TY  - JOUR
PY  - 2023//
TI  - Incidence and clinical features of pediatric ocular trauma in a population-based cohort
JO  - Journal of the American Association for Pediatric Ophthalmology and Strabismus
A1  - Ashby, Grayson B.
A1  - Claxton, Matthew R.
A1  - Kim, Eric J.
A1  - Tanke, Laurel B.
A1  - Butterfield, Samantha D.
A1  - Bothun, Erick D.
A1  - Peng, Zhongwei
A1  - Mohney, Brian G.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: To report the incidence and clinical characteristics of pediatric ocular and adnexal injuries diagnosed over a 10-year period in Olmsted County, Minnesota. <br><br>METHODS: This multicenter retrospective, population-based cohort study included all patients <19 years of age in Olmsted County diagnosed with ocular or adnexal injuries from January 1, 2000, through December 31, 2009. <br><br>RESULTS: A total of 740 ocular or adnexal injuries occurred during the study period, yielding an incidence of 203 (95% CI, 189-218) per 100,000 children. Median age at diagnosis was 10.0 years, and 462 (62.4%) were males. Injuries presented to the emergency department or urgent care setting most frequently (69.6%) and often occurred while outdoors (31.6%) during summer months (29.7%). Common injury mechanisms included blunt force (21.5%), foreign bodies (13.8%), and sports activities (13.0%). Isolated anterior segment injuries occurred in 63.5% of injuries. Ninety-nine patients (13.8%) had visual acuity of 20/40 or worse at initial examination, and 55 patients (7.7%) had visual acuity of 20/40 or worse at final examination. Twenty-nine injuries (3.9%) required surgical intervention. Significant risk factors for reduced visual acuity and/or the development of long-term complications include male sex, age ≥12 years, outdoor injuries, sport and firearm/projectile injury mechanism, and hyphema or posterior segment injury (P < 0.05). <br><br>CONCLUSIONS: Most pediatric eye injuries are minor anterior segment injuries with infrequent long-lasting effects on visual development.<p />  <p>Language: en</p>
LA  - en
SN  - 1091-8531
UR  - http://dx.doi.org/10.1016/j.jaapos.2023.01.009
ID  - ref1
ER  -