Author/Editor		Pahor, Dušica; Gračner, Bojan; Uršič, Jože; Haložan, Katja
Title		Offene Augenverletzung bei Kindern: retrospektive Analyse der letzten zehn Jahre
Type		članek
Source		Spektrum Augenheilkd
Vol. and No.		Letnik 24, št. 1
Publication year		2010
Volume		str. 32-6
Language		ger
Abstract		Purpose: Nearly 35% of injuries are in persons aged 17 years or less. It was established that among children contusions and intraocular foreign bodies are the most common types of eye injuries. The aim of this retrospective study was to investigate the causes of open globe injuries, the common types of injury and the outcomes of open globe injuries among children and the need for eye injury protection in children. Patients and methods: Medical records of all patients under 18 years of age who were treated for open globe injury at Department of Ophthalmology, University Clinical Centre Maribor between 1999 and 2008 were retrospectively reviewed. Results: 11.5% were male and 88.5% were female. The average age of children was 9.3 years, ranging from 2 to 17 years. The 5-year-old children were the most affected (5 from 26, 19.2%).Most injuries happened at home (24 from 26 cases, 92.3%). 17 eyes (65.4%) required only primary surgical repair. The cornea was involved in the majority of injuries (22 cases, 84.6%). There was iris hernia in 7 cases (26.9%), vitreous prolaps in 3 cases (11.5%). The most frequent complication was traumatic cataract (10 cases, 38.5%). In 2 cases endophthalmitis was developed. Secondary lens removal with IOL implantation was performed in 7 cases (26.9%) and in 2 cases vitrectomy. The most common cause of open globe injury in these children was beating with the hammer on metal nail (30.8%). Conclusions: Open globe injuries in children are severe, mostly affected pre-school children. The prognosis is influenced by the nature of injury and the extent of initial damage and is better in eyes that required only primary repair. Educating parents and children is important goal for prevention of these accidents. Many cases were preventable. Public education, general awareness and aggressive primary management may optimize visual outcome.
Descriptors		EYE INJURIES CHILD CATARACT