Naeem Khan, Afzal Qadir, Nazli Gul, Maria Sultan, Nasreen Laiq, Nasir Saeed.
Penetrating Pediatric Eye Trauma.
Ophthalmol Update Jan ;15(4):408-10.

Purpose: To analyze the aetioligical factors and management of penetrating ocular injuries in children. Methodology: A retrospective observational study designed to review the data of the patients admitted with penetrating ocular injury from Jan 2013 to December 2016 in Ophthalmology Department Hayatabd Medical Complex Peshawar. Results: Out of 329 children with penetrating Injuries 221 (67.2%) were males and 108(32.8%) were female. The mean age was 6.8 years; the youngest was of 7 months while the oldest was of 12 years. wooden piece /stick was the common object causing penetrating Injuries in 101(30.7%) children and house hold pair of scissors was the second common object penetrating the globe in 51(15.5%) patients and a rare object i.e. bird beak was causative agent in 7 cases (2.12%). Majority of the patients 169(64.25%) were received with poor visual acuity of CF-NPL, 63(23.5%) children had visual acuity of 6/24- 6/60 at presentation and 31(11.78%) patients had a visual acuity of 6/18-6/6, whereas visual acuity could not be assessed in 66(20%) cases. only 8 patients with sealed perforation were managed conservatively and the remaining 321(97.6%) required surgical intervention. Conclusion: Penetrating ocular trauma is the commonest cause of unilateral low vision in children. It need a multifaceted approach right from the beginning regarding awareness for its prevention and establishment of specialized units for its management.

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