Profile of pediatric ocular trauma in tertiary care centre in Amritsar: An Urgent need to review

Dr Apoorv Bhardwaj; Dr Karamjit

Volume : IV, Issue : IX, September - 2015

Profile of pediatric ocular trauma in tertiary care centre in Amritsar: An Urgent need to review

Dr Apoorv Bhardwaj, Dr Karamjit

Abstract :

Introduction: Ocular injuries are major and under–recognised cause of disability and the morbidity ranges from minute corneal aasions to whole globe rupture. Objective: To describe the epidemiology of ocular trauma in children. Material and methods: A retrospective review of medical records of the patients aged below 16 years who Regional institute of ophthalmology, Amritsar with history of ocular injury. Results: Of 6,829 pediatric patients, 554 (8.1 %) had ocular trauma. The ocular trauma was more prevalent (38.1 %) in the age group of 5 – 10 years followed by 10–15 years (16.6 %). The boys (62 % vs 38 %) were more prone to ocular trauma than girls (RR = 1.7 and 95 % CI = 1.41 – 2.02). Of 554 ocular injuries, 32 (5.8 %) were open globe injuries. Sub–conjunctival hemorrhage was the commonest presenting finding in 96 (17.3 %) subjects. Forty–seven (8.5 %) of them attended the hospital after 15 days of injury. Home was the most common place for trauma (n =204, 36.8%), followed by playground (n = 140, 25.3 %). Conclusion: Children between the ages of 5–10 years are most impervious to ocular trauma. Home is the commonest place for ocular injury followed by playground. By adopting some common safety factors or by sinking the ocular injury risks factor, ocular trauma can be greatly reduced.