Ferguson Reid A, Sung Justin, McKelvie James
Department of Ophthalmology, Auckland Hospital, Auckland, New Zealand.
Department of Ophthalmology, University of Auckland, Auckland, New Zealand.
Clin Exp Ophthalmol. 2019 Aug;47(6):718-725. doi: 10.1111/ceo.13489. Epub 2019 Mar 14.
Childhood ocular injury is a common, preventable cause of potentially severe permanent disability.
This study evaluates the nationwide incidence, demographics and visual outcomes of children with ocular injury in New Zealand.
Nationwide retrospective review.
All children in New Zealand aged 0 to 17 years from 2007 to 2016 with ocular injury requiring assessment by a medical practitioner.
New Zealand national and regional datasets were used to evaluate population-level statistics for ocular injury over a 10-year period. Visual and clinical outcome data were assessed using a randomized sample of 150 patients.
Annual incidence, aetiology, demographics, injury location, visual outcomes, protective eyewear use, surgical intervention and follow-up.
A national total of 75 601 cases were included with a mean incidence of 719/100 000 children/year. Cases were predominantly male (63.2%) and of New Zealand-European ethnicity (60.8%), aged 0 to 4 years (30.66%). Injury cause was most commonly "struck by object" (53.7%) and occurred in the home (50.9%). Tertiary hospital assessment and treatment was required in 17.7% where final visual acuity of 6/12 or worse was noted in 19.7% and protective eyewear use was reported in 2.7%. Maori and Pacific ethnicities were associated with higher rates of permanent visual impairment.
Children with the highest risk of ocular injury are males aged 0 to 4 years. Children of Maori or Pacific Island ethnicity and aged 15 to 17 years have the highest risk of ocular injury resulting in permanent visual impairment. Protective eyewear use is uncommon in children presenting with ocular injury. Promotion of appropriate injury prevention strategies is an important public health message.
儿童眼外伤是一种常见的、可预防的潜在严重永久性残疾的原因。
本研究评估了新西兰儿童眼外伤的全国发病率、人口统计学特征及视力转归。
全国性回顾性研究。
2007年至2016年新西兰所有0至17岁因眼外伤需医生评估的儿童。
使用新西兰国家和地区数据集评估10年间眼外伤的人群水平统计数据。采用150例患者的随机样本评估视力和临床转归数据。
年发病率、病因、人口统计学特征、损伤部位、视力转归、防护眼镜使用情况、手术干预及随访情况。
全国共纳入75601例病例，平均发病率为每年719/10万儿童。病例以男性为主（63.2%），新西兰欧洲族裔（60.8%），年龄0至4岁（30.66%）。损伤原因最常见的是“被物体击中”（53.7%），且发生在家中（50.9%）。17.7%的患者需要三级医院评估和治疗，其中19.7%的患者最终视力为6/12或更差，报告使用防护眼镜的比例为2.7%。毛利族和太平洋族裔的永久性视力损害发生率较高。
眼外伤风险最高的儿童是0至4岁的男性。毛利族或太平洋岛族裔且年龄在15至17岁的儿童因眼外伤导致永久性视力损害的风险最高。眼外伤患儿中防护眼镜的使用并不常见。推广适当的伤害预防策略是一项重要的公共卫生信息。
