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Category: Volume 06 Issue 05 May 2018
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Title: Epidemiology of Paediatric Open Globe Injuries

Authors: Dr Sunil Motiram Bhad, Dr Bhushan Chaukhe, Dr Swati Kambale

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.20

Abstract

Purpose: To study the epidemiology of the paediatric open globe injuries (OGI) at tertiary care centre in central India in detail, such a way, that to reduce the incidences of OGI with the help of detailed epidemiological knowledge of the cause and the public education.

Method: This was the prospective analytical study in Tertiary care centre in central India from November 2014-October 2016. All the selected patients were under the age of 12 years. All the patients were under the records and tabulated. Statistical analysis was done using spss software.

Results: 6912 children up to the age of 12 years attended the out-patient clinic in the department of ophthalmology at the Government Medical College and hospital Nagpur, Maharashtra, India, from November 2014 to October 2016. 56 patients found with OGI. Incidence of paediatric OGI is 0.81%. 36 (64.28%) were boys and 20 (35.72%) were girls. 43 patients (76.78%) belonged to 3-9 year age group. In 22(39.29%) injuries occurred indoor, 34(60.71%) injuries occurred outdoor. Wooden stick (Gulli-Danda, Bow and arrow) is the predominant object causing OGI in 22 children (39.29%).32(57.14%)injuries occurred in summer. 53(94.64%) patients were injured during day time. literate parents were only 20(35.71%),36(64.29%) were illiterate. 36(64.88%) patients were belonging to villages/ rural area. 38(67.85%) patients who belongs to below poverty line and only 18(32.15%) patients were above poverty line. There was no statistical significance in affected eye of patient and dexterity.

Conclusion: Community education is an essential part in prevention of OGI in paediatric age groups. Prevention of penetrating ocular injury requires greater education of community, parents and children and their care takers. A majority of ocular trauma in children is preventable. Effective and targeted preventive strategies will helps in reducing their incidence is possible with the help of the detailed understanding of the epidemiology of the OGI.

References

  1. Pieramici DJ, Sternberg P Jr, Aaberg TM Sr, Bridges WZ Jr, Capone A Jr, Cardillo  JA, de Juan E Jr, Kuhn F, Meredith TA , Mieler WF , Olsen TW, Rubsamen P , Stout T . A system for classifying mechanical injuries If the  eye (globe).The Ocular Tauma Classification Group.Am J Ophthalmol 1997;123(6):820-831
  2. Niiranen M,RaivioI.Eye injuries inchildren.Br J Ophthalmol 1981;65 (6):436-438
  3. Thylefors B. Epidemiological patterns of ocular trauma. Aust N Z J Ophthalmol 1992;20:95-8.
  4. Scribano, P. V., Nance, M., Reilly, P., Sing, R. F. and Selbst, S. M., Paediatric non powder firearm injuries: Outcomes in an urban paediatric setting. Paediatrics, 1997, 100, e-5.
  5. Lithander, J., Al Kindi, H. and Tonjum, A. M., Loss of visual acuity due to eye injuries among 6292 school children in the Sultanate of Oman. ActaOphthalmol. Scand., 1999, 77, 697–699.
  6. Niranen, M. and Raivio, I., Eye injuries in children. Br. J. Ophthalmol., 1981, 65, 436–438.
  7. Baxter RJ, Hodgkins PR, Calder I, Morrell AJ, Vardy S, Elkington AR, Visual outcome of childhood anterior perforating eye injuries: prognostic indicators, Eye, 1994;8,349-352.
  8. Arman K Farr, Richard J Harison, Michael U Humayun, Marta J marsh, etal, Open Globe Injuries in Children: A retrospective Analysis, Journal of Pediatric ophthalmology & Strabismus, 2001;38:72-77.
  9. Liu ML, Chang YS, Tseng SH, Cheng HC, Huang FC, Shih MH, et al, Major Pediatric Ocular Trauma in Taiwan, Journal of Pediatric ophthalmology & Strabismus,2010;Vol 47, No 2, pg 88-95.
  10. SG Jaison, SE Silas, R Daniel, SK Chopra, A review of childhood admission with perforating ocular injuries in a hospital in North –West India, Indian Journal of Ophthalmology, 1994; Vol 42, issue 4, pg 199-201.
  11. Desai T, Chinmayi V, Desai S, Shiv M, Pattern of ocular injury in Pediatric Population in western India. NHL Journal of Medical Sciences/July 2013/Vol.2/Issue 2
  12. Mary Eshter, John B et al,epidemiology and visual outcone in open globe injuries, International Journal of Ocular Oncology and Oculoplasty,  January- March,2016; 1(1) : 69-75
  13. Sertaç A, Kıvanç, Berna AB, Ahmet TO, Meral Yıldız, Mediha Tok Çevik, Nagihan Amuk Hamidi, Demographics of the Open-Globe Injuries in  Pediatric Age Group in Northwest Turkey.
  14. Saxena R, Sinha R, Purohit A, Dada T, Vajpayee RB, Azad RV.  Pattern of paediatric ocular trauma in India. Indian J Pediatr 2002;69:863
  15. Liu ML, Chang YS, Tseng SH, Cheng HC, Huang FC, Shih MH, et al,  Major Pediatric Ocular Trauma in Taiwan, Journal of Pediatric ophthalmology& Strabismus,2010;Vol 47, No 2, pg 88-95.
  16. Mansouri MR, Mohammadi SF, Hatef E, Rahbari H, Khazanehdari MS, Zandi P, Moghimi S, Piri N, Fahim A Ophthalmic Epidemiol. 2007 Jan-Feb;  14(1):17-24.
  17. MacEwen CJ, Baines PS, Desai P. Eye injuries in children: The current Br J Ophthalmol 1999;83:933-6.
  18. Serrano, Patricia Challela, Jaun D. Arias, Epidemiology of childhood ocular trauma in North eastern Colambia  region.
  19. Yu Meng and Hua Yan, Prognostic Factors for Open Globe Injuries and Correlation of Ocular Trauma Score in Tianjin, China.Hindawi Publishing  Corporation Journal of Ophthalmology Volume 2015.
  20. Mansouri MR, Mohammadi SF, Hatef E, Rahbari H, Khazanehdari MS,  Zandi P, Moghimi S, Piri N, Fahim A Ophthalmic Epidemiol. 2007 Jan-Feb; 14(1):17-24.

Corresponding Author

Dr Sunil Motiram Bhad

GMC Nagpur