Clinical analysis of pediatric ocular trauma

Xingyu He, Qian Wang
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Abstract

Objective To analyze the clinical characteristics of pediatric ocular trauma. Methods A retrospective study. Clinical data of 165 eyes of 164 cases with ocular trauma aged 0-14 years in the Second Affiliated Hospital of Chongqing Medical University from Apr. 2009 to Apr. 2019 were analyzed. All patients were compared according to age, sex, time of injury, population distribution, causes, types of trauma, complications and efficacy of treatment. Results The incidence of pediatric ocular trauma in boys was higher than that in girls and the incidence was higher in rural areas than that in cities. The ocular trauma was more common in children aged 3-8 years. Penetrating injury was the most common type, and traumatic cataract often occurred in ocular trauma. The following types were ocular contusion and ocular adnexal trauma. There were varieties of vulnerant, and the most injury were caused by implements, including knives, sticks, broken bowl, glass, pebble and so on. The visual acuity were improved to different extent after timely treatment. Conclusion The focus of prevention and treatment of pediatric ocular trauma in different age groups are different. Early treatment will improve the prognosis of visual acuity. Key words: Trauma, ocular, pediatric; Complications; Prevention; Treatment
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儿童眼外伤的临床分析
目的分析小儿眼外伤的临床特点。方法回顾性研究。分析重庆医科大学附属第二医院2009年4月至2019年4月收治的0 ~ 14岁眼外伤患者164例165只眼的临床资料。比较所有患者的年龄、性别、受伤时间、人群分布、原因、创伤类型、并发症及治疗效果。结果儿童眼外伤男童发生率高于女童,农村发生率高于城市。眼外伤多见于3 ~ 8岁儿童。穿透性白内障是最常见的类型,外伤性白内障多见于眼外伤。以下类型为眼挫伤和眼附件外伤。凶器种类繁多,最常见的是刀具、棍棒、破碗、玻璃、卵石等器具。经及时治疗,患者的视力均有不同程度的改善。结论不同年龄组儿童眼外伤的防治重点不同。早期治疗可改善视力预后。关键词:外伤,眼,儿科;并发症;预防;治疗
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