Shah Vedang D, Uddaraju Madhu, Singh Amitabh, Das Rashmi Ranjan
From the Department of Ophthalmology, Aravind Eye Hospital, Madurai.
Department of Paediatrics, Chacha Nehru Bal Chikitsalaya, New Delhi.
Pediatr Emerg Care. 2019 Aug;35(8):558-560. doi: 10.1097/PEC.0000000000001209.
The aim of this article was to study the clinical profile, etiology, and outcome of infantile ocular trauma in a developing country setting.
A retrospective study on corneal trauma in infants (≤12 months old) was undertaken in a tertiary care hospital during a 2-year period. An analysis of clinical profile, etiology, microbiological profile, clinical course, and outcome was studied.
Seventy-six infants were included. Approximately 69% presented within 24 hours of injury. The common presentations were inability to open the eyelids, redness of eyes, and watering. Self-infliction by child's hand (49%) was found to be the main cause of corneal trauma. Corneal abrasion was seen in 34 cases (45%), isolated epithelial defects were seen in 30%, and infective keratitis was seen in 25%. Infection was found in 14 cases (fungal filaments in 7 and gram-positive cocci in 7). Only 36 infants followed up regularly in the hospital. All the infants following up in the hospital recovered in due course.
Infantile ocular trauma is a common morbidity that is underreported. Self-infliction by child's hand was found to be the main cause of corneal trauma. Cases presenting early and following up regularly till recovery have a favorable clinical course with good outcome. A high loss to follow-up indicates that awareness needs to be created among the caregivers.
本文旨在研究在一个发展中国家环境中婴儿眼外伤的临床特征、病因及预后。
在一家三级护理医院对2年内≤12个月大婴儿的角膜外伤进行回顾性研究。对临床特征、病因、微生物学特征、临床病程及预后进行分析。
纳入76例婴儿。约69%在受伤后24小时内就诊。常见表现为眼睑无法睁开、眼红及流泪。发现儿童手部自伤（49%）是角膜外伤的主要原因。34例（45%）出现角膜擦伤，30%为单纯上皮缺损，25%为感染性角膜炎。14例发现感染（7例为真菌丝，7例为革兰氏阳性球菌）。仅36例婴儿在医院定期随访。所有在医院随访的婴儿均在适当时候康复。
婴儿眼外伤是一种常见但报告不足的疾病。发现儿童手部自伤是角膜外伤的主要原因。早期就诊并定期随访直至康复的病例临床病程良好，预后较好。随访失访率高表明需要提高照顾者的意识。
