Aldoais Tariek M, Bamashmus Mahfouth A, Aldubhani Amal N
Ophthalmic Department, Al-Thawra Teaching Hospital, Sana'a, Yemen.
Pediatric Unit, Magrabi Eye Hospital, Sana'a, Yemen.
Korean J Ophthalmol. 2020 Jun;34(3):187-191. doi: 10.3341/kjo.2019.0127.
We sought to elucidate causes of ocular trauma in children younger than 17 years of age during the Eid festivities in Sana'a, Yemen.
A prospective observational case series study was conducted in two tertiary emergency hospitals (Al-Thawra and Magrabi Hospital). The Eid Al-Fitr festive holidays in 2016 lasted 10 days from July 3 to 12. All children up to 17 years of age presenting with ocular trauma were included in the study. All patients underwent detailed history-taking and examination concerning ocular trauma.
One hundred sixty children presented to the two hospitals with ocular injury. All were males (100%). The mean ± standard deviation age was 9.59 ± 4.92 years (range, 4-15 years). The injury involved the right eye in 84 children (52.5%) and the left eye in 76 (47.5%) children. The majority of injuries (n = 152, 95.0%) had occurred in the street, while eight (5.0%) had happened at home. The most frequent cause of injury was toy guns and fireworks, while the most frequent findings were hyphema, corneal laceration, and corneal abrasion.
The causes of ocular injuries are diverse and tend to vary by geographical area. In particular, their incidence can increase during holidays, especially long ones. Usually, eye injuries with toy guns result in significant trauma that requires medical intervention and hospitalization with potential long-term eye complications. Public health workers need to conduct health education program to alert parents and health professionals to the danger of such toys.
我们试图阐明也门萨那在开斋节庆祝活动期间17岁以下儿童眼外伤的原因。
在两家三级急诊医院（萨那综合医院和马格拉比医院）进行了一项前瞻性观察性病例系列研究。2016年开斋节假期从7月3日至12日，为期10天。所有17岁以下出现眼外伤的儿童均纳入本研究。所有患者均接受了关于眼外伤的详细病史采集和检查。
160名儿童因眼外伤就诊于这两家医院。所有均为男性（100%）。平均年龄±标准差为9.59±4.92岁（范围4 - 15岁）。84名儿童（52.5%）右眼受伤，76名儿童（47.5%）左眼受伤。大多数损伤（n = 152，95.0%）发生在街上，而8例（5.0%）发生在家中。最常见的致伤原因是玩具枪和烟花，最常见的检查结果是前房积血、角膜裂伤和角膜擦伤。
眼外伤的原因多种多样，且往往因地理区域而异。特别是在节假日期间，尤其是长假期间，其发生率可能会增加。通常，玩具枪导致的眼外伤会造成严重创伤，需要医疗干预和住院治疗，可能会有长期眼部并发症。公共卫生工作者需要开展健康教育项目，提醒家长和卫生专业人员注意此类玩具的危险性。
