Profile of trauma-related residual periorbital deformities in Indian children.
OBJECTIVE
To describe the profile of periorbital trauma in Indian children less than 10 years of age.


METHODS
Thirty two children with periorbital injuries were evaluated, over a period of 1 year. Demographic features, mechanism and type of injury were noted. Detailed ophthalmic examination and investigations, including X-ray, ultrasonography, and CT scan were done as needed. Patients requiring secondary intervention were followed-up up to 6 months after surgery.


RESULTS
Among the 32 children seen, 20 (63%) were males, 25 of 32 (78%) were between 4 and 7 years of age. Fall was the cause of injury in 31% (10/32) and assault in 28% (9/32). Medial canthal injury was the commonest of all periorbital injuries manifesting as lacrimal drainage obstruction and telecanthus. Associated fractures of the naso-orbital bones were present in 7 patients (22%) and ocular injuries were seen in 18 patients (56%). Secondary intervention was performed in 20 patients and lacrimal drainage procedure was the commonest surgery, performed in 15 out of 20 (75%).


CONCLUSIONS
Periorbital injuries in children not only lead to midfacial deformities and lacrimal drainage obstruction but are associated with significant ocular damage also.
Pushker
Neelam
N
Oculoplastic and Paediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India.
Bajaj
Mandeep S
MS
Sharma
Vidushi
V
Balasubramanya
R
R
D000058:Accidental Falls; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D005143:Eyelids / Q000293:injuries; D005260:Female; D006801:Humans; D007194:India; D008297:Male; D009915:Orbit / Q000293:injuries*; D014754:Violence; D014950:Wounds, Penetrating / Q000150:complications / Q000209:etiology / Q000473:pathology*