State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, 510060, China.
Department of Ophthalmology, Guangdong Women and Children Hospital, Guangzhou, China.
Semin Ophthalmol. 2023 Jul;38(5):475-481. doi: 10.1080/08820538.2022.2140012. Epub 2022 Nov 1.
To study the clinical characteristics of children with severe ocular chemical or thermal injuries in South China and evaluate prognostic factors affecting final visual acuity (VA).
A five-year retrospective study was conducted on pediatric patients who were first admitted to Zhongshan Ophthalmic Center with severe chemical or thermal ocular injuries. Data collected and analyzed comprised socioeconomic and socio-demographic data, details regarding their injury, subsequent treatment, and visual outcomes.
Of the 105 children (121 eyes), severe ocular chemical and thermal injuries in South China were prevalent in preschool children (n = 51, 58.1%), predominantly male (n = 82, 78.1%), and primarily children in rural areas (n = 98, 93.3%). Seventy-one eyes (78.9%) had a final VA <0.05, and multivariate logistic regression analysis revealed that initial VA after injury (OR = 0.47), the maternal education level (OR = 0.23), and monthly household income (OR = 0.31) were significantly associated with final VA.
Final VA was associated with the initial VA, the maternal level of education, and family income; necessitating an increased provision of public education to children from low-income families, especially in rural areas.
研究华南地区儿童重度眼化学或热烧伤的临床特点，并评估影响最终视力（VA）的预后因素。
对首次因重度眼化学或热烧伤到中山眼科中心就诊的儿童患者进行了一项为期五年的回顾性研究。收集和分析的数据包括社会经济和社会人口统计学数据、损伤细节、后续治疗和视觉结果。
在 105 名儿童（121 只眼）中，华南地区严重眼化学和热烧伤在学龄前儿童中较为常见（n=51，58.1%），主要为男性（n=82，78.1%），主要来自农村地区（n=98，93.3%）。71 只眼（78.9%）最终视力<0.05，多变量逻辑回归分析显示，受伤后初始视力（OR=0.47）、母亲受教育程度（OR=0.23）和家庭月收入（OR=0.31）与最终视力显著相关。
最终 VA 与初始 VA、母亲的教育水平和家庭收入有关；需要向低收入家庭，特别是农村地区的儿童提供更多的公共教育。
