Pattern of Ocular and Adnexal Injuries Requiring Surgical Intervention among Children in a Tertiary Center in North-Central Nigeria: A 14 Year Review

The study assessed the pattern of ocular and adnexal injuries that required surgical intervention among children with the aim of strengthening preventive, curative and promotive eye care services. The ophthalmic surgical database of the facility was retrospectively reviewed to obtain information on children who had surgical intervention due to trauma from 1st January 2004-31st December 2017; these included demographic data; diagnosis, procedure and the type of anaesthesia administered. Epi Info software, version 3.4 was used for analysis. A total of 361 children (aged <18years) underwent a surgical procedure as a result of ocular trauma within the stated period. There were more males 255(70.6%) than females 106(29.4%) with a male:female ratio of 2.4:1. The mean age was 7.7±3.5years, 356(98.6%) participants had general anaesthesia administered, 267(73.9%) were aged ≤10 years. The main indications for surgical intervention were corneal laceration 143(39.6%), traumatic cataract 99(27.4%), corneo-scleral laceration 34(9.4%), lid ± canalicular laceration 21 (5.8%), intraocular foreign body 16(4.4%), ruptured globe 14(3.9%) and limbal rupture 11(3.1%). A higher proportion of males had corneal laceration 104(40.8%, p=0.40), intraocular foreign body 13(5.1%, p=0.25) and ruptured globe 12(4.7%, p=0.17) while a higher proportion of females had traumatic cataract 35(33%, p=0.14), lid laceration 4(3.8%, p=0.76) and scleral laceration 2(2.8%, p=0.33). The observed differences were however not statistically significant. Of 21 participants who had lid injuries 14(66.7%) were aged ≤5years. Of 14 participants who had ruptured globe, 8(57.1%) were aged 11-17years. We observed that a male child is twice more likely to have an ophthalmic surgery due to trauma.

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Pattern of Ocular and Adnexal Injuries Requiring Surgical Intervention among Children in a Tertiary Center in North-Central Nigeria: A 14 Year Review

Journal of BioMedical Research and Clinical Practice ◽

10.46912/jbrcp.114 ◽

2019 ◽

Vol 2 (2) ◽

pp. 138-143

Author(s):

OP Odugbo ◽

PD Wade ◽

RO Ewuga ◽

CD Mpyet

Keyword(s):

Foreign Body ◽

Surgical Intervention ◽

Demographic Data ◽

Intraocular Foreign Body ◽

Traumatic Cataract ◽

Ophthalmic Surgery ◽

North Central ◽

Care Services ◽

Tertiary Center ◽

Corneal Laceration

The study assessed the pattern of ocular and adnexal injuries that required surgical intervention among children with the aim of strengthening preventive, curative and promotive eye care services. The ophthalmic surgical database of the facility was retrospectively reviewed to obtain information on children who had surgical intervention due to trauma from 1st January 2004-31st December 2017; these included demographic data; diagnosis, procedure and the type of anaesthesia administered. Epi Info software, version 3.4 was used for analysis. A total of 361 children (aged <18years) underwent a surgical procedure as a result of ocular trauma within the stated period. There were more males 255(70.6%) than females 106(29.4%) with a male:female ratio of 2.4:1. The mean age was 7.7±3.5years, 356(98.6%) participants had general anaesthesia administered, 267(73.9%) were aged ≤10 years. The main indications for surgical intervention were corneal laceration 143(39.6%), traumatic cataract 99(27.4%), corneo-scleral laceration 34(9.4%), lid ± canalicular laceration 21 (5.8%), intraocular foreign body 16(4.4%), ruptured globe 14(3.9%) and limbal rupture 11(3.1%). A higher proportion of males had corneal laceration 104(40.8%, p=0.40), intraocular foreign body 13(5.1%, p=0.25) and ruptured globe 12(4.7%, p=0.17) while a higher proportion of females had traumatic cataract 35(33%, p=0.14), lid laceration 4(3.8%, p=0.76) and scleral laceration 2(2.8%, p=0.33). The observed differences were however not statistically significant. Of 21 participants who had lid injuries 14(66.7%) were aged ≤5years. Of 14 participants who had ruptured globe, 8(57.1%) were aged 11-17years. We observed that a male child is twice more likely to have an ophthalmic surgery due to trauma.

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Intraocular foreign body and traumatic cataract removal 65 years after penetrating trauma

European Journal of Ophthalmology ◽

10.1177/1120672120902021 ◽

2020 ◽

pp. 112067212090202

Author(s):

John XH Wong ◽

Ehud I Assia

Keyword(s):

Foreign Body ◽

Traumatic Injury ◽

Anterior Segment ◽

Penetrating Trauma ◽

Intraocular Foreign Body ◽

Traumatic Cataract ◽

Ethical Considerations ◽

Occlusion Time ◽

Reconstruction Surgery ◽

Visual Potential

We report a case of successful intraocular foreign body/traumatic cataract removal and anterior segment reconstruction surgery of a patient’s eye that suffered penetrating injury 65 years earlier. Surgery was not recommended by ophthalmologists that she had earlier consulted. The patient opted for surgery to improve cosmesis due to leukocoria, but the level of regained vision exceeded expectations of both the patient and the surgeon. This case adds further evidence that the duration of occlusion time has no effect on visual potential in patients out of amblyogenic age. The ethical considerations of operating on such an eye with poor prognosis after traumatic injury are also discussed. To our knowledge, our patient has the longest reported duration (65 years) between the time of injury and successful surgery with good outcome.

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Corneal Laceration and Intraocular Foreign Body in a Post-LASIK Eye

Cornea ◽

10.1097/00003226-200203000-00025 ◽

2002 ◽

Vol 21 (2) ◽

pp. 234-236 ◽

Cited By ~ 6

Author(s):

C. Banu Cosar ◽

Christopher J. Rapuano ◽

Elisabeth J. Cohen

Keyword(s):

Foreign Body ◽

Intraocular Foreign Body ◽

Corneal Laceration

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Penetrating corneal wound with traumatic cataract and intraocular foreign body-case report

Romanian Journal of Ophthalmology ◽

10.22336/rjo.2017.10 ◽

2017 ◽

Vol 61 (1) ◽

pp. 54-59 ◽

Cited By ~ 1

Author(s):

Dorin Căciulă ◽

Monica Gavris ◽

Irina Tămășoi

Keyword(s):

Case Report ◽

Foreign Body ◽

Intraocular Foreign Body ◽

Traumatic Cataract ◽

Corneal Wound ◽

Body Case

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Big intraocular foreign body: Case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1308516g ◽

2013 ◽

Vol 141 (7-8) ◽

pp. 516-518

Author(s):

Aleksandar Gakovic ◽

Igor Kovacevic ◽

Jovana Bisevac ◽

Bojana Radovic ◽

Katarina Cubrilo ◽

...

Keyword(s):

Visual Acuity ◽

Foreign Body ◽

Retinal Detachment ◽

Detailed Examination ◽

Posterior Segment ◽

Intraocular Foreign Body ◽

Traumatic Cataract ◽

Normal Limits ◽

The Right ◽

Fitting In

Introduction. Penetrated injuries are most difficult injuries of the eye. Intraocular foreign body (IOFB) may lodge in any of the structures it encounters, from anterior chamber to the retina and choroid. Notable effects caused by foreign body injury include traumatic cataract, vitreous liquefaction, retinal and subretinal hemorrhages, retinal detachment and development of endophtalmitis. Case Outline. A 49?year?old man sustained injury of the right eye with a piece of metal wire. On admission visual acuity was VOD: 1.0 and lower intraocular tension TOD=6 mmHg (10?22 mmHg). Corneal entry wound was noticed near limb on 11h with a prominating foreign body of 18 mm in length that passed through the iris, lens and vitreous. X?ray findings confirmed existence of a large foreign body extending along the entire length of the globe. IOFB removal was done with anatomic forceps. On postoperative detailed clinical examination we observed retinal rupture in the upper temporal quadrant fitting in the area of the IOFB damaged retina. Laser photocoagulation of retinal tear (laser retinal barrage) was done. Visual acuity on discharge was the same (1.0) and intraocular tension was within normal limits (10 mmHg). Conclusion. Penetrated injury of eye requires detailed examination of all eye structures, beginning from the anterior to posterior segment. Timely diagnosed ruptures of the posterior segment of eye before the development of traumatic cataract, and adequate therapeutic procedures prevent serious complications of IOFB penetrated eye injury such as retinal detachment and permanent reduction of visual acuity.

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