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Incidence and clinical features of pediatric ocular trauma in a population-based cohort.


ABSTRACT:

Purpose

To report the incidence and clinical characteristics of pediatric ocular and adnexal injuries diagnosed over a 10-year period in Olmsted County, Minnesota.

Methods

This multicenter retrospective, population-based cohort study included all patients <19 years of age in Olmsted County diagnosed with ocular or adnexal injuries from January 1, 2000, through December 31, 2009.

Results

A total of 740 ocular or adnexal injuries occurred during the study period, yielding an incidence of 203 (95% CI, 189-218) per 100,000 children. Median age at diagnosis was 10.0 years, and 462 (62.4%) were males. Injuries presented to the emergency department or urgent care setting most frequently (69.6%) and often occurred while outdoors (31.6%) during summer months (29.7%). Common injury mechanisms included blunt force (21.5%), foreign bodies (13.8%), and sports activities (13.0%). Isolated anterior segment injuries occurred in 63.5% of injuries. Ninety-nine patients (13.8%) had visual acuity of 20/40 or worse at initial examination, and 55 patients (7.7%) had visual acuity of 20/40 or worse at final examination. Twenty-nine injuries (3.9%) required surgical intervention. Significant risk factors for reduced visual acuity and/or the development of long-term complications include male sex, age ≥12 years, outdoor injuries, sport and firearm/projectile injury mechanism, and hyphema or posterior segment injury (P < 0.05).

Conclusions

Most pediatric eye injuries are minor anterior segment injuries with infrequent long-lasting effects on visual development.

SUBMITTER: Ashby GB 

PROVIDER: S-EPMC10153758 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Incidence and clinical features of pediatric ocular trauma in a population-based cohort.

Ashby Grayson B GB   Claxton Matthew R MR   Kim Eric J EJ   Tanke Laurel B LB   Butterfield Samantha D SD   Bothun Erick D ED   Peng Zhongwei Z   Mohney Brian G BG  

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus 20230220 2


<h4>Purpose</h4>To report the incidence and clinical characteristics of pediatric ocular and adnexal injuries diagnosed over a 10-year period in Olmsted County, Minnesota.<h4>Methods</h4>This multicenter retrospective, population-based cohort study included all patients <19 years of age in Olmsted County diagnosed with ocular or adnexal injuries from January 1, 2000, through December 31, 2009.<h4>Results</h4>A total of 740 ocular or adnexal injuries occurred during the study period, yielding an  ...[more]

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