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Revista Cubana de Oftalmología
On-line version ISSN 1561-3070
Abstract
GALLO BORRERO, Doralys Erlinda and LETFOR ALLEN, Solderis. Ocular trauma in childhood. Rev Cubana Oftalmol [online]. 2019, vol.32, n.3 Epub Sep 01, 2019. ISSN 1561-3070.
Objective:
To determine the results of the application of the ocular trauma score as a tool for visual prognosis in traumatisms.
Methods:
Descriptive, longitudinal and retrospective study was carried out. The universe consisted of 438 patients who received hospital admission and the sample consisted of 357 eyes of 356 patients with the diagnosis of ocular trauma at admission. Different variables were analyzed: etiology at admission, age, sex, topography and type of injury, traumatic event, causal agent, initial visual acuity according to type of injury and visual prognosis according to ocular trauma score.
Results:
81,3% of the patients admitted had traumatic etiology, 64.6% were males with predominance of the group aged between 5 and 9 years. There was a preponderance of closed traumas. The sticks and stones were the most frequent causal agent and the final visual acuity was superior to the initial one.
Conclusions:
The traumatic etiology is the first cause of admission in the Ophthalmology Service, where predominance is observed between 5 to 9 years, mainly of the male sex. The traumas to closed ocular globe predominate over those of open ocular globe presenting these last greater affectation of the visual acuity. The recreational and domestic accident is more frequent, as well as the sticks and stones as causal agents. The improvement in visual acuity is significant, corresponding with the prediction suggested by ocular trauma score.
Keywords : Ocular trauma; penetrating injury; perforating lesion; contusion; lamellar wound.