儿童眼外伤概况分析(英文)

Profile of ocular injury in pediatric age group

目的:研究北印度三级转诊中心儿童眼外伤的临床特征。方法:基于医院的流行病学研究。包括所有年满16岁的眼外伤儿童。记录关于患者的社会经济状况,治疗手段和出院情况。随访3mo,记录初始和最终视力。眼部创伤分类指南和Birmingham眼部创伤术语用于眼外伤的定义和分类。社会经济地位是根据改良B.G.Prasad分类和Kuppuswamy社会经济级别分级的。结果:在42例儿童中,男女比例为3.6∶1。发生在11~16岁儿童眼外伤最多(50%)。大多数儿童(59.52%)属于较低的社会经济阶层,且均为农村背景。在家中发生眼外伤的儿童为20例(47.61%),其次在学校,游乐场和街道发生为6例(14.28%)。其中开放性眼外伤19例(45.24%),闭合性眼外伤23例(54.75%)。因木棍、石头、烟花、跌倒、玩具而受伤的儿童数量分别为12例(28.57%),5例(11.90%),3例(7.14%),3例(7.14%)和2例(4.76%)。17例(40.47%)儿童需要药物治疗,25名(59.53%)需要手术治疗。结论:农村地区和经济条件较差的男童更易患眼外伤。儿童在家里更易患眼外伤。木棍和石头是引起眼外伤最常见的因素。开放性眼外伤的患病率更高且视力不良增多。需要进一步的以人群为基础研究以补充本研究。基于此,人们可以计划在该地区实施一项长期的政策以预防儿童眼外伤。

AIM：To study the clinical profile of ocular injuries in children in a tertiary care center in Northern India.METHODS：This was a hospital based descriptive study.All children of ocular injuries up to 16 y of age were included.Data regarding the socio-economic status,medical/surgical treatment,and condition at discharge were recorded.Follow-up to 3mo was done in the study.Initial and final visual acuity was recorded.Ocular Trauma Classification Group guidelines and Birmingham Eye Trauma Terminology were used for the definitions and classifications of ocular trauma.Socio-economic status grading is done according to modified B.G.Prasad classification and Kuppuswamy＇s socio-economic scale.RESULTS：Out of 42 children,male to female ratio was3.6：1.Maximum number（50%） of injuries occurred between 11-16 y of age.Most of the children（59.52%）belonged to lower socio-economic class and were from arural background.Ocular injuries occurred at home in20（47.61%） children followed by 6（14.28%） each in school,playground,and street.Open globe injuries were seen in 19（45.24%） children and 23（54.75%） children had closed globe injuries.Injuries by wooden stick,stone,firework,fall,toy were 12（28.57%）,5（11.90%）,3（7.14%）,3（7.14%）,and 2（4.76%）.Seventeen（40.47%） children required medical management and 25（59.53%） were treated surgically.CONCLUSION：Male children in rural regions and of lower socio-economic background were more prone to ocular injuries.Children were more risk of ocular injuries at home.Wooden sticks and stone were the commonest cause of ocular injuries.Ocular morbidity and poor visual outcome were seen more in open globe injuries.Further population-based studies are required to reinforce findings of present study.Based on this,a long term strategy can be planned to prevent ocular injuries in children in this region.