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Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran
PURPOSE: To evaluate the clinical and epidemiological characteristics of children with ocular trauma. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 278 children (aged 15 years or less) hospitalized with ocular injuries and treated as inpatients at a tertiary referral cent...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119282/ https://www.ncbi.nlm.nih.gov/pubmed/21731324 http://dx.doi.org/10.4103/0974-9233.80702 |
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author | Hosseini, Hamid Masoumpour, Masoumeh Keshavarz-Fazl, Fatemeh Razeghinejad, M. Reza Salouti, Ramin Nowroozzadeh, Mohammad Hosein |
author_facet | Hosseini, Hamid Masoumpour, Masoumeh Keshavarz-Fazl, Fatemeh Razeghinejad, M. Reza Salouti, Ramin Nowroozzadeh, Mohammad Hosein |
author_sort | Hosseini, Hamid |
collection | PubMed |
description | PURPOSE: To evaluate the clinical and epidemiological characteristics of children with ocular trauma. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 278 children (aged 15 years or less) hospitalized with ocular injuries and treated as inpatients at a tertiary referral center in Shiraz, Iran, from 2005 to 2008. Nominal variables were evaluated with a Chi-square test. A P-value less than 0.05 indicated statistical significance. RESULTS: The cohort was comprised of 205 (74%) males, outnumbering females by a ratio of 2.81/1. The mean age was 7.6 ± 3.96 years. Rural residents comprised 125 (45%) of the cohort. Sharp objects caused ocular injury in 211 (76%) cases, and 207 (74%) cases had open-globe injuries. The lens was injured in 62 (30%) cases at initial examination and 89 (43%) patients according to ultrasound examination (P = 0.006). Twenty-eight cases (10%) developed post-traumatic endophthalmitis. Endophthalmitis was associated with needle injury [odd ratio (OR) = 19.25] and presence of intraocular foreign body (OR = 3.48). Visual acuity of patients with closed-globe injuries was 20/200 or better on both initial and final examinations. Visual acuity of patients with open-globe injuries were in the range of light perception to 20/200. CONCLUSIONS: Trauma is an important cause of childhood ocular morbidity in southern Iran. Playing with sharp objects is an important cause of ocular trauma in children, and most injuries can be prevented by careful supervision. |
format | Online Article Text |
id | pubmed-3119282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-31192822011-06-30 Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran Hosseini, Hamid Masoumpour, Masoumeh Keshavarz-Fazl, Fatemeh Razeghinejad, M. Reza Salouti, Ramin Nowroozzadeh, Mohammad Hosein Middle East Afr J Ophthalmol Original Article PURPOSE: To evaluate the clinical and epidemiological characteristics of children with ocular trauma. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 278 children (aged 15 years or less) hospitalized with ocular injuries and treated as inpatients at a tertiary referral center in Shiraz, Iran, from 2005 to 2008. Nominal variables were evaluated with a Chi-square test. A P-value less than 0.05 indicated statistical significance. RESULTS: The cohort was comprised of 205 (74%) males, outnumbering females by a ratio of 2.81/1. The mean age was 7.6 ± 3.96 years. Rural residents comprised 125 (45%) of the cohort. Sharp objects caused ocular injury in 211 (76%) cases, and 207 (74%) cases had open-globe injuries. The lens was injured in 62 (30%) cases at initial examination and 89 (43%) patients according to ultrasound examination (P = 0.006). Twenty-eight cases (10%) developed post-traumatic endophthalmitis. Endophthalmitis was associated with needle injury [odd ratio (OR) = 19.25] and presence of intraocular foreign body (OR = 3.48). Visual acuity of patients with closed-globe injuries was 20/200 or better on both initial and final examinations. Visual acuity of patients with open-globe injuries were in the range of light perception to 20/200. CONCLUSIONS: Trauma is an important cause of childhood ocular morbidity in southern Iran. Playing with sharp objects is an important cause of ocular trauma in children, and most injuries can be prevented by careful supervision. Medknow Publications 2011 /pmc/articles/PMC3119282/ /pubmed/21731324 http://dx.doi.org/10.4103/0974-9233.80702 Text en © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Hosseini, Hamid Masoumpour, Masoumeh Keshavarz-Fazl, Fatemeh Razeghinejad, M. Reza Salouti, Ramin Nowroozzadeh, Mohammad Hosein Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran |
title | Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran |
title_full | Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran |
title_fullStr | Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran |
title_full_unstemmed | Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran |
title_short | Clinical and Epidemiologic Characteristics of Severe Childhood Ocular Injuries in Southern Iran |
title_sort | clinical and epidemiologic characteristics of severe childhood ocular injuries in southern iran |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119282/ https://www.ncbi.nlm.nih.gov/pubmed/21731324 http://dx.doi.org/10.4103/0974-9233.80702 |
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