Download Amneet Hans, Faheem Mahomed

Epidemiology of Pediatric Ophthalmic Trauma
Amneet Hans1, Joshua Schliesser1,2, Faheem Mahomed1, Anvesh Reddy1, David Lyon1
1UMKC School of Medicine, 2Children’s Mercy Hospital
INTRODUCTION
RESULTS
•Pediatric ocular trauma is recognized as a leading cause of
preventable unilateral blindness.
•Anecdotal evidence suggests pediatric ocular trauma increases
during summer months.
•Our study aim is to determine if pediatric ocular trauma occurs
more frequently during the summer season and determine how
visual outcome varies by seasonality, gender, age, mechanisms of
injury, and surgical management.
•374 patients with eye injuries were evaluated. 255 patients
were male and 119 were female (p<0.001).
•Eye injuries occurred most during the spring and summer
months (58.8%, p=0.007).
• Blunt trauma occurred more frequently than penetrating
(78.34 vs 21.66%; p<0.001), with an average age of 10.49±4.48
years and 8.26±4.36 years, respectively (p<0.001), and
resulted in better visual acuity (0.16 logMAR vs 0.73 logMAR;
p<0.001).
•Projectile injuries resulted in worse vision (0.68 logMAR vs
0.21 logMAR; p<0.001).
METHODS
Pediatric ophthalmology consults for ocular trauma occurring
between January 2003 and November 2012 were reviewed
retrospectively.
DISCUSSION
•Eye injuries were observed most in the spring
•and summer months.
•Risk factors for poor visual outcome included penetrating
trauma, projectile mechanism, and trauma requiring multiple
surgeries.
CONCLUSION
•Pediatric ocular trauma outcomes vary greatly.
•By understanding these outcome variables there is potential
for improving patient safety and the management of pediatric
ophthalmic trauma.
REFERENCES
Brophy M, et al. Pediatric eye injury-related hospitalizations in the United States. Peds. 2006
Jun 117(6):e1263-71.