Minderhoud Janna, van Nispen Ruth M A, Heijthuijsen Astrid A A M, Beunders Victoria A A, Bueno de Mesquita-Voigt Anne-Marie T, Moll Annette C, Mans Dennis R A, Saeed Peerooz
Department of Ophthalmology and EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands.
Suriname Eye Centre, Academic Hospital Paramaribo, Paramaribo, Suriname.
Acta Ophthalmol. 2016 Aug;94(5):479-84. doi: 10.1111/aos.13000. Epub 2016 Mar 24.
To describe the epidemiology and aetiology of ocular trauma in school-aged children who previously visited the Suriname Eye Centre (SEC) of the Academic Hospital Paramaribo.
In a hospital-based retrospective study, all cases of children who were school aged (8-15 years) at the time of the survey and previously underwent evaluation and/or treatment at the SEC because of ocular trauma were analysed. Demographic and ophthalmologic data were taken out of patient records; eye injuries were classified using the Birmingham Eye Trauma Terminology classification system. Main outcome measures were type of injury, mechanism/cause of injury, final visual acuity (VA), hospitalization, patient delay and patient compliance.
Five hundred and thirty-eight records were analysed which included 35 open globe injuries (OGI) (7%), 458 closed globe injuries (85%), five orbital fractures (1%) and 40 eyelid injuries (7%). The most frequent causes of trauma represented body parts (18%) and sticks or branches (13%) and resulted from poking (20%) or punching (13%) the eye. Final VA < 6/60 was reported in 58% of registered OGI. Where living in rural areas (p = 0.007), OGI (p < 0.0001) and poor compliance to scheduled check-ups (p < 0.0001) were statistically significantly related to an unfavourable outcome, patient delay was not. Patients having OGI were more often hospitalized than children with other injuries (p < 0.0001).
This is the first study providing data on childhood ocular trauma in Suriname. As the majority of childhood injuries were avoidable, new policies should aim at developing effective, targeted preventive strategies to promote awareness, parental supervision, immediate action and compliance.
描述曾就诊于帕拉马里博学术医院苏里南眼科中心（SEC）的学龄儿童眼外伤的流行病学及病因。
在一项基于医院的回顾性研究中，分析了所有在调查时为学龄儿童（8 - 15岁）且此前因眼外伤在SEC接受评估和/或治疗的病例。从患者记录中提取人口统计学和眼科数据；使用伯明翰眼外伤术语分类系统对眼外伤进行分类。主要观察指标为损伤类型、损伤机制/原因、最终视力（VA）、住院情况、患者延误及患者依从性。
分析了538份记录，其中包括35例开放性眼球损伤（OGI）（7%）、458例闭合性眼球损伤（85%）、5例眼眶骨折（1%）和40例眼睑损伤（7%）。最常见的外伤原因是身体部位（18%）和棍棒或树枝（13%），由戳伤（20%）或拳击（13%）眼睛导致。在登记的OGI病例中，58%的最终视力<6/60。居住在农村地区（p = 0.007）、OGI（p < 0.0001）和对定期检查依从性差（p < 0.0001）与不良结局在统计学上显著相关，而患者延误则不然。与其他损伤的儿童相比，OGI患者住院的频率更高（p < 0.0001）。
这是第一项提供苏里南儿童眼外伤数据的研究。由于大多数儿童损伤是可避免的，新政策应旨在制定有效的、有针对性的预防策略，以提高认识、加强家长监督、促进立即行动和依从性。
