Türkiye’nin Kuzeybatısındaki Pediatrik Yaş Grubunda Delici Göz Yaralanmaları Demografisi

Yıl 2016, , 104 - 109, 01.12.2016

Sertaç Argun Kıvanç Berna Akova Budak , Ahmet Tuncer Özmen Meral Yıldız Mediha Tok Çevik Nagihan Amuk Hamidi

https://doi.org/10.4274/jcp.63935

Öz

Giriş: Amacımız, pediatrik yaş grubunda meydana gelen delici göz yaralanmalarını araştırmak ve çocukların yaşının delici göz yaralanmalarında değişik parametreler üzerine etkisini incelemekti.Gereç ve Yöntem: Delici göz yaralanması geçirmiş 18 yaş altındaki hastaların medikal kayıtları geriye dönük olarak incelendi. Yaş, cinsiyet, travma sebebi, göz içinde yabancı cisim bulunma durumu ve göz yaralanmasının kapsamı not edildi.Bulgular: Çalışmaya 79 hasta 23 kız, 56 erkek dahil edildi. Ortalama yaşları 7,7±4,4 aralık: 2-18 yıl yıl idi. Otuz dokuz hasta künt uçlu cisim ile, 27’si ise keskin uçlu cisim ile yaralanmıştı. Bir hastanın da travma sonucu glob rüptürü mevcuttu. Otuz beş yaralanma dış mekanlarda gerçekleşmiş iken 45’i evde gerçekleşmişti. En çok yaralanma yaz aylarında olmuştu %32 . Yaralanmaların %75’i 11 yaş ve altında gerçekleşmişti. Ortalama yaralanma yaşı künt obje, organik cisim ve dış mekanda olanlarda; keskin cisimle, inorganik cisimlerle ve iç mekanda olanlardan anlamlı derecede yüksek idi.Sonuç: Türkiye’nin Kuzeybatısında delici göz yaralanma oranları daha düşük yaşlarda daha yüksek bulundu. Aileleri tehlikeler ve travmanın sonuçları konusunda haberdar etmek ve kolaylık ile ulaşılabilecek keskin cisimlerin önlemini almak travma oranlarını azaltabilir

Anahtar Kelimeler

Delici göz yaralanması, pediatrik, travma, göz yaralanması, göz travması, göz içi yabancı cisim

Demographics of the Open-Globe Injuries in Pediatric Age Group in Northwest Turkey

Öz

Introduction: Our aim was to investigate the pattern of open globe injury and assess the effect of age on different parameters of open globe injury in pediatric patients.Materials and Methods: The medical records of the patients under 18 years old who had open-globe injury were retrospectively reviewed. Age, gender, the cause of the trauma, presence of intraocular foreign body and the extent of the ocular damage were recorded.Results: The study was comprised of 79 patients 23 female, 56 male with a mean age of 7.7±4.4 range: 2-18 years . Thirty-nine patients were injured with a blunt tip object, 27 with a sharp object and one has rupture with trauma. Thirty-five injuries occurred outside and 45 at home. The season in which most of the injuries took place was summer 32% . Seventy-five percent of the injuries were noted in 11 years and under. The mean age subject to blunt tip object injury, organic body injury and outdoor injury was significantly higher compared to that of with sharp object, inorganic body injury and indoor injury.Conclusions: The open globe-injury rates in Northwest Turkey is found to be higher in smaller age groups. Making the parents aware of the danger and consequences of the trauma and avoiding the easily accessible sharp objects may decrease the trauma rates

Anahtar Kelimeler

Open globe injury, pediatric, trauma, eye injuries, eye trauma, intraocular foreign body

Kaynakça

• 1. Jandeck C, Kellner U, Bornfeld N, Foerster MH. Open globe injuries in children. Graefes Arch Clin Exp Ophthalmol 2000;238:420-6.
• 2. Armstrong GW, Kim JG, Linakis JG, Mello MJ, Greenberg PB. Pediatric eye injuries presenting to United States emergency departments: 2001- 2007. Graefes Arch Clin Exp Ophthalmol 2013;251:629-36.
• 3. Abbott J, Shah P. The epidemiology and etiology of pediatric ocular trauma. Surv Ophthalmol 2013;58:476-85.
• 4. Moren Cross J, Griffin R, Owsley C, McGwin G, Jr. Pediatric eye injuries related to consumer products in the United States, 1997- 2006. J AAPOS 2008;12:626-8.
• 5. Bunting H, Stephens D, Mireskandari K. Prediction of visual outcomes after open globe injury in children: a 17-year Canadian experience. J AAPOS 2013;17:43-8.
• 6. Malagola R, Arrico L, Migliorini R, D’Ambrosio EM, Grenga R. Ocular traumatology in children. A retrospective study. G Chir 2012;33:423-8.
• 7. Sharifzadeh M, Rahmanikhah E, Nakhaee N. Pattern of pediatric eye injuries in Tehran, Iran. Int Ophthalmol 2013;33:255-9.
• 8. Brophy M, Sinclair SA, Hostetler SG, Xiang H. Pediatric eye injury-related hospitalizations in the United States. Pediatrics 2006;117:e1263-71.
• 9. Williams K, Thomson D, Seto I, et al. Standard 6: age groups for pediatric trials. Pediatrics 2012;129 Suppl 3:S153-60.
• 10. Altıntaş L, Altıntaş O, Yüksel N, Pirhan D, Ozkan B, Cağlar Y. Pattern of open eye injuries in northwest Turkey: a retrospective study. Ulus Travma Acil Cerrahi Derg 2011;17:334-9.
• 11. Xu YN, Huang YS, Xie LX. Pediatric traumatic cataract and surgery outcomes in eastern China: a hospital-based study. Int J Ophthalmol 2013;6:160-4.
• 12. Turgut S, Perente İ, Özgün C, Ovalı T, Öngör E. Pediatric penetrating eye trauma. Ulus Travma Acil Cerrahi Derg 1997;3:58-61.
• 13. Ahmadabadi MN, Alipour F, Tabataei SA, Karkhane R, Rezaei H, Ahmadabadi EN. Sharp-object-induced open-globe injuries in Iranian children admitted to a major tertiary center: a prospective review of 125 cases. Ophthalmic Res 2011;45:149-54.
• 14. Alpay A, Ozcan O, Uğurbaş SC, Uğurbaş SH. Eye injuries at a tertiary health centre in West Black Sea region, Turkey. Ulus Travma Acil Cerrahi Derg;18:118-24.
• 15. Shah MA, Shah SM, Appleware AH, Patel KD, Rehman RM, Shikhange KA. Visual outcome of traumatic cataract in pediatric age group. Eur J Ophthalmol 2012;22:956-63.
• 16. McGwin G, Jr., Hall TA, Seale J, Xie A, Owsley C. Consumer product-related eye injury in the United States, 1998-2002. J Safety Res 2006;37:501-6.
• 17. Wagner RS. Pediatric eye trauma in the summer. J Pediatr Ophthalmol Strabismus 2009;46:201.
• 18. Kutschke PJ. Ocular trauma in children. J Ophthalmic Nurs Technol 1994;13:117-20.
• 19. Uysal Y, Mutlu FM, Sobaci G. Ocular Trauma Score in childhood open-globe injuries. J Trauma 2008;65:1284-6.