Pattern of ocular trauma among the elderly in Kashan, Iran / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>Ocular trauma is a common cause of visual impairment and accounts for 38% to 52% of all patients presenting as ophthalmic accident and emergency cases to the hospital. The purpose of this study is to describe the pattern of ocular injuries that leads to hospitalization in the elderly in Kashan, Iran.</p><p><b>METHODS</b>In the retrospective consecutive case series, a total of 94 geriatric patients (larger than or equal to 65 years) who admitted and underwent management for ocular trauma from April 2001 to March 2011 at Matini Hospital of Kashan, the only center of eye surgery in the region of Kashan, were reviewed. The items include age, sex, injury mechanism, site and extent of damage, presenting and final best corrected visual acuity at least 3 months after trauma, which were reviewed and analyzed with SPSS software.</p><p><b>RESULTS</b>During the 10 years, 94 eyes of 94 patients with ocular trauma were included. Mean age of patients was (77.5+/-5.1) years (range 65 to 102 years). Male to female ratio was 2.76. The mechanism of ocular injury included sharp trauma in 56 patients (59.6%) and blunt in 38 patients (40.4%). Trauma occurred mostly in males (69 patients, 73.4%) and at the work place (38 patients, 40.4%). On admission the visual acuity in 50 patients (53.2%) with damaged eyes was light perception to hand motion. While the final best corrected visual acuity in 36 patients (38.3%) was better than hand motion.</p><p><b>CONCLUSION</b>Ocular trauma is a serious cause of visual impairment in the elderly. Appropriate and timely management may improve their visual prognosis.</p>

Pattern of pediatric ocular trauma in Kashan

Ocular trauma is a significant health problem in pediatric patients. The aim of this study was to analyze the characteristics of ocular-traumarelated hospitalization of children in Kashan. This descriptive, cross-sectional study included 131 children aged less than 16 years with ocular trauma, who were admitted to the Matini Hospital at the Kashan University of Medical Sciences between April 2006 and March 2009. After admission,detailed ocular examination was performed, and their ocular trauma was classified according to the International Ocular Trauma Classification and Birmingham Eye Trauma Terminology systems. Mean age of the patients was 7.8 +/- 2.2 years [age range, 0-16 years], and male to female ratio 5:1. The most common cause of admission was hyphema [38.1%], followed by corneoscleral laceration [27.5%]. Ocular trauma most commonly occurred at home [43%], and 69% of the patients presented to the emergency room within 24 h of injury. In 30% of the patients, initial visual acuity at the time of presentation was less than 20/200 [Figure 1]. Ocular trauma is a major cause of unilateral blindness, especially in young boys, and hence, preventive measures and education is required