Clinical features of different types of the eye trauma and its outcomes in children

Authors

  • M. Forlini Department of Ophthalmology, San Marino State Hospital, San Marino (Republic of San Marino)
  • N. Bobrova SI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»
  • S. Tronina SI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»
  • H. Dembovetska SI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»
  • T. Romanova SI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»
  • O. Dovhan SI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»

DOI:

https://doi.org/10.31288/Ukr.j.ophthalmol.202622934

Keywords:

оcular injury, treatment, outcomes, children

Abstract

Purpose: The study aimed to determine the clinical features of the eye trauma and its outcomes in children in Ukraine.
Methods: The features of the clinical picture of different types of eye trauma, methods of treatment and consequences are analyzed.
Results: Pediatric eye trauma is characterized by a predominance - 63.4% of OGIs with damage to 3 or more structures of the eye in 88.4% of cases, the highest frequency of injury to the lens (73.1%), in 61.6% of cases with the presence of foreign bodies and in 50% there was a combination of open and closed damage to the eyeball.
Conclusion: Clinical features of pediatric eye trauma require differentiated clinical tactics including surgical and conservative methods. Reconstructive surgical rehabilitation including complex procedures with maximum restoration of all injured structures with IOL implantation using advanced technologies combined with conservative treatment allow to restore high visual acuity (0.3 and higher) in 64.3% of cases of the explosive injury in follow up terms.

References

Tovar MA, Pilkington RA, Goodwin T, Root JM. Pediatric Blast Trauma: A Systematic Review and Meta -Analysis of Factors Associated with Mortality and Description of Injury Profiles. Prehosp Disaster Med. 2022 Aug;37(4):492-501.https://doi.org/10.1017/S1049023X22000747

Hicks MHR, Dardagan H, Guerrero Serdán G, Bagnall PM, Sloboda JA, Spagat M. The weapons that kill civilians -deaths of children and noncombatants in Iraq, 2003 -2008. N Engl J Med. 2009 Apr 16;360(16):1585-8.https://doi.org/10.1056/NEJMp0807240

Bilukha OO, Brennan M. Injuries and deaths caused by unexploded ordnance in Afghanistan: review of surveillance data, 1997 -2002. BMJ (Clinical research ed.) 2005; 330(7483):127-128. https://doi.org/10.1136/bmj.38337.361782.82

Guha-Sapir D, Rodriguez-Llanes JM, Hicks MH, Donneau AF, Coutts A, et al. Civilian deaths from weapons used in the Syrian conflict. BMJ. 2015 Sep 29:351:h4736. https://doi.org/10.1136/bmj.h4736

Smith K. Devastating Impact: Explosive Weapons and Children. Save the Children. 2011.

Heller D. Child patients in a field hospital during the 2003 Gulf conflict. J R Army Med Corps. 2005 Mar;151(1):41-3.

Beitler AL, Wortmann GW, Hofmann LJ, Goff JM Jr. Operation Enduring Freedom: the 48th Combat Support Hospital in Afghanistan. Mil Med 2006; 171(3): 189-93. https://doi.org/10.7205/MILMED.171.3.189

McGuigan R, Spinella PC, Beekley A, Sebesta J, Perkins J, Grathwohl K, et al. Pediatric trauma: experience of a combat support hospital in Iraq. J Pediatr Surg. 2007 Jan;42(1):207-10. https://doi.org/10.1016/j.jpedsurg.2006.09.020

Creamer KM, Edwards MJ, Shields CH, Thompson MW, Yu CE, Adelman W. Pediatric wartime admissions to US military combat support hospitals in Afghanistan and Iraq: learning from the first 2,000 admissions. J Trauma. 2009 Oct;67(4):762-8.https://doi.org/10.1097/TA.0b013e31818b1e15

Borgman M, Matos RI, Blackbourne LH, Spinella PC Ten years of military pediatric care in Afghanistan and Iraq. J Trauma Acute Care Surg. 2012 Dec;73(6 Suppl 5):S509-13. https://doi.org/10.1097/TA.0b013e318275477c

Kuhn F, Morris R, Witherspoon CD, Mester V. The Birmingham Eye Trauma Terminology system (BETT). J Fr Ophtalmol. 2004 Feb;27(2):206-10. https://doi.org/10.1016/S0181-5512(04)96122-0

Bobrova NF. Eye trauma in children. M, Мedicine. 2003.

Bobrova NF. Reconstructive surgery of eye in childhood. Odessa: Feniks. 2013. 176 p.

Bobrova NF, Shevchik VI. The method of primary surgical treatment of the penetrating cornea injuries. J of Ophthalmol. (Ukraine). 2010. 4:65 -68.https://doi.org/10.31288/oftalmolzh201046568

Mellor SG. The pathogenesis of blast injury and its management. Br J Hosp Med. 1988; 39:536-539.

Wolf SJ, Bebarta VS, Bonnett CJ et al. Blast injuries. Lancet. 2009; 374(9687): 405-415.https://doi.org/10.1016/S0140-6736(09)60257-9

Kurup SK, Que ET, Kauffmann Jokl DH The world trade center disaster: a brief on-site report from ground zero. Arch Ophthalmol. 2002; 120(3):395-396.https://doi.org/10.1001/archopht.120.3.395

Demirbag S, Cetinkursun S, Surer I, Ozturk H. Bronchial tear in a child after a liquid petroleum gas tank explosion. Pediatr Emerg Care. 2005; 21(7):443-444. https://doi.org/10.1097/01.pec.0000169436.44562.26

Matheron AS, Hendriks S, Facca S, Liverneaux PA. Hand injuries due to firework devices: a series of 58 cases. Chir Main. 2014 Apr;33(2):124-9. https://doi.org/10.1016/j.main.2013.12.005

Ratto J, Johnson BK, Condra CS et al. Pediatric blast lung injury from a fireworks -related explosion. Pediatr Emerg Care. 2012; 28(6): 573-576.https://doi.org/10.1097/PEC.0b013e318258af60

Marier A, Smith B, Lee S. Fireworks Annual Report: Fireworks -Related Deaths, Emergency Department -Treated Injuries, and Enforcement Activities during 2020. Consumer Product Safety Commission. October 26, 2021.

Miller E, LaFree G, Dugan L. Global Terrorism Database. START. 2020.https://doi.org/10.4324/9781003076186-6

AlGhadeer H, Khandekar R. Profile and Management Outcomes of Fireworks -Related Eye Injuries in Saudi Arabia: A 16 -Year Retrospective Study. Clin Ophthalmol (Auckland, N.Z.). 2021; 15:4163-4168.https://doi.org/10.2147/OPTH.S333121

Patel R, Mukherjee B. Crash and burn: ocular injuries due to fireworks. Semin Ophthalmol. 2016; 31(3): 243-248.https://doi.org/10.3109/08820538.2014.962157

Alam M, Iqbal M, Khan A, Khan SA. Ocular injuries in blast victims. J Pak Med Assoc. 2012 Feb;62(2):138-42.

Verma S, Waikar S, Sharma V, Bhatkoti B , Chauhan R . Ocular trauma in counter insurgency and proxy war environment: epidemiological study, 1992-2004. Med J Armed Forces India. 2021 Oct;77(4):390-396.https://doi.org/10.1016/j.mjafi.2020.02.001

Kalayci M, Er S, Tahtabasi M. Bomb Explosion: Ocular Effects of Primary, Secondary and Tertiary Mechanisms. Clin Ophthalmol. (Auckland, N.Z.). 2020; 14:1145-1151. https://doi.org/10.2147/OPTH.S253438

Zhang Y, Kang X, Wu Q et al. Explosive eye injuries: characteristics, traumatic mechanisms, and prognostic factors for poor visual outcomes. Mil Med Res. 2023; 10: 3.https://doi.org/10.1186/s40779-022-00438-4

Published

2026-04-27

How to Cite

[1]
Forlini , M. et al. 2026. Clinical features of different types of the eye trauma and its outcomes in children. Ukrainian Journal of Ophthalmology . 2 (Apr. 2026), 29–34. DOI:https://doi.org/10.31288/Ukr.j.ophthalmol.202622934.

Issue

Section

Clinical Ophthalmology

Similar Articles

<< < 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 > >> 

You may also start an advanced similarity search for this article.