Dehghani Alireza, Ghanbari Heshmatollah, Akhlaghi Mohammadreza, Kianersi Farzan, Fazel Farhad, NabaviNejhad Samin, Mohammadbeigy Iman, Pourazizi Mohsen
Department of Ophthalmology, Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Oman J Ophthalmol. 2025 Feb 25;18(1):4-8. doi: 10.4103/ojo.ojo_93_23. eCollection 2025 Jan-Apr.
Penetrating ocular trauma is a severe form of eye injury in children. The purpose of this study is to describe the clinico-epidemiological features of endophthalmitis-associated penetrating ocular trauma in children.
In this single-center retrospective study, the medical records of children diagnosed with endophthalmitis-associated ocular penetrating trauma were reviewed during the 5-year study period.
From 375 cases of children with penetrating ocular injuries, 13 cases (3.5%) of endophthalmitis following penetrative ocular trauma were identified. The patients' ages ranged from 4 to 18 years. The majority of children were male (69.2%) in preschool age. The most common source of penetration was wood, which accounted for 5 of 13 cases (38.5%), followed by knife and then wire. An intraocular foreign body was detected in three cases of endophthalmitis. Most patients had visual acuity of hand motion or count fingers.
Most open-globe injuries and associated endophthalmitis in this study are related to accidental events. More consideration should be taken in attempting to prevent perforating ocular injuries and the consequence of endophthalmitis in children.
穿透性眼外伤是儿童眼外伤的一种严重形式。本研究旨在描述儿童眼内炎相关性穿透性眼外伤的临床流行病学特征。
在这项单中心回顾性研究中，回顾了5年研究期间诊断为眼内炎相关性眼穿透伤儿童的病历。
在375例儿童穿透性眼外伤病例中，确诊13例（3.5%）穿透性眼外伤后继发眼内炎。患者年龄在4至18岁之间。大多数儿童为学龄前男性（69.2%）。最常见的致伤物是木头，占13例中的5例（38.5%），其次是刀，然后是铁丝。3例眼内炎患者检测到眼内异物。大多数患者视力为手动或指数。
本研究中大多数开放性眼球损伤及相关眼内炎与意外事件有关。在预防儿童眼球穿孔伤及眼内炎后果方面应给予更多考虑。
