Please use this identifier to cite or link to this item: http://imsear.hellis.org/handle/123456789/72383
Title: Paediatric open globe injuries. Visual outcome and risk factors for endophthalmitis.
Authors: Narang, Subina
Gupta, Vishali
Simalandhi, Prabhat
Gupta, Amod
Raj, Srishti
Dogra, Mangat R
Issue Date: 11-Mar-2004
Citation: Narang S, Gupta V, Simalandhi P, Gupta A, Raj S, Dogra MR. Paediatric open globe injuries. Visual outcome and risk factors for endophthalmitis. Indian Journal of Ophthalmology. 2004 Mar; 52(1): 29-34
Abstract: PURPOSE: To study the incidence of open globe injuries and the outcome in children, and to study the risk factors for post-traumatic endophthalmitis. METHODS: Paediatric patient population. Retrospective analysis of 72 consecutive cases of open globe injury over 3 years (January 1998 to December 2000). RESULTS: The cause of trauma was sports related (n = 18), home-made bow and arrow (n = 16), household kitchen injuries (n = 10), cracker injuries (n = 7) and other miscellaneous outdoor activities (n = 16). In 5 children the cause could not be ascertained. Visual acuity of > or = 3/60 in the injured eye at the last follow-up examination was recorded in 37 of 70 patients (52.86%) whose visual acuity could be tested. The final visual acuity was significantly poorer in eyes where primary repair was delayed beyond 24 hours of injury (P < 0.05). Post- traumatic endophthalmitis developed in 39 of 72 (54.16%) eyes. Bow and arrow and household injuries (P < 0.5) and eyes in which primary repair was delayed beyond 24 hours of injury (P < 0.01) had a higher risk of endophthalmitis in univariate analysis. In multivariate analysis delayed repair was the only significant risk factor for the occurrence of endophthalmitis (P = 0.014). CONCLUSION: Delayed repair, bow and arrow injuries and household injuries were associated with significantly higher risk of endophthalmitis. The incidence of endophthalmitis can be reduced by early referral of trauma cases and parental supervision.
URI: http://imsear.hellis.org/handle/123456789/72383
Appears in Collections:Indian Journal of Ophthalmology

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