title: Penetrating ocular trauma in children by "broomstick bows and arrows".
abstract: Ocular trauma by "broomstick bows and arrows" is a unique penetrating injury among Indian children. Hitting the eye with a great velocity, these highly contaminated missiles may cause severe damage. The results of surgical treatment of 100 children who suffered such trauma are presented. Anatomic success, ie, successful reconstruction of the globe with attached retina, was attained in 85 (85%) of these eyes. Functional success, ie, improvement in visual acuity of two Snellen lines in eyes with measurable preoperative acuity, or improvement to at least 2/60 in the eyes with preoperative acuities of light perception or hand movements, was attained in 62 (62%) of the eyes. Of the functionally successful eyes, an acuity of 6/9 or better was achieved in 28 (45.2%). Factors predictive of poor anatomical success were: injuries involving both anterior and posterior segment (P < .02), endophthalmitis (P < .05), and presence of retinal detachment with or without proliferative vitreoretinopathy (P < .05). Mean follow up was 4.5 +/- 3.59 months (range, 2 to 24 months).
authors.affiliation: Vision Research Foundation, Madras, India.
authors.forename: T
authors.initials: T
authors.lastname: Sharma
authors.forename: P
authors.initials: P
authors.lastname: Agarwal
authors.forename: L
authors.initials: L
authors.lastname: Gopal
authors.forename: S S
authors.initials: SS
authors.lastname: Badrinath
authors.forename: R
authors.initials: R
authors.lastname: Murugesan
mesh_terms: D001265:Athletic Injuries / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D009877:Endophthalmitis / Q000209:etiology; D015807:Eye Injuries, Penetrating / Q000209:etiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D014792:Visual Acuity