Clinical and epidemiological characteristics of pediatric patients with post-traumatic open globe injury

Gamze Yıldırım Biçer; Kürşad Ramazan Zor

Makale detayları

Clinical and epidemiological characteristics of pediatric patients with post-traumatic open globe injury

Yazarlar:

Gamze Yıldırım Biçer | Kürşad Ramazan Zor

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 3, pp.789-796

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286389

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: The aim of this study was to determine the epidemiology and clinical features of pediatric traumatic open globe injuries in our region. Materials and Methods: Medical records of patients under the age of 18 who were diagnosed with open globe injury between January 2012 and December 2022 were retrospectively reviewed. Demographic data of the patients such as age, gender, time of injury, area of injury, type of injury, and cause of injury were recorded. Initial and final visual acuity and ocular findings at admission were recorded. Factors associated with final visual acuity were evaluated. Results: The mean age of the patients was 7.62 4.22 years. The majority of the patients were male n28, 66,7. The right eye was the most injured n30, 71.4. The initial visual acuity of approximately 72.5 n29 of the patients was worse than 20200. And the final visual acuity of 50 of the patients n20 was below 20200. The most common type of injury was penetrating trauma n18, 42.9. The region with the highest trauma was Zone I n30, 71.4. The most traumatic materials were metallic objects n13, 31. The most common accompanying clinical finding was lens damage n18, 42.9. Iris damage, lens damage, hyphema, vitreous hemorrhage, retinal detachment, endophthalmitis, type of injury, material causing the injury, and injury area were significantly associated with final vision. Conclusion: In our region, open globe injuries were mostly observed in boys under 12 years in the pediatric age group. Penetrating and cutting metallic objects seem to be the most important cause of trauma. Parents and all caregivers should be informed of the seriousness of open globe injuries to prevent possible injuries.

 Purpose: The aim of this study was to determine the epidemiology and clinical features of pediatric traumatic open globe injuries in our region. Materials and Methods: Medical records of patients under the age of 18 who were diagnosed with open globe injury between January 2012 and December 2022 were retrospectively reviewed. Demographic data of the patients such as age, gender, time of injury, area of injury, type of injury, and cause of injury were recorded. Initial and final visual acuity and ocular findings at admission were recorded. Factors associated with final visual acuity were evaluated. Results: The mean age of the patients was 7.62 4.22 years. The majority of the patients were male n28, 66,7. The right eye was the most injured n30, 71.4. The initial visual acuity of approximately 72.5 n29 of the patients was worse than 20200. And the final visual acuity of 50 of the patients n20 was below 20200. The most common type of injury was penetrating trauma n18, 42.9. The region with the highest trauma was Zone I n30, 71.4. The most traumatic materials were metallic objects n13, 31. The most common accompanying clinical finding was lens damage n18, 42.9. Iris damage, lens damage, hyphema, vitreous hemorrhage, retinal detachment, endophthalmitis, type of injury, material causing the injury, and injury area were significantly associated with final vision. Conclusion: In our region, open globe injuries were mostly observed in boys under 12 years in the pediatric age group. Penetrating and cutting metallic objects seem to be the most important cause of trauma. Parents and all caregivers should be informed of the seriousness of open globe injuries to prevent possible injuries.

 Purpose: The aim of this study was to determine the epidemiology and clinical features of pediatric traumatic open globe injuries in our region. Materials and Methods: Medical records of patients under the age of 18 who were diagnosed with open globe injury between January 2012 and December 2022 were retrospectively reviewed. Demographic data of the patients such as age, gender, time of injury, area of injury, type of injury, and cause of injury were recorded. Initial and final visual acuity and ocular findings at admission were recorded. Factors associated with final visual acuity were evaluated. Results: The mean age of the patients was 7.62 4.22 years. The majority of the patients were male n28, 66,7. The right eye was the most injured n30, 71.4. The initial visual acuity of approximately 72.5 n29 of the patients was worse than 20200. And the final visual acuity of 50 of the patients n20 was below 20200. The most common type of injury was penetrating trauma n18, 42.9. The region with the highest trauma was Zone I n30, 71.4. The most traumatic materials were metallic objects n13, 31. The most common accompanying clinical finding was lens damage n18, 42.9. Iris damage, lens damage, hyphema, vitreous hemorrhage, retinal detachment, endophthalmitis, type of injury, material causing the injury, and injury area were significantly associated with final vision. Conclusion: In our region, open globe injuries were mostly observed in boys under 12 years in the pediatric age group. Penetrating and cutting metallic objects seem to be the most important cause of trauma. Parents and all caregivers should be informed of the seriousness of open globe injuries to prevent possible injuries.

 Amaç: Bu çalışmada bölgemizdeki pediatrik açık glob yaralanmalarının epidemiyolojisi ve klinik özelliklerini sunmaya çalıştık. Gereç ve Yöntem: Ocak 2012 ile Aralık 2022 tarihleri arasında açık glob yaralanması tanısı alan 18 yaş altı hastaların tıbbi kayıtları retrospektif olarak incelendi. Hastaların yaş, cinsiyet, yaralanma zamanı, yaralanma bölgesi, yaralanma tipi ve yaralanma nedeni gibi demografik verileri kaydedildi. İlk ve son görme keskinlikleri ve başvuru anındaki oküler bulgular kaydedildi. Yaralanmaya eşlik eden oküler bulguların nihai görme seviyesi ile ilişkisi değerlendirildi. Bulgular: Hastaların yaş ortalaması 7,62 4,22 yıl idi. Hastaların çoğunluğu erkekti n28, 66,7. Sağ göz en çok yaralanan gözdü n30, 71,4. Hastaların yaklaşık 72,5inin n29 başlangıç görme keskinliği 20200den daha kötüydü. Hastaların 50sinin n20 nihai görme keskinliği ise 20200ün altındaydı. En sık görülen yaralanma tipi penetran travmaydı n18, 42,9. Travmanın en yoğun olduğu bölge Zon I n30, 71,4 idi. En fazla travmatizan obje metal nesnelerdi n13, 31, En sık eşlik eden klinik bulgu lens hasarıydı n18, 42,9. İris hasarı, lens hasarı, hifema, vitre hemorajisi, retina dekolmanı, endoftalmi, yaralanma tipi, yaralanmaya sebep olan materyal ve yaralanma yeri nihai görme ile anlamlı şekilde ilişkiliydi. Sonuç: Bölgemizde pediatrik yaş grubunda açık glob yaralanmaları en çok 12 yaş altı erkek çocuklarda izlenmektedir. Delici ve kesici metal cisimler travmanın en önemli nedeni olarak görünmektedir. Ebeveynler ve tüm bakıcılar, olası yaralanmaları önlemek için açık glob yaralanmalarının ciddiyeti konusunda bilgilendirilmelidir.

Makale detayları

Clinical and epidemiological characteristics of pediatric patients with post-traumatic open globe injury

Yazarlar:

Gamze Yıldırım Biçer | Kürşad Ramazan Zor

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 3, pp.789-796

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286389

pISSN:

2602-3032

emergency surgery

ocular trauma

open globe injury

pediatric traumas

vision loss

acil cerrahi

oküler travma

açık glob yaralanması

pediatrik travmalar

görme kaybı

Sayı

Makale detayları

Yazarlar: Gamze Yıldırım Biçer | Kürşad Ramazan Zor

Yayıncı: Cukurova University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Cukurova Medical Journal Vol.48 Issue 3, pp.789-796

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001286389

pISSN: 2602-3032

Sayı

Yazarlar:

Gamze Yıldırım Biçer | Kürşad Ramazan Zor

Yayıncı:

Cukurova University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Cukurova Medical Journal Vol.48 Issue 3, pp.789-796

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286389

pISSN:

2602-3032