title: Epidemiological Features of Pediatric Ocular Trauma in Egypt.
abstract: Purpose.To review the epidemiology of serious pediatric ocular trauma presenting to Kasr El Aini Hospital, Cairo University.Methods.Children with serious ocular trauma during a six-month period were examined and their data was analyzed.Results.Eighty eyes of 75 patients were included in this study, with 64% males (P< 0.001) and average age of 5 years (5 months-15 years). There were 67 (83.75%) open globe injuries, 11 (13.75%) closed globe injuries, and 2 (2.5%) chemical injuries. Of the open globe injuries, 24 (30%) were ruptured globes and 43 (53.75%) were lacerations (31 penetrating injuries (38.75%), 6 IOFBs (7.5%), and 6 perforating injuries (7.5%)). Of the closed globe injuries, 3 had hyphema (3.75%), 5 had traumatic cataracts (6.25%), and 3 had vitreous hemorrhage with retinal detachment (3.75%). Forty-two patients (56%) presented within 24 hours, 28 patients (37.33%) presented between 24 hours and 1 week, and 5 patients (6.6%) presented after one week from the time of trauma. Seven eyes developed posttraumatic endophthalmitis (10% of open globe injuries). On leaving the hospital, 55 (68.75%) eyes had poor vision, 13 (16.25%) had moderate vision, and 12 (15%) had good vision.Conclusion.Children at a higher risk of trauma are males, >5 years, unsupervised, and involved in street activities. Immediate comprehensive primary management and secondary rehabilitation are mandatory in these cases.
authors: Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, El-Manial, Cairo, Egypt.
authors: Ebrahim Abdullah Yehia
authors: 0000-0003-2988-5108
authors: EA
authors: Al Wadeai
authors: Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, El-Manial, Cairo, Egypt.
authors: Amr Abdellatif
authors: 0000-0002-2828-3992
authors: AA
authors: Osman
authors: Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, El-Manial, Cairo, Egypt.
authors: Tamer A
authors: 0000-0002-9767-8912
authors: TA
authors: Macky
authors: Department of Ophthalmology, Kasr El Aini Hospital, Cairo University, El-Manial, Cairo, Egypt.
authors: Mahmoud M
authors: MM
authors: Soliman