A STUDY ON THE DIFFERENT TYPES OF OCULAR TRAUMA IN CHILDRENS PRESENTING AT MAYO HOSPITAL LAHORE

Objective: The aim of this research is the assessment of etiological factors and its associated circumstances with the incidence of injuries to the eyes of the children who were presented at tertiary healthcare centre. Methodology: This research was carried out at the Department of Pediatric, Mayo Hospital Lahore from August 2017 to July 2018. We documented clinical outcomes, personal information and management therapy for every patient on a pre-designed proforma which included various variables such as injury date, sex, age, injured eye, mechanism of injury, circumstances of injury, immediate therapy and initial visual acuity. Results: Our research sample consisted on 462 patients who were enrolled in the age of sixteen years and diagnosed with ocular trauma; moreover, among the total participants we had 297 males (64.3%) and 165 females (35.7%). Males were predominant over females in the enrolled population. The mean age of the patients was reported as (7.03 ± 3.61). The majority of the patients were in the age bracket of (6 – 11) years and attending schools, these students were 198 school going children (42.9%). Injuries frequently occurred at home as 215 patients were injured while at home (46.5%). Blunt trauma and penetration injuries were reported respectively in 228 patients (49.4%) and 162 patients (35.1%). There were other injuries such as eyelid injuries, close globe injuries and open globe injuries reported respectively among 61 cases (13.2%), 338 cases (73.1%) and 63 cases (13.7%). In 245 cases the better reports of visual acuity were present and it was better than (6/12) in about (53.0%) cases. Lubricant eye drops, cold or warm compress and pressure patching were prescribed to 215 children (46.5%). Moreover, 121 children were managed surgically during the research timeframe (26.2%). Conclusions: Various ocular trauma frequencies have been reported in this particular research which can better be controlled and minimized through preventive strategies as adopted in the developed nations. Keywords: Etiological, Pediatric Ocular Trauma, Blunt Injuries, Penetrating Injuries, Ophthalmic Trauma and Eyes