AIM：To determine characteristic features of ocular trauma resulted from self-trauma by writing instruments among pediatric population.METHODS：Thirty-six children who suffered from selfinflicted ocular trauma with a ...AIM：To determine characteristic features of ocular trauma resulted from self-trauma by writing instruments among pediatric population.METHODS：Thirty-six children who suffered from selfinflicted ocular trauma with a writing instrument were included in this prospective cross-sectional study.RESULTS：The mean age was 5.6±2.7y with male：female ratio of 1.77.The right eye was involved two times more than the left eye.The superomedial（55.5%）and inferomedial（30.6%）quadrants were the most common sites of injury.The leading culprit was colored pencils（44.4%）.During surgical exploration,no foreign body（FB）was found in 25（69.4%）patients while an FB was found in 11（30.5%）patients.Brain injury was present in two patients（5.6%）and only in superomedial quadrant injuries.Zone 1 was the most common site for ocular trauma associated with penetrating injury.The mean ocular trauma score（OTS）in penetrating injuries was 3.8±1.2.The best corrected visual acuity（BCVA）was 0.3±0.6 upon admittance and 0.08±0.21 after one year.The final BCVA was significantly correlated with the entrance site,better final BCVA was found in nasal entrance site（P〈0.05）.CONCLUSION：The ophthalmologists should keep a high index of suspicion to rule out penetrating eye injuries related to writing instruments in a young uncooperative child.Brain injury is a life-threatening event that should be ruled out by appropriate imaging.Medial canthal area as the most common site needs an especial attention in writing instrument injuries.展开更多
文摘AIM：To determine characteristic features of ocular trauma resulted from self-trauma by writing instruments among pediatric population.METHODS：Thirty-six children who suffered from selfinflicted ocular trauma with a writing instrument were included in this prospective cross-sectional study.RESULTS：The mean age was 5.6±2.7y with male：female ratio of 1.77.The right eye was involved two times more than the left eye.The superomedial（55.5%）and inferomedial（30.6%）quadrants were the most common sites of injury.The leading culprit was colored pencils（44.4%）.During surgical exploration,no foreign body（FB）was found in 25（69.4%）patients while an FB was found in 11（30.5%）patients.Brain injury was present in two patients（5.6%）and only in superomedial quadrant injuries.Zone 1 was the most common site for ocular trauma associated with penetrating injury.The mean ocular trauma score（OTS）in penetrating injuries was 3.8±1.2.The best corrected visual acuity（BCVA）was 0.3±0.6 upon admittance and 0.08±0.21 after one year.The final BCVA was significantly correlated with the entrance site,better final BCVA was found in nasal entrance site（P〈0.05）.CONCLUSION：The ophthalmologists should keep a high index of suspicion to rule out penetrating eye injuries related to writing instruments in a young uncooperative child.Brain injury is a life-threatening event that should be ruled out by appropriate imaging.Medial canthal area as the most common site needs an especial attention in writing instrument injuries.
