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Clinical Profile, Etiology, and Outcome of Infantile Ocular Trauma: A Developing Country Perspective.

Shah, Vedang D. MS; Uddaraju, Madhu MS; Singh, Amitabh MD; Das, Rashmi Ranjan MD
Pediatric Emergency Care: Post Author Corrections: June 20, 2017
doi: 10.1097/PEC.0000000000001209
Original Article: PDF Only

Objective: The aim of this article was to study the clinical profile, etiology, and outcome of infantile ocular trauma in a developing country setting.

Methods: A retrospective study on corneal trauma in infants (<=12 months old) was undertaken in a tertiary care hospital during a 2-year period. An analysis of clinical profile, etiology, microbiological profile, clinical course, and outcome was studied.

Results: Seventy-six infants were included. Approximately 69% presented within 24 hours of injury. The common presentations were inability to open the eyelids, redness of eyes, and watering. Self-infliction by child's hand (49%) was found to be the main cause of corneal trauma. Corneal abrasion was seen in 34 cases (45%), isolated epithelial defects were seen in 30%, and infective keratitis was seen in 25%. Infection was found in 14 cases (fungal filaments in 7 and gram-positive cocci in 7). Only 36 infants followed up regularly in the hospital. All the infants following up in the hospital recovered in due course.

Conclusions: Infantile ocular trauma is a common morbidity that is underreported. Self-infliction by child's hand was found to be the main cause of corneal trauma. Cases presenting early and following up regularly till recovery have a favorable clinical course with good outcome. A high loss to follow-up indicates that awareness needs to be created among the caregivers.

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