medigraphic.com
ISSN 1561-3070 (Electronic)

2013, Number 2

<< Back Next >>

Rev Cub Oftal 2013; 26 (2)

Characterization of severe ocular traumas in childhood

Hernández SLR, Hernández SJR, Padilla GC, Castro PPD, Pons CL, Estévez MY

Language: Spanish
References: 31
Page: 245-258
PDF size: 83.54 Kb.


ABSTRACT

Objective: to characterize clinically and epidemiologically the severe ocular trauma at pediatric ages.
Methods: a retrospective and descriptive case series study was conducted in pediatric patients, who were admitted to emergency pediatric ophthalmology service of ¨Ramon Pando Ferrer¨ Cuban Institute of Ophthalmology due to severe ocular trauma from January to December 2010. The sample was made up of 63 patients less than 19 years of age of both sexes. The following demographic (age and sex) and epidemiological variables such as trauma event, visual acuity according to the ocular trauma score, type of lesion (open or close eyeball) and affected area were analyzed.
Results: in this group, 81% were males and the predominant age group was 5 to 9 years (38.1%). Close eyeball trauma prevailed over open trauma, the former were mainly located in Zone II, whereas the latter were found in Zone I, accounting for 94.3% and 67.8%, respectively.
Conclusions: ocular trauma of close eyeball-type, mainly contusions placed in Zone II, was the most frequent. As to the visual prognosis according to the ocular trauma scoring, there was great similarity between the different categories and the final visual outcome.


REFERENCES

  1. Santacruz Portillo IG. Traumatismo ocular infantil con afectación de la agudeza visual en pacientes del Hospital de Clínicas: frecuencia, manejo y resultado visual final. Mem Inst Investig Cienc Salud. 2009[citado 23 noviembre 2012];7(1):[aprox 10 p]. Disponible en: http://scielo.iics.una.py/scielo.php?pid=S1812-95282009000100005&script=sci_arttext&tlng=es

  2. Labrada Rodríguez YH, Flores Pérez D, González Hess L. Traumatología ocular en niños. Rev Cubana Oftalmol. 2003 [citado 11 Abril 2010];16(2):[aprox 12p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762003000200004

  3. Sixto Fuentes S, Boffill Corrales A, Jalilo Hernández SM, González Pérez DC, Torres Díaz M. Caracterización clínico-epidemiológica de traumas oculares graves infantiles, Pinar del Río. Rev Ciencias Médicas. 2010;14(4):65-74.

  4. Moreira CA, De Freitas D, Shiguekiyo H. Epidemiología do trauma ocular na infancia. En: Trauma ocular. Rio de Janeiro: Editorial Cultura Médica; 1997. p. 8-10.

  5. Karaman K, Gverovic-Antunica A, Rogošic V, Lakoš-Krželj V, Rozga A, Radoèaj-Perko S. Epidemiology of Adult Eye Injuries in Split-Dalmatian County. Croatian Medical Journal. 2004;45(3):304-9.

  6. Babar TF, Khan MT, Marwat MZ, Shah SA, Murad Y, Khan MD. Patterns of ocular trauma. J Coll Physicians Surg Park. 2007;17(3):148-53.

  7. Négrel AD. Magnitude of eye injuries worldwide. J Comm Eye Health. 1997;10(24):49-53.

  8. Kuhn F, Mester V, Berta A, Morris R, Mester V. Eye Injury Epidemiology and Preventionof Ophthalmic Injuries. En: Kuhn F, Pieramici D. Ocular Trauma. Principles and Practice. Nueva York: Thieme Publishers; 2002. p. 14-20.

  9. Carriello AJ, Bueno NS, Mitne S, Shizuka C, Machado B, Soares LA. Epidemiological findings of ocular trauma in chilhood. Arq Bras Oftalmol. 2007;70(2):217-25.

  10. Kuhn F, Morris R, Witherspoon D, Heimann K, Jeffers JB, Treister G. A standardized classification of ocular trauma. Graefe's Arch Clin Exp Ophthalmol. 1996;234(6):399-403.

  11. Pieramici DJ, MacCumber MW, Humayun MU, Marsh MJ, de Juan EJ. Open Globe Injuries. Update on types of injuries and visual outcomes. Ophthalmology. 1996;103(11):1798-803.

  12. Lima V, Caballero M. Trauma ocular: distribución de acuerdo a la clasificación estandarizada. Trauma. 2002;5(1):5-10.

  13. Aveleira B, Eguías F. Trauma ocular. Consideraciones actuales. En: Río Torres M. Oftalmología. Criterios y Tendencias Actuales. La Habana: Ciencias Médicas; 2009. p. 401-10.

  14. Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The Ocular Trauma Score(OTS). Ophthalmol Clin North Am. 2002;15(2):163-5.

  15. Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision Survival after Open Globe Injury Predicted by Classification and Regression Tree Analysis. Ophthalmology. 2008;115(1):202-9.

  16. Unver YB, Kapran Z, Acar N, Altan T. Ocular trauma score in open globe injuries. J Trauma. 2009;66(4):1030-2.

  17. Sobaci G, Akin T, Erdem U, Usyal Y, Karagül S. Ocular Trauma Score in deadly weapon-related open-globe injuries. Am J Ophthalmol. 2006;141(4):760-1.

  18. Uysal Y, Mutlu FM, Sobaci G. Ocular Trauma Score in childhood open-globe injuries. J Trauma-Injury Infection & Critical Care. 2008;65:1284-6.

  19. Unver YB, Acar N, Kapran Z, Altan T. Visual predictive value of the ocular trauma score in children. Br J Ophthalmol. 2008;92(8):1122-4.

  20. Savar A, Andreoli MT, Kloek CE, Andreoli CM. Enucleation for open globe injury. Am J Ophthalmol. 2009;147(4):595-600.

  21. Colyer MH, Chun DW, Bower KS, Dick JSB, Weichel ED. Perforating globe injuries during Operation Iraqui Freedom. Ophthalmology. 2008;115(11):2087-93.

  22. Weichel ED, Colyer MH, Ludlow SE, Bower KS, Eiseman AS. Combat ocular trauma visual outcomes during operations Iraqui and Enduring Freedom. Ophthalmology. 2008;115(12):2235-45.

  23. Nelson LB, Wilson TW, Jeffers JB. Eye injuries in childhood: demography, etiology, and prevention. Pediatrics. 1989;84(3):438-41

  24. Liu ML, Chang YS, Tseng SH, Cheng HC, Huang FC, Shih MH, Hsu SM, Kuo PH. Major pediatric ocular trauma in Taiwan. J Pediatr Ophthalmol Strabismus. 2010;47(2):88-95.

  25. Serrano J, Chalela P, Arias JD. Epidemiology of Childhood Ocular Trauma in a Northeastern Colombian Region. Arch Ophthalmol. 2003;121(10):1439-45.

  26. Burgueño C, Colunga M, González E, Cienfuegos S, Díez-Lage A, Diab M. Traumatismos oculares en edad pediátrica. An Esp Pediatr. 1998;48(6):625-30.

  27. Santacruz Portillo IG. Traumatismo ocular infantil con afectación de la agudeza visual en pacientes del Hospital de Clínicas: frecuencia, manejo y resultado visual final. Mem Inst Investig Cienc Salud; 2009[citado 23 noviembre 2012]:5(1):[aprox 12 p]. Disponible en: http://scielo.iics.una.py/pdf/iics/v7n1/v7n1a05.pdf

  28. Cuba. Ministerio de Salud Pública. Dirección Nacional Materno Infantil. Manual para la prevención de accidentes y manejo del lesionado. UNICEF Minsap. Cuba; 2003.

  29. Zaghen Khayat V, Monsalve E, Woodard H, Ramos Pineda N, Navas N. Traumatismos oculares pediátricos que ameritaron hospitalización. Rev Venezolana Oftalmol. 2005;61(3):32-5.

  30. Acar U, Tok OY, Acar DE, Burcu A, Ornek F. A new ocular trauma score in pediatric penetrating eye injuries. Eye (Lond). 2011 Mar;25(3):370-4.

  31. Fea A, Bosone A, Rolle T, Grignolo FM . Eye injuries in an Italian urban population: report of 10,620 cases admitted to an eye emergency department in Torino. Graefes Arch Clin Exp Ophth. 2008;246(2):175-9.




2020     |     www.medigraphic.com