El-Sebaity Dalia M, Soliman Wael, Soliman Asmaa Ma, Fathalla Ahmed M
Department of Ophthalmology, Assiut University Hospital, Assiut, Egypt.
Clin Ophthalmol. 2011;5:1417-23. doi: 10.2147/OPTH.S24679. Epub 2011 Sep 30.
To analyze the patterns, causes, and outcome of pediatric ocular trauma at Assiut University Hospital in Upper Egypt (South of Egypt).
All ocular trauma patients aged 16 years or younger admitted to the emergency unit of Ophthalmology Department of Assiut University between July 2009 and July 2010 were included in the study. The demographic data of all patients and characteristics of the injury events were determined. The initial visual acuity and final visual acuity after 3 months follow-up were recorded.
One hundred and fifty patients were included. The majority of injuries occurred in children aged 2-7 years (50.7%). There were 106 (70.7%) boys and 44 (29.3%) girls. The highest proportion of injuries occurred in the street (54.7%) followed by the home (32.7%). Open globe injuries accounted for 67.3% of injuries, closed globe for 30.7%, and chemical injuries for 2%. The most common causes were wood, stones, missiles, and glass. LogMar best corrected visual acuity at 3 months follow-up was: 0-1 in 13.3%; <1-1.3 in 27.3%; <1.3-perception of light (PL) in 56%; and no perception of light (NPL) in 3.3%.
Pediatric ocular trauma among patients referred to our tertiary ophthalmology referral center in Upper Egypt over a period of 1 year was 3.7%. Of these, 67.3% of cases had open globe injury, 30.7% had closed injury, and only 2% had chemical injury. In Upper Egypt, socioeconomic and sociocultural status, family negligence, and lack of supervision are important factors in pediatric eye injuries, as 92% of children were without adult supervision when the ocular trauma occurred. Nearly 86.6% of children with ocular trauma end up legally blind. Modification of these environmental risk factors is needed to decrease pediatric ocular morbidity.
分析埃及上埃及地区（埃及南部）阿斯尤特大学医院小儿眼外伤的模式、原因及结果。
纳入2009年7月至2010年7月期间入住阿斯尤特大学眼科急诊室的所有16岁及以下的眼外伤患者。确定所有患者的人口统计学数据及损伤事件的特征。记录初始视力及随访3个月后的最终视力。
共纳入150例患者。大多数损伤发生在2至7岁的儿童（50.7%）。其中男孩106例（70.7%），女孩44例（29.3%）。损伤发生率最高的场所是街道（54.7%），其次是家中（32.7%）。开放性眼球损伤占损伤的67.3%，闭合性眼球损伤占30.7%，化学伤占2%。最常见的致伤原因是木头、石头、导弹和玻璃。随访3个月时，最佳矫正视力的LogMar值为：0至1的占13.3%；<1至1.3的占27.3%；<1.3至光感（PL）的占56%；无光感（NPL）的占3.3%。
在为期1年的时间里，转诊至我们位于埃及上埃及地区的三级眼科转诊中心的患者中，小儿眼外伤的发生率为3.7%。其中，67.3%的病例为开放性眼球损伤，30.7%为闭合性损伤，仅有2%为化学伤。在埃及上埃及地区，社会经济和社会文化状况、家庭疏忽及缺乏监管是小儿眼外伤的重要因素，因为92%的儿童眼外伤发生时没有成人监管。近86.6%的眼外伤儿童最终法定失明。需要改变这些环境危险因素以降低小儿眼部发病率。
