[Ocular traumatisms in children: a review of 136 case]

ABSTRACT

Ocular traumatisms represent an important cause of morbidity in children. They expose to a major risk of amblyopia. This retrospective study is about 136 children aged of 1 to 15 years, admitted to the hospital of HABIB BOURGUIBA SFAX between 1992 and 1998 for ocular traumatism. Sex ratio was 2.77. The domestic accident represented the most frequent circumstance[45.59%]. Ocular traumatism are primarly caused in our cases by projection of stones [33.09%]. Perforation was twice more frequent than contusions. Anterior segment lesions were dominated by corneoscleral wounds[61.03%]. Vitreous hemorrage was the most frequent lesion of the posterior segment [9.56%] We found palpebral wound without lesion of lacrimol tract in four cases. The recourse to surgery treatment was imperative in 2/3 of cases. A healing was noted in 20.59% of cases, but the prognostic was always bad because 55.88% of children had a visual acuity less than 1/10 and 10% had a phtisis of the ocular globe The functionnal concequences and the esthetic prejudice emphasize the importance of the prevention