Ahmadi Hanieh, Alizadeh Zahra, Karkhah Samad, Ghazanfari Mohammad Javad
Department of Ophthalmology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Bull Emerg Trauma. 2022 Jan;10(1):40-43. doi: 10.30476/BEAT.2021.90773.1262.
Ocular trauma is one of the most common causes of acquired blindness in children. The epidemiological parameters associated with ocular trauma vary in different populations, especially in children. The objective of this study was to assess the ocular trauma epidemiology in children less than 18 years of age. In this cross-sectional study, 145 children (under 18 years) with ocular trauma who referred to the emergency department of Bu-Ali-Sina Hospital in Sari, Iran were enrolled from November 2017 to January 2019. Of the participants, 57.9% were men, 70.4% had blunt trauma, 97.2% had a unilateral eye injury, and 54.5% had a right eye injury. The most risk factor for trauma was stationery (51.0%). Almost half of the patients (52.9%) had corneal injuries. The most trauma locations were at home (67.4%). Most patients (95.0%) had normal relative afferent pupillary defects. Blunt (52.6% vs. 47.4%) and penetrating (72.5% vs. 27.5%) traumas was higher in boys than girls (=0.03). Most frequent part of eye injuries in blunt and penetrating traumas was related to the cornea (=0.04). It seems that parents should have more supervision on children at home and give adequate education in using of stationery to school-age children by considering the results of present study.
眼外伤是儿童后天性失明的最常见原因之一。与眼外伤相关的流行病学参数在不同人群中有所不同，尤其是在儿童中。本研究的目的是评估18岁以下儿童的眼外伤流行病学情况。在这项横断面研究中，2017年11月至2019年1月期间，从伊朗萨里市布阿里·西纳医院急诊科转诊的145名18岁以下眼外伤儿童被纳入研究。参与者中，57.9%为男性，70.4%为钝挫伤，97.2%为单眼损伤，54.5%为右眼损伤。外伤的最主要危险因素是文具（51.0%）。几乎一半的患者（52.9%）有角膜损伤。外伤最常发生的地点是在家中（67.4%）。大多数患者（95.0%）有正常的相对性传入瞳孔障碍。钝挫伤（52.6%对47.4%）和穿通伤（72.5%对27.5%）在男孩中比女孩更高（=0.03）。钝挫伤和穿通伤中最常见的眼部损伤部位与角膜有关（=0.04）。根据本研究结果，家长似乎应该在家中对孩子加强监管，并对学龄儿童使用文具给予充分教育。
