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ORIGINAL RESEARCH article

Front. Pediatr.
Sec. General Pediatrics and Pediatric Emergency Care
Volume 12 - 2024 | doi: 10.3389/fped.2024.1442531

Characteristics of Open Globe Injury in Children Under Six

Provisionally accepted
Rui Li Rui Li 1Shounan Qi Shounan Qi 1Ying Zhang Ying Zhang 2*Chenguang Wang Chenguang Wang 1*
  • 1 the Second Hospital of Jilin University, Changchun, China
  • 2 Other, Xi'an, China

The final, formatted version of the article will be published soon.

    Introduction: This study aimed to analyse the clinical characteristics of open globe injury (OGI) in children under six. Methods: A retrospective analysis was conducted on the medical data of children with OGI admitted to the Eye Center of the Second Hospital of Jilin University, China, between 1 January 2012 and 31 December 2020. Results: The study included 106 children, with 61 males (57.5%) and 45 females (42.5%), and the mean age was 4.14 ± 1.58 years. Injuries predominantly affected the right eye (53.8%). Sharp objects were the leading cause of injuries (56.6%). Most wounds (91.5%) occurred in zone I, and penetrating trauma was the most common injury type (64.2%). The concomitant OGI findings included traumatic cataracts (47.2%), iris prolapse (53.8%), endophthalmitis (22.4%), vitreous prolapse (17.0%), retinal detachment (5.7%), eyelid laceration (7.5%), and orbital fractures (1.9%). Univariate analysis showed that wooden materials (p = 0.045), needles (p = 0.045), postinjury admission time (p < 0.001), injury zone (p = 0.025), and iris prolapse (p = 0.022) were significantly associated with endophthalmitis. Multivariate logistic regression analysis revealed that delayed admission for ≥24 hours was an independent risk factor for endophthalmitis (p = 0.007). Preoperative and postoperative visual acuities were significantly correlated (p < 0.001). Conclusions: OGIs are more common in males under six years old, with sharp objects being the primary cause. Prompt surgical intervention can lower the risk of endophthalmitis. Increased awareness of the severity of OGI and understanding the risk factors for endophthalmitis will aid in developing effective strategies to minimise ocular complications.

    Keywords: Children, Open globe injury, Characteristics, Endophthalmitis, Amblyopia

    Received: 02 Jun 2024; Accepted: 04 Nov 2024.

    Copyright: © 2024 Li, Qi, Zhang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Ying Zhang, Other, Xi'an, China
    Chenguang Wang, the Second Hospital of Jilin University, Changchun, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.