TY - JOUR
T1 - Ocular injury presenting to a level-III pediatric trauma center
AU - Schneider, Kari
AU - Nguyen-Tran, Hai
AU - Segura, Bradley J.
AU - Areaux, Raymond G.
AU - Nerheim, Dan
AU - Louie, Jeffrey P.
N1 - Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Objective The purpose of this study is to describe pediatric ocular injuries presenting to a level-III pediatric trauma center and emergency department. Methods We performed a retrospective study and identified children from January 1, 2011, to January 1, 2016. Charts were reviewed for any subject, age from newborn to younger than 18 years, based on International Classification of Diseases, ninth and tenth revision, codes for any ocular injury. Data abstraction included age, sex, means of arrival, eye involved, mechanism of injury, type of ocular injury, imaging studies obtained, procedures performed, location of definitive repair (in the operating room or emergency department), and subspecialty services involved. Results In the 5-year period, we describe 356 injuries among 278 children. Males had a slightly higher rate of presentation than females (156 and 122, respectively). Forty-three children (15.46%) required repair in the operating room. Dog bites comprised of 7.19% children with outpatient follow-up, one patient (0.36%) eventually developed anophthalmia, and 30 children (10.79%) had long-term ophthalmological sequelae (ie, glaucoma and blindness). Conclusions At our institution, a level-III trauma center, we evaluated and managed approximately 1 ocular injury case per week and children required surgical repair in the operating room at a higher rate than higher-level trauma centers. Injuries secondary to dog bites remain a clinically significant etiology.
AB - Objective The purpose of this study is to describe pediatric ocular injuries presenting to a level-III pediatric trauma center and emergency department. Methods We performed a retrospective study and identified children from January 1, 2011, to January 1, 2016. Charts were reviewed for any subject, age from newborn to younger than 18 years, based on International Classification of Diseases, ninth and tenth revision, codes for any ocular injury. Data abstraction included age, sex, means of arrival, eye involved, mechanism of injury, type of ocular injury, imaging studies obtained, procedures performed, location of definitive repair (in the operating room or emergency department), and subspecialty services involved. Results In the 5-year period, we describe 356 injuries among 278 children. Males had a slightly higher rate of presentation than females (156 and 122, respectively). Forty-three children (15.46%) required repair in the operating room. Dog bites comprised of 7.19% children with outpatient follow-up, one patient (0.36%) eventually developed anophthalmia, and 30 children (10.79%) had long-term ophthalmological sequelae (ie, glaucoma and blindness). Conclusions At our institution, a level-III trauma center, we evaluated and managed approximately 1 ocular injury case per week and children required surgical repair in the operating room at a higher rate than higher-level trauma centers. Injuries secondary to dog bites remain a clinically significant etiology.
KW - dog bite
KW - hyphema
KW - level-III trauma center
KW - ocular injury
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U2 - 10.1097/PEC.0000000000001524
DO - 10.1097/PEC.0000000000001524
M3 - Article
C2 - 29912087
AN - SCOPUS:85094934505
SN - 0749-5161
VL - 36
SP - e606-e609
JO - Pediatric Emergency Care
JF - Pediatric Emergency Care
IS - 11
ER -