Research Article
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Year 2022, Volume: 12 Issue: 3, 719 - 724, 28.09.2022
https://doi.org/10.33808/clinexphealthsci.1014872

Abstract

References

  • Al-Mahdi HS, Bener A, Hashim SP. Clinical pattern of pediatric ocular trauma in fast developing country. Int Emerg Nurs. 2011;19(4):186-191.
  • Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5(3):143-169.
  • Acar U, Tok OY, Acar DE, Burcu A, Ornek F. A new ocular trauma score in pediatric penetrating eye injuries. Eye (London, England). 2011;25(3):370-374.
  • Jandeck C, Kellner U, Bornfeld N, Foerster MH. Open globe injuries in children. Graefes Arch Clin Exp Ophthalmol. 2000;238(5):420-426.
  • Saxena R, Sinha R, Purohit A, Dada T, Vajpayee RB, Azad RV. Pattern of pediatric ocular trauma in India. Indian J Pediatr. 2002;69(10):863-867.
  • Puodžiuvienė E, Jokūbauskienė G, Vieversytė M, Asselineau K. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. BMC Ophthalmol. 2018;18(1):10.
  • Armstrong GW, Kim JG, Linakis JG, Mello MJ, Greenberg PB. Pediatric eye injuries presenting to United States emergency departments: 2001-2007. Graefes Arch Clin Exp Ophthalmol. 2013;251(3):629-636.
  • MacEwen CJ, Baines PS, Desai P. Eye injuries in children: the current picture. Br J Ophthalmol. 1999;83(8):933-936.
  • El-Sebaity DM, Soliman W, Soliman AM, Fathalla AM. Pediatric eye injuries in upper Egypt. Clin Ophthalmol. 2011;5:1417-1423.
  • Podbielski DW, Surkont M, Tehrani NN, Ratnapalan S. Pediatric eye injuries in a Canadian emergency department. Can J Ophthalmol. 2009;44(5):519-522.
  • Kuhn F, Morris R, Witherspoon CD. Birmingham Eye Trauma Terminology (BETT): terminology and classification of mechanical eye injuries. Ophthalmol Clin North Am. 2002;15(2):139-143.
  • Pieramici DJ, Sternberg P Jr., Aaberg TM Sr., Bridges WZ Jr, Capone A Jr, Cardillo JA, de Juan E Jr, Kuhn F, Meredith TA, Mieler WF, Olsen TW, Rubsamen P, Stout T. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol. 1997;123(6):820-831.
  • AlDahash F, Mousa A, Gikandi PW, Abu El-Asrar AM. Pediatric open-globe injury in a university-based tertiary hospital. Eur J Ophthalmol. 2020;30(2):269-274.
  • Li X, Zarbin MA, Bhagat N. Pediatric open globe injury: A review of the literature. J Emerg Trauma Shock. 2015;8(4):216-223.
  • Soylu M, Demircan N, Yalaz M, Işigüzel I. Etiology of pediatric perforating eye injuries in southern Turkey. Ophthalmic Epidemiol. 1998;5(1):7-12.
  • Cariello AJ, Moraes NS, Mitne S, Oita CS, Fontes BM, Melo LA Jr. Epidemiological findings of ocular trauma in childhood. Arq Bras Oftalmol. 2007;70(2):271-275.
  • Poon AS, Ng JS, Lam DS, Fan DS, Leung AT. Epidemiology of severe childhood eye injuries that required hospitalisation. Hong Kong Med J. 1998;4(4):371-374.
  • Thompson CG, Kumar N, Billson FA, Martin F. The aetiology of perforating ocular injuries in children. Br J Ophthalmol. 2002; 86(8):920-922.
  • Narang S, Gupta V, Simalandhi P, Gupta A, Raj S, Dogra MR. Paediatric open globe injuries. Visual outcome and risk factors for endophthalmitis. Indian J Ophthalmol. 2004;52(1):29-34.
  • Skiker H, Laghmari M, Boutimzine N, Ibrahimy W, Benharbit M, Ouazani B, Daoudi R. Open globe injuries in children: retrospective study of 62 cases. Bull Soc Belge Ophtalmol. 2007;(306):57-61.
  • Altıntaş L, Altıntaş O, Yüksel N, Pirhan D, Ozkan B, Cağlar Y. Pattern of open eye injuries in northwest Turkey: a retrospective study. Ulus Travma Acil Cerrahi Derg. 2011;17(4):334-339.
  • Lee CH, Lee L, Kao LY, Lin KK, Yang ML. Prognostic indicators of open globe injuries in children. Am J Emerg Med. 2009;27(5):530-535.
  • Tok O, Tok L, Ozkaya D, Eraslan E, Ornek F, Bardak Y. Epidemiological characteristics and visual outcome after open globe injuries in children. J AAPOS. 2011;15(6):556-561.
  • Çetin EN, Saraç G, Kaşıkçı A, Avunduk AM, Yaylalı V, Yıldırım C. Epidemiologic and clinical features of open-globe injuries in childhood. Turk J Ophthalmol. 2012;42(1):16-19.
  • Uysal Y, Mutlu FM, Sobaci G. Ocular Trauma Score in childhood open-globe injuries. J Trauma. 2008;65(6):1284-1286.
  • Qayum S, Anjum R, Rather S. Epidemiological profile of pediatric ocular trauma in a tertiary hospital of northern India. Chin J Traumatol. 2018;21(2):100-103.
  • Ilhan HD, Bilgin AB, Cetinkaya A, Unal M, Yucel I. Epidemiological and clinical features of paediatric open globe injuries in southwestern Turkey. Int J Ophthalmol. 2013;6(6):855-860.
  • Cakmak SS, Unlu MK, Olmez G, Caca I, Sakalar YB, Acemoglu H. Penetrating eye injuries from southeastern Anatolia region of Turkey. Public Health. 2004;118(8):570-575.
  • Bućan K, Matas A, Lovrić JM, Batistić D, Pleština Borjan I, Puljak L, Bućan I. Epidemiology of ocular trauma in children requiring hospital admission: a 16-year retrospective cohort study. J Glob Health. 2017;7(1):010415.
  • Li C, Lin Y, Xiao H, Lin H, Chen Y, Dai M. Epidemiology of pediatric eye injuries requiring hospitalization in rural areas of Wenzhou and Changsha, China: a 10-year retrospective study. BMC Ophthalmol. 2020;20(1):100.
  • Acar U, Tok O, Acar DE, Burcu A, Ornek F. Epidemiological and clinical evaluation of open-globe injuries in childhood. Turk J Ophthalmol. 2010;40:62-66.
  • Acuna OM, Yen KG. Outcome and prognosis of pediatric patients with delayed diagnosis of open-globe injuries. J Pediatr Ophthalmol Strabismus. 2009;46(4):202-207.
  • Hosseini H, Masoumpour M, Keshavarz-Fazl F, Razeghinejad MR, Salouti R, Nowroozzadeh MH. Clinical and epidemiologic characteristics of severe childhood ocular injuries in southern Iran. Middle East Afr J Ophthalmol. 2011;18(2):136-140.
  • Yalcin Tök O, Tok L, Eraslan E, Ozkaya D, Ornek F, Bardak Y. Prognostic factors influencing final visual acuity in open globe injuries. J Trauma. 2011;71(6):1794-1800.
  • Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am. 2002;15(2):163-165.
  • Xue C, Yang LC, Kong YC. Application of pediatric ocular trauma score in pediatric open globe injuries. Int J Ophthalmol. 2020;13(7):1097-1101.
  • Awidi A, Kraus CL. A comparison of ocular trauma scores in a pediatric population. BMC Res Notes. 2019;12(1):569.
  • Baxter RJ, Hodgkins PR, Calder I, Morrell AJ, Vardy S, Elkington AR. Visual outcome of childhood anterior perforating eye injuries: prognostic indicators. Eye (Lond). 1994;8:349-352.
  • Gupta A, Rahman I, Leatherbarrow B. Open globe injuries in children: factors predictive of a poor final visual acuity. Eye (Lond). 2009;23(3):621-625.

Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region

Year 2022, Volume: 12 Issue: 3, 719 - 724, 28.09.2022
https://doi.org/10.33808/clinexphealthsci.1014872

Abstract

Objective: Evaluation of the epidemiological and clinical features of pediatric open globe injury.
Methods: Medical records of 51 patients under the age of 18 who presented to the emergency department with open globe injury (OGI) between 2009 and 2021 were evaluated retrospectively. Patient demographics, Birmingham Eye Trauma Terminology (BETT) category, pediatric ocular trauma score (POTS), visual acuity (VA), site of injury, and seasonal distribution were evaluated.
Results: Of all patients included, 40 (78.4%) were male, 11 (21.6%) were female, and the mean age was 9.6±5.2 years. Zone I injury was detected in 31 (60.8%) patients. The most common cause of injury was sharp objects such as metal or wood splinters. Of all injuries, 29 (56.9%) occurred outdoors. Ocular trauma occurred more frequently in boys, especially in the summer months. Initial VA was less than 0,1 in 21 (41.2%) of the patients, between 0.1-0.5 in 9 (17.6%) and 0.6 and above in 5 (9.8%) patients. At the final visit, VA was less than 0.1 in 9 (17.6%) patients, 0.1-0.5 in 10 (19.6%) patients, and 0.6 and above in 18 (35.3%) patients. Final VA was related to the Zone and was lower as the Zone increased (p:0.011). VA and POTS scores were positively correlated at the final visit (p=0.001).
Conclusion: It is substantial for emergency physicians to have a comprehensive understanding of pediatric globe injuries so that children with suspected ocular trauma should be evaluated by an ophthalmologist to prevent medicolegal problems.

References

  • Al-Mahdi HS, Bener A, Hashim SP. Clinical pattern of pediatric ocular trauma in fast developing country. Int Emerg Nurs. 2011;19(4):186-191.
  • Négrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5(3):143-169.
  • Acar U, Tok OY, Acar DE, Burcu A, Ornek F. A new ocular trauma score in pediatric penetrating eye injuries. Eye (London, England). 2011;25(3):370-374.
  • Jandeck C, Kellner U, Bornfeld N, Foerster MH. Open globe injuries in children. Graefes Arch Clin Exp Ophthalmol. 2000;238(5):420-426.
  • Saxena R, Sinha R, Purohit A, Dada T, Vajpayee RB, Azad RV. Pattern of pediatric ocular trauma in India. Indian J Pediatr. 2002;69(10):863-867.
  • Puodžiuvienė E, Jokūbauskienė G, Vieversytė M, Asselineau K. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. BMC Ophthalmol. 2018;18(1):10.
  • Armstrong GW, Kim JG, Linakis JG, Mello MJ, Greenberg PB. Pediatric eye injuries presenting to United States emergency departments: 2001-2007. Graefes Arch Clin Exp Ophthalmol. 2013;251(3):629-636.
  • MacEwen CJ, Baines PS, Desai P. Eye injuries in children: the current picture. Br J Ophthalmol. 1999;83(8):933-936.
  • El-Sebaity DM, Soliman W, Soliman AM, Fathalla AM. Pediatric eye injuries in upper Egypt. Clin Ophthalmol. 2011;5:1417-1423.
  • Podbielski DW, Surkont M, Tehrani NN, Ratnapalan S. Pediatric eye injuries in a Canadian emergency department. Can J Ophthalmol. 2009;44(5):519-522.
  • Kuhn F, Morris R, Witherspoon CD. Birmingham Eye Trauma Terminology (BETT): terminology and classification of mechanical eye injuries. Ophthalmol Clin North Am. 2002;15(2):139-143.
  • Pieramici DJ, Sternberg P Jr., Aaberg TM Sr., Bridges WZ Jr, Capone A Jr, Cardillo JA, de Juan E Jr, Kuhn F, Meredith TA, Mieler WF, Olsen TW, Rubsamen P, Stout T. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol. 1997;123(6):820-831.
  • AlDahash F, Mousa A, Gikandi PW, Abu El-Asrar AM. Pediatric open-globe injury in a university-based tertiary hospital. Eur J Ophthalmol. 2020;30(2):269-274.
  • Li X, Zarbin MA, Bhagat N. Pediatric open globe injury: A review of the literature. J Emerg Trauma Shock. 2015;8(4):216-223.
  • Soylu M, Demircan N, Yalaz M, Işigüzel I. Etiology of pediatric perforating eye injuries in southern Turkey. Ophthalmic Epidemiol. 1998;5(1):7-12.
  • Cariello AJ, Moraes NS, Mitne S, Oita CS, Fontes BM, Melo LA Jr. Epidemiological findings of ocular trauma in childhood. Arq Bras Oftalmol. 2007;70(2):271-275.
  • Poon AS, Ng JS, Lam DS, Fan DS, Leung AT. Epidemiology of severe childhood eye injuries that required hospitalisation. Hong Kong Med J. 1998;4(4):371-374.
  • Thompson CG, Kumar N, Billson FA, Martin F. The aetiology of perforating ocular injuries in children. Br J Ophthalmol. 2002; 86(8):920-922.
  • Narang S, Gupta V, Simalandhi P, Gupta A, Raj S, Dogra MR. Paediatric open globe injuries. Visual outcome and risk factors for endophthalmitis. Indian J Ophthalmol. 2004;52(1):29-34.
  • Skiker H, Laghmari M, Boutimzine N, Ibrahimy W, Benharbit M, Ouazani B, Daoudi R. Open globe injuries in children: retrospective study of 62 cases. Bull Soc Belge Ophtalmol. 2007;(306):57-61.
  • Altıntaş L, Altıntaş O, Yüksel N, Pirhan D, Ozkan B, Cağlar Y. Pattern of open eye injuries in northwest Turkey: a retrospective study. Ulus Travma Acil Cerrahi Derg. 2011;17(4):334-339.
  • Lee CH, Lee L, Kao LY, Lin KK, Yang ML. Prognostic indicators of open globe injuries in children. Am J Emerg Med. 2009;27(5):530-535.
  • Tok O, Tok L, Ozkaya D, Eraslan E, Ornek F, Bardak Y. Epidemiological characteristics and visual outcome after open globe injuries in children. J AAPOS. 2011;15(6):556-561.
  • Çetin EN, Saraç G, Kaşıkçı A, Avunduk AM, Yaylalı V, Yıldırım C. Epidemiologic and clinical features of open-globe injuries in childhood. Turk J Ophthalmol. 2012;42(1):16-19.
  • Uysal Y, Mutlu FM, Sobaci G. Ocular Trauma Score in childhood open-globe injuries. J Trauma. 2008;65(6):1284-1286.
  • Qayum S, Anjum R, Rather S. Epidemiological profile of pediatric ocular trauma in a tertiary hospital of northern India. Chin J Traumatol. 2018;21(2):100-103.
  • Ilhan HD, Bilgin AB, Cetinkaya A, Unal M, Yucel I. Epidemiological and clinical features of paediatric open globe injuries in southwestern Turkey. Int J Ophthalmol. 2013;6(6):855-860.
  • Cakmak SS, Unlu MK, Olmez G, Caca I, Sakalar YB, Acemoglu H. Penetrating eye injuries from southeastern Anatolia region of Turkey. Public Health. 2004;118(8):570-575.
  • Bućan K, Matas A, Lovrić JM, Batistić D, Pleština Borjan I, Puljak L, Bućan I. Epidemiology of ocular trauma in children requiring hospital admission: a 16-year retrospective cohort study. J Glob Health. 2017;7(1):010415.
  • Li C, Lin Y, Xiao H, Lin H, Chen Y, Dai M. Epidemiology of pediatric eye injuries requiring hospitalization in rural areas of Wenzhou and Changsha, China: a 10-year retrospective study. BMC Ophthalmol. 2020;20(1):100.
  • Acar U, Tok O, Acar DE, Burcu A, Ornek F. Epidemiological and clinical evaluation of open-globe injuries in childhood. Turk J Ophthalmol. 2010;40:62-66.
  • Acuna OM, Yen KG. Outcome and prognosis of pediatric patients with delayed diagnosis of open-globe injuries. J Pediatr Ophthalmol Strabismus. 2009;46(4):202-207.
  • Hosseini H, Masoumpour M, Keshavarz-Fazl F, Razeghinejad MR, Salouti R, Nowroozzadeh MH. Clinical and epidemiologic characteristics of severe childhood ocular injuries in southern Iran. Middle East Afr J Ophthalmol. 2011;18(2):136-140.
  • Yalcin Tök O, Tok L, Eraslan E, Ozkaya D, Ornek F, Bardak Y. Prognostic factors influencing final visual acuity in open globe injuries. J Trauma. 2011;71(6):1794-1800.
  • Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am. 2002;15(2):163-165.
  • Xue C, Yang LC, Kong YC. Application of pediatric ocular trauma score in pediatric open globe injuries. Int J Ophthalmol. 2020;13(7):1097-1101.
  • Awidi A, Kraus CL. A comparison of ocular trauma scores in a pediatric population. BMC Res Notes. 2019;12(1):569.
  • Baxter RJ, Hodgkins PR, Calder I, Morrell AJ, Vardy S, Elkington AR. Visual outcome of childhood anterior perforating eye injuries: prognostic indicators. Eye (Lond). 1994;8:349-352.
  • Gupta A, Rahman I, Leatherbarrow B. Open globe injuries in children: factors predictive of a poor final visual acuity. Eye (Lond). 2009;23(3):621-625.
There are 39 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Erman Bozali 0000-0001-7918-8381

Duygu Yalınbaş Yeter 0000-0001-9001-0277

Anıl Selim Apa 0000-0002-3580-0062

Ayşe Vural Özeç 0000-0001-6236-7252

Haydar Erdoğan 0000-0002-9337-6968

Publication Date September 28, 2022
Submission Date October 26, 2021
Published in Issue Year 2022 Volume: 12 Issue: 3

Cite

APA Bozali, E., Yalınbaş Yeter, D., Apa, A. S., Vural Özeç, A., et al. (2022). Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region. Clinical and Experimental Health Sciences, 12(3), 719-724. https://doi.org/10.33808/clinexphealthsci.1014872
AMA Bozali E, Yalınbaş Yeter D, Apa AS, Vural Özeç A, Erdoğan H. Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region. Clinical and Experimental Health Sciences. September 2022;12(3):719-724. doi:10.33808/clinexphealthsci.1014872
Chicago Bozali, Erman, Duygu Yalınbaş Yeter, Anıl Selim Apa, Ayşe Vural Özeç, and Haydar Erdoğan. “Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region”. Clinical and Experimental Health Sciences 12, no. 3 (September 2022): 719-24. https://doi.org/10.33808/clinexphealthsci.1014872.
EndNote Bozali E, Yalınbaş Yeter D, Apa AS, Vural Özeç A, Erdoğan H (September 1, 2022) Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region. Clinical and Experimental Health Sciences 12 3 719–724.
IEEE E. Bozali, D. Yalınbaş Yeter, A. S. Apa, A. Vural Özeç, and H. Erdoğan, “Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region”, Clinical and Experimental Health Sciences, vol. 12, no. 3, pp. 719–724, 2022, doi: 10.33808/clinexphealthsci.1014872.
ISNAD Bozali, Erman et al. “Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region”. Clinical and Experimental Health Sciences 12/3 (September 2022), 719-724. https://doi.org/10.33808/clinexphealthsci.1014872.
JAMA Bozali E, Yalınbaş Yeter D, Apa AS, Vural Özeç A, Erdoğan H. Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region. Clinical and Experimental Health Sciences. 2022;12:719–724.
MLA Bozali, Erman et al. “Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region”. Clinical and Experimental Health Sciences, vol. 12, no. 3, 2022, pp. 719-24, doi:10.33808/clinexphealthsci.1014872.
Vancouver Bozali E, Yalınbaş Yeter D, Apa AS, Vural Özeç A, Erdoğan H. Pediatric Open Globe Injury in a University-Based Tertiary Hospital in the Anatolian Region. Clinical and Experimental Health Sciences. 2022;12(3):719-24.

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