Pattern And Treatment Analysis Of Pediatric Ocular Traumatic Inpatients

Objective To summarize and analyze the causes, pattern, treatments and postoperative visual acuity of pediatric ocular traumatic inpatients.Methods252ocular traumatic children (up to14years of age) admitted by Eye Center, Second Affiliated Hospital of Zhejiang University School of Medicine in the past5years were analyzed retrospectively. Age, gender, vulnerant, surgery, frequency and duration of hospitalization, type, complication, initiative and final visual acuity and antibiotics were recorded. Ocular trauma scores and the correlation coefficient with final visual acuity were also calculated.Results The average age of ocular trauma children was6.06years, most of which distributed among3～6years old. The ratio of male to female was71.8%:28.2%. In the mechanical ocular trauma cases, there were168(66.67%) open injuries and62(24.60%)closed injuries. Non-mechanical ocular injuries had16cases (6.35%), while9cases of eyelid injuries (3.57%). The most common vulnerants were knives (73cases,28.97%), followed by other sharp metal. Cataract was the most complication after ocular trauma, with the highest incidence of81.35%(205cases), followed by corneal injury (191cases,75.79%), and194cases underwent cataract extraction. The initiative and final visual acuity of ocular trauma children were significantly different (Z=-7.481, P=0.000). OTS score and final visual acuity was positive correlated (r=0.544, p=0.000). Conclusions Most pediatric ocular trauma happened in preschool children, with boys in dominance. Mechanical ocular trauma was the main type, with more open injuries than closed ones. The most common vulnerants were knives and other sharp metal. Traumatic cataract was one of the main complications. Most injured children accepted surgeris and antimicrobial therapy, and acquired improved postoperative visual acuity. OTS score was valuable in evaluating final visual acuity of children after ocular injuries.