Clinical features of different types of the eye trauma and its outcomes in children
DOI:
https://doi.org/10.31288/Ukr.j.ophthalmol.202622934Keywords:
оcular injury, treatment, outcomes, childrenAbstract
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Forlini Matteo, Bobrova Nadiia, Tronina Svitlana, Dembovetska Hanna, Romanova Tetiana, Dovhan Olga

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) that allows users to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author as long as they cite the source.
COPYRIGHT NOTICE
Authors who publish in this journal agree to the following terms:
- Authors hold copyright immediately after publication of their works and retain publishing rights without any restrictions.
- The copyright commencement date complies the publication date of the issue, where the article is included in.
DEPOSIT POLICY
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) during the editorial process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work with an acknowledgement of its initial publication in this journal.
- Post-print (post-refereeing manuscript version) and publisher's PDF-version self-archiving is allowed.
- Archiving the pre-print (pre-refereeing manuscript version) not allowed.








