Zhao Ran, Han Shaolei, Wen Yuan, Wang Tingting, Fan Yiming, Wang Jianjie, Wang Yifan
Department of Ophthalmology, Hebei Medical University, 361 Zhongshan East Road, Chang'an, Shijiazhuang 050017, Hebei, China.
Department of Ophthalmology, Hebei Eye Hospital, 399, Quanbei East Street, Xingtai 054001, China.
J Ophthalmol. 2025 Apr 24;2025:8582651. doi: 10.1155/joph/8582651. eCollection 2025.
To elucidate the epidemiologic and clinical characteristics of pediatric traumatic canalicular lacerations treated at a tertiary hospital and analyze the prognostic factors of influencing functional outcomes. This retrospective review included all pediatric patients who sustained a primary canalicular laceration at Hebei Eye Hospital between January 1, 2013, and December 31, 2022. Data on patient demographics, mode of injury, and surgical outcomes were collected through detailed chart review. The prognostic factors of affecting functional outcomes were assessed using Fisher's exact test for categorical variables. The study included 89 pediatric patients (66 males and 23 females) with a mean age of 7.26 years. There were 65 patients with lower canalicular lacerations, 19 patients with upper lacerations, and 5 patients with concurrent lacerations. Right eye damage was observed in 51 patients and 38 with damage to the left eye. The most common cause of injury was scratches caused by sharp objects (52.8%), followed by electric bicycle accidents (18.0%), falls (18.0%), and dog bites (7.9%). Statistically significant prognostic factors for functional outcomes included the location of the laceration (=0.009), mode of injury (=0.045), and the time interval from injury to surgical repair (=0.032). In this study, key prognostic factors for pediatric canalicular lacerations included laceration location, injury mechanism, and delay in surgical repair. Variables such as age, gender, affected side, stent type, and removal timing did not significantly impact outcomes. Increasing hazard awareness of the caregiver, enhancing public education, and implementing preventive measures to reduce injury incidence are crucial for prevention.
为阐明在一家三级医院接受治疗的儿童外伤性泪小管撕裂伤的流行病学和临床特征，并分析影响功能预后的因素。这项回顾性研究纳入了2013年1月1日至2022年12月31日期间在河北眼科医院首次发生泪小管撕裂伤的所有儿科患者。通过详细的病历审查收集患者人口统计学、损伤方式和手术结果的数据。使用Fisher精确检验对分类变量评估影响功能预后的因素。该研究纳入了89例儿科患者（66例男性和23例女性），平均年龄为7.26岁。65例患者为下泪小管撕裂伤，19例为上泪小管撕裂伤，5例为同时存在的撕裂伤。51例患者右眼受损，38例左眼受损。最常见的损伤原因是锐器划伤（52.8%），其次是电动自行车事故（18.0%）、跌倒（18.0%）和狗咬伤（7.9%）。功能预后的统计学显著预测因素包括撕裂伤的位置（=0.009）、损伤方式（=0.045）以及从受伤到手术修复的时间间隔（=0.032）。在本研究中，儿童泪小管撕裂伤的关键预后因素包括撕裂伤位置、损伤机制和手术修复延迟。年龄、性别、患侧、支架类型和取出时间等变量对预后没有显著影响。提高照顾者的风险意识、加强公众教育以及实施预防措施以降低损伤发生率对于预防至关重要。
