Takvam J A, Midelfart A
Department of Ophthalmology, Faculty of Medicine, University of Trondheim, Norway.
Acta Ophthalmol (Copenh). 1993 Aug;71(4):500-5. doi: 10.1111/j.1755-3768.1993.tb04626.x.
A review of the medical records of 238 children younger than 16 years admitted with ocular injury to the University Hospital in Trondheim during a 10-years period was undertaken to provide information about the causes, circumstances and visual outcome of ocular trauma in young patients. Children with ocular injury represented 14% of all paediatric eye admissions. The majority were boys (77%). The frequency of injuries among boys increased markedly from the age of 8 years, while the frequency was almost the same among girls in all age groups. The most common cause of injury was projectiles (21.5%) followed by sticks, twigs and pencils (10.1%), falls (10.1%), bow and arrows and catapults (9.7%) and balls (8.8%). The most frequent diagnosis was contusion (43%). Perforating eye injuries amounted to 19%. Follow-up examination showed that 49% of children with eye injuries had some visual deficit, including eighteen children (8%) with visual acuity worse than 0.1. Because most of the eye injuries among children are preventable, more appropriate strategies for the prevention of these should be implemented.
对特隆赫姆大学医院10年间收治的238名16岁以下眼外伤儿童的病历进行了回顾,以提供有关年轻患者眼外伤的原因、情况和视力预后的信息。眼外伤儿童占所有儿科眼科住院病例的14%。大多数是男孩(77%)。男孩的受伤频率从8岁起显著增加,而各年龄组女孩的受伤频率几乎相同。最常见的受伤原因是投射物(21.5%),其次是棍棒、树枝和铅笔(10.1%)、跌倒(10.1%)、弓箭和弹弓(9.7%)以及球(8.8%)。最常见的诊断是挫伤(43%)。眼球穿通伤占19%。随访检查显示,49%的眼外伤儿童有某种视力缺陷,其中18名儿童(8%)视力低于0.1。由于儿童的大多数眼外伤是可以预防的,因此应实施更合适的预防策略。