眼部发病的重要原因。玩弄锐器是儿童眼外伤的重要原因，通过仔细监督可预防大多数损伤。
