The Changes in the Clinical Features of Pediatric Ocular Trauma.

Jeong, Se Hyeong; Park, Jung Won; Park, Sang Woo; Yoon, Kyung Chul; Heo, Hwan

doi:2012.53.1.145

J Korean Ophthalmol Soc > Volume 53(1); 2012 > Article

Original Article

Journal of the Korean Ophthalmological Society 2012;53(1):145-150.
DOI: https://doi.org/10.3341/jkos.2012.53.1.145 Published online January 15, 2012.

The Changes in the Clinical Features of Pediatric Ocular Trauma.

Se Hyeong Jeong, Jung Won Park, Sang Woo Park, Kyung Chul Yoon, Hwan Heo

Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. opheye@hanmail.net

소아 안외상의 임상 양상의 변화

정세형⋅박정원⋅박상우⋅윤경철⋅허 환

Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea

Abstract

PURPOSE
To review the recent changes in the clinical features of ocular trauma in pediatric patients younger than 15 years of age. METHODS: We performed a retrospective study using clinical records of 147 patients from 1993 to 1998, and those of 175 pediatric patients younger than 15 years old from 2003 to 2007. RESULTS: The most common cause of pediatric ocular trauma in the 2000's was fist blow (66 patients, 37.7%), while that in the 1990's was trauma by stick or branch (20 patients, 13.6%) (p < 0.001). The number of patients with perforating ocular trauma decreased to 25 patients (14.3%) in the 2000's, from 55 patients (37.4%) in the 1990's (p < 0.001). The number of patients who received surgery due to ocular trauma was 87 (59.2%) in the 1990's, decreasing to 53 (30.3%) in the 2000's (p < 0.001). The number of orbital wall reconstructions increased from 6 patients (6.9%) in the 1990's to 20 patients (37.7%) in the 2000's, a statistically significant increase (p < 0.001). CONCLUSIONS: Perforating ocular trauma decreased in children in the studied age range, but non-perforating injuries caused by fist blow were increased in the years studied. These results indicate that management or establishment of preventive for pediatric violence will be helpful to lower the frequency of pediatric ocular traumas.

Key Words: Child;Eye;Trauma