332 - Characteristics of pediatric ocular trauma in a pediatric emergency department in Japan
Saturday, April 29, 2023
3:30 PM – 6:00 PM ET
Poster Number: 332 Publication Number: 332.208
Masakazu Kinoshita, Tokyo Metropolitan Children’s Medical Center, Fuchu, Tokyo, Japan; Takateru Ihara, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan; Takaaki Mori, KK Women's and Children's Hospital, Singapore, N/A, Singapore
Division of Pediatric Emergency Medicine Tokyo Metropolitan Children’s Medical Center Fuchu, Tokyo, Japan
Background: Pediatric ocular trauma is one of the common eye-related emergency department (ED) visits and the major cause of acquired monocular blindness in the pediatric population. However, data on the epidemiology and management of pediatric ocular trauma in a pediatric emergency department are lacking. Objective: To describe the characteristics and management of pediatric ocular trauma patients who visited a Japanese pediatric emergency department (ED). Design/Methods: The present, retrospective, observational study was conducted in a pediatric ED in Japan between March 1, 2010 and March 31, 2021. Children younger than 16 years who visited our pediatric ED and received the diagnosis of ocular trauma were included. ED visits for follow-up examinations for the same complaint were excluded. The patients’ sex, age, arrival time, mechanism of injury, signs and symptoms, examinations, diagnosis, history of urgent ophthalmological consultation, outcomes, and ophthalmological complications were extracted from electronic medical records. Results: In total, 469 patients were included; of these, 318 (67.8%) were male, and the median age was 7.3 years. The incident leading to trauma occurred most frequently at home (26.0%) and most often involved being struck in the eye (34.3%). In 19.8% of the cases, the eye was struck by some body part. One hundred forty-three (30.5%) patients presented with eye pain, and 127 (27.1%) patients presented with periocular swelling. Tests performed in the ED included visual acuity testing (43.5%), fluorescein staining (27.3%), and computed tomography (18.8%). Thirty-seven (7.9%) patients received treatment in the ED. Most patients had a closed globe injury (CGI), with only two (0.4%) having an open globe injury (OGI). Eighty-five (18.1%) patients required an urgent ophthalmological referral, and 12 (2.6%) required emergency surgery. Ophthalmological complications occurred in only seven patients (1.5%).
Conclusion(s): Most cases of pediatric ocular trauma seen in the pediatric ED were CGI, with only a few cases leading to emergency surgery or ophthalmological complications. Pediatric ocular traumas can be safely managed by pediatric emergency physicians.
