Epidemiology and visual outcome of pediatric ocular trauma in Mansoura ophthalmic center using pediatric ocular trauma score (POTS)

Abstract

Purpose: to assess the epidemiology and the predicted visual outcome of pediatric ocular trauma using pediatric ocular trauma score (POTS) in MOC in the period from January 2016 to December 2020.Methods: Records of patients below 18 years old attended to emergency department of Mansoura ophthalmic center suffering from ocular trauma in the period from January 2016 to December 2020 were reviewed. Demographic data were recorded. Type, mechanism, cause, place of injury and time between injury and attendance to emergency department were also recorded. Initial ophthalmic examination and surgical data were reviewed and POTS was calculated for each case.Results: 559eyes of 559patients were included in this study, 72.8%were males and average age was 8 years. 428 children were from urban areas (76.6%). The most common visual acuities recorded were from HM to NPL (25%). There were (48.3%)open globe injuries, (25.9%) closed globe injuries and (25.7%) adnexal injuries. Of all cases with POT (7.8%)had ruptured globes, (9.12%) had lacerations, (34.7%)had penetrating injuries, IOFBs were found in (4.65%)of patients, contusions were in (16.8%)while perforation were in (1.07%). Zone I was the most affected zone (61.85%). Of all cases with open globe injuries, 92 had grade I (0-45)POTS(34%).Conclusion: Ocular trauma in children is an important cause of visual loss in our locality rendering high percentage of poor outcome (25% VA less than HM). Children with open globe type of injuries, zone III injuries and posterior segment injuries had the poorest prognosis of vision (grade I POTS).