title: Effect of eye trauma on mental health and quality of life in children and adolescents.
abstract: The purpose of this study is to evaluate the effects of eye traumas on mental health and quality of life of children, adolescents, and their parents. Medical records of 20 children and adolescents presented with blunt and open eye injuries between June 2009 and May 2014 were reviewed. Demographics of patients, timing and type of trauma, findings of initial examination, and medical and surgical interventions applied were recorded. To detect mental health, "Affect disorders and schizophrenia interview chart for school children, now and lifelong" (AFSIC-NL) and "Child Post-Traumatic Stress Reaction Index (CPTSD-RI)" were used. "Pediatric scale of quality of life" (PedsQL) was used to assess quality of life for both parents and children. According to AFSIC-NL, 9 patients were diagnosed with mental disorders including posttraumatic stress disorder (n = 3, 15 % patients), generalized anxiety disorder (n = 3, 15 % patients), and major depression (n = 3, 15 % patients). The PedsQL values of both children's and parents' were at their lowest in school and physical health domains for children and in physical health domain for parents. A reverse correlation was detected between the number of surgeries and PedsQL-child physical functionality, school functionality, psychosocial functionality, and total scale point. There was a statistically significant relationship between initial visual acuity or lens damage and PedsQL-parent emotional functionality scale. Regarding CPTSD-RI, the parents of these patients have a mild posttraumatic stress disorder. Eye injuries can lead development of psychopathology in children. Therefore, psychiatric support must be provided in follow-up period for these patients.
authors.affiliation: Department of Ophthalmology, Ağrı State Hospital, Ağrı, Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Karaman
authors.affiliation: Department of Ophthalmology, Medical School, Kocaeli University, Kocaeli, Turkey.
authors.forename: Berna
authors.initials: B
authors.lastname: Ozkan
authors.affiliation: Department of Ophthalmology, Ministry of Health, Ordu University Research and Training Hospital, 52200, Ordu, Turkey. drmgok81@gmail.com.
authors.forename: Mustafa
authors.identifier: http://orcid.org/0000-0002-7660-6557
authors.initials: M
authors.lastname: Gok
authors.affiliation: Department of Child and Adolescent Psychiatry, Medical School, Kocaeli University, Kocaeli, Turkey.
authors.forename: Isık
authors.initials: I
authors.lastname: Karakaya
authors.affiliation: Department of Ophthalmology, Fatsa State Hospital, Ordu, Turkey.
authors.forename: Ozgur
authors.initials: O
authors.lastname: Kara
authors.affiliation: Department of Ophthalmology, Medical School, Kocaeli University, Kocaeli, Turkey.
authors.forename: Ozgul
authors.initials: O
authors.lastname: Altintas
authors.affiliation: Department of Medical Education, Medical School, Kocaeli University, Kocaeli, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Altintas
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000150:complications / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D011788:Quality of Life; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Adolescent; Child; Eye trauma; Mental health; Quality of life