Department of Ophthalmology, Eye and Ear, Nose, and Throat Hospital of Fudan University, 83 Fenyang Road, Shanghai, 200031, China.
Key Laboratory of Myopia, Ministry of Health, 83 Fenyang Road, Shanghai, 200031, China.
Sci Rep. 2018 Feb 7;8(1):2588. doi: 10.1038/s41598-018-20982-1.
Traumatic cataract is a main cause of visual impairment in pediatric populations and is preventable. Awareness of the causes and consequences of pediatric eye trauma play roles in health education and prevention of blindness. We conducted a retrospective chart review based on 5-year clinical data of pediatric traumatic cataract cases treated at the Eye and Ear, Nose and Throat Hospital of Fudan University, Shanghai, China. Clinical features including demographic data, injury mechanism, and causative agents were analyzed. A total of 321 eyes of 321 children (male, 74.1%) were included. Penetrating injury accounted for 76.6% of all injuries; 65% of children with such injuries underwent their first surgery on the day of injury. The average age at injury was 6.3 ± 3.7 years, while the peak age was from two to eight years. The main causes of ocular injury were sharp metal objects, toys, and wooden sticks. The causative agent changed with increasing age; however, scissors were the leading cause within almost all age groups. Cataract surgery significantly improved visual acuity in children with traumatic cataract. These findings add information regarding the characterization of pediatric traumatic cataract in China and can help guide safety education and preventative measures.
外伤性白内障是儿童视力损害的主要原因，是可以预防的。了解儿童眼外伤的原因和后果在健康教育和预防盲症方面发挥着作用。我们基于中国上海复旦大学眼耳鼻喉科医院 5 年外伤性白内障儿童病例的临床数据进行了回顾性图表审查。分析了包括人口统计学数据、损伤机制和致病因子在内的临床特征。共纳入 321 例 321 只眼（男性，74.1%）。穿透性损伤占所有损伤的 76.6%；65%的此类损伤儿童在受伤当天进行了首次手术。受伤时的平均年龄为 6.3±3.7 岁，而高峰年龄为 2 至 8 岁。眼部损伤的主要原因是尖锐的金属物体、玩具和木棍。致病因子随年龄增长而变化；然而，在几乎所有年龄段，剪刀都是主要原因。白内障手术后儿童外伤性白内障的视力显著提高。这些发现增加了对中国儿童外伤性白内障特征的了解，并有助于指导安全教育和预防措施。
