Evaluation of Eye Consultations Requested from the Pediatric Emergency Service: Experience of a Tertiary Center

Year 2023, Volume: 17 Issue: 4, 267 - 271, 25.07.2023

Osman Sayın , Cüneyt Uğur

https://doi.org/10.12956/tchd.1179477

Abstract

Objective: In this study, it was aimed to evaluate the reasons for visits, demographic and clinical characteristics of patients, the methods of approach to these patients who visited the pediatric emergency service and were consulted to ophthalmology.
Material and Methods: The files of patients consulted to the Ophthalmology Clinic from Pediatric Emergency Department were analyzed retrospectively. Age and gender distribution of patients, complaints at the time of visits, clinical characteristics, diagnoses, diagnostic examinations and treatment methods were recorded.
Results: Of the 241 patients, 164 (68.0%) were male and 77 (32.0%) were female. The median age was 11.0 (3.0-15.0) years. According to age groups, the highest number of patients was in the 12-17 age group with 117 (48.5%) patients. The most common complaints were foreign body in eye with 30.3% (n=73), eye redness with 10.8% (n=26), sticky eye with 8.3% (n=20) and eyelid swelling with 8.3% (n=20). The most common diagnoses were foreign body (31.1%, n=75), conjunctivitis (26.1%, n=63) and corneal epithelial defect (10.0%, n=24). Considering the distribution of diagnoses by age groups, conjunctivitis was the most common in the 0-5 and 6-11 age groups, foreign body in the 12-17 age group. While medical treatment was given to 59.3% (n=143) of the patients, intervention under local anesthesia was performed for 29.5% (n=71) of the patients. Of the seven patients that were hospitalized, five of them were treated under general anesthesia and two of them received surgical operations.
Conclusion: Pediatric emergency visits with eye complaints in children were most common between 12-17 years of age and the most common cause was foreign bodies in the eye. All hospitalized patients were 0-5 years old and the most common reason for hospitalization was foreign bodies. Clinicians’ awareness should be increased on common pediatric eye emergencies accordingly.

Keywords

consultation, foreing body, eye, Pediatric emergency

Pediatrik Acil Servisten İstenen Göz Konsültasyonlarının Değerlendirilmesi: Üçüncü Basamak Merkez Deneyimi

Abstract

Amaç: Bu çalışmada, çocuk acil servisine başvuran ve göz doktoruna konsülte edilen hastaların başvuru nedenleri, demografik ve klinik özellikleri, bu hastalara yaklaşım yöntemlerinin değerlendirilmesi amaçlanmıştır.
Yöntemler: Çocuk Acil Servisi'nden Göz Hastalıkları Kliniği'ne başvuran hastaların dosyaları geriye dönük olarak incelendi. Hastaların yaş ve cinsiyet dağılımı, başvuru anındaki şikayetleri, klinik özellikleri, tanıları, tanı muayeneleri ve tedavi yöntemleri kaydedildi.
Bulgular: Toplam 241 hastanın 164'ü (%68.0) erkek, 77'si (%32.0) kadındı. Ortanca yaş 11.0 (3.00-15.0) yıldı. En sık başvuru şikayeti %30,3 (n=73) ile gözde yabancı cisim, %10,8 (n=26) ile gözde kızarıklık, %8,3 (n=20) ile gözde çapaklanma, %8,3 (n=20) ile gözde şişlik idi. . En sık konulan tanılar yabancı cisim (%31,1, n=75), konjonktivit (%26,1, n=63) ve kornea epitel defekti (%10,0, n=24) idi. Yaş gruplarına göre tanılarda konjonktivit en sık 0-5 ve 6-11 yaş gruplarında, yabancı cisim ise 12-17 yaş grubunda görüldü. Hastaların %59,3'üne (n=143) medikal tedavi uygulandı ve %29,5'ine (n=71) lokal anestezi altında müdahale yapıldı. Hastanede yatan 7 hastanın 5'i genel anestezi altında müdahale ile tedavi edilirken, 2'si cerrahi olarak tedavi edildi.
Sonuç: Çocuklarda göz şikayeti ile acil servise başvurular en sık 0-5 yaş arası olup, en sık neden gözdeki yabancı cisimlerdi. Toplum, sık görülen göz acil durumları konusunda eğitilmelidir. Ayrıca klinisyenlerin bu konudaki farkındalıkları artırılmalıdır.

Keywords

konsültasyon, yabancı cisim, göz, Pediatrik acil

References

• 1. Matsa E, Shi J, Wheeler KK, McCarthy T, McGregor ML, Leonard JC. Trends in US Emergency Department Visits for Pediatric Acute Ocular Injury. JAMA Ophthalmol. 2018;136(8):895-903.
• 2. Qayum S, Anjum R, Rather S. Epidemiological profile of pediatric ocular trauma in a tertiary hospital of northern India. Chin J Traumatol. 2018;21(2):100-103.
• 3. Zhang Y, Feng K, Yan H. Epidemiological Characteristics of Pediatric Ocular Trauma in China: A Multicenter Retrospective Hospital-Based Study. J Ophthalmol. 2022;2022:4847027. Available from:URL:https://www.hindawi.com/journals/joph/2022/4847027/
• 4. Puodžiuvienė E, Jokūbauskienė G, Vieversytė M, Asselineau K. A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma. BMC Ophthalmol. 2018;18(1):10.
• 5. Günaydın NT, Oral AYA. Pediatric traumatic cataracts: 10-year experience of a tertiary referral center. BMC Ophthalmol. 2022;22(1):199.
• 6. Ahmadi H, Alizadeh Z, Karkhah S, Ghazanfari MJ. Prevalence of Pediatric Ocular Trauma in Northern Iran; An Epidemiological Cross-Sectional Study. Bull Emerg Trauma. 2022;10(1):40-43.
• 7. D'Antone V, Flórez DCP, García CJL, Manrique FMC, Barbosa NL. Epidemiological findings of childhood ocular trauma in a public hospital in Colombia. BMC Ophthalmol. 2021;21(1):248.
• 8. Hashemi H, Pakzad R, Khabazkhoob M, Yekta A, Emamian MH, Fotouhi A. Prevalence of ocular trauma in 6-12-year-old children living in Shahroud, Iran. BMC Ophthalmol. 2022;22(1):320.
• 9. Shah SM, Shah MA, Singh R, Rathod C, Khanna R. A prospective cohort study on the epidemiology of ocular trauma associated with closed-globe injuries in pediatric age group. Indian J Ophthalmol. 2020;68(3):500-503.
• 10. Singh S, Sharma B, Kumar K, Dubey A, Ahirwar K. Epidemiology, clinical profile and factors, predicting final visual outcome of pediatric ocular trauma in a tertiary eye care center of Central India. Indian J Ophthalmol. 2017;65(11):1192-1197.
• 11. Archambault C, Gabias C, Fallaha N, Bélanger C, Superstein R. Pediatric ocular injuries: a 3-year review of patients presenting to an emergency department in Canada. Can J Ophthalmol. 2019;54(1):83-86.
• 12. Alim S. Son bir yıl içinde Tokat Devlet Hastanesi acil servisine başvuran acil göz vakalarının klinik özellikleri. J Contemp Med. 2014;4(1):26-28.
• 13. Üstündağ M, Orak M, Güloğlu C, Sayhan M B, Özhasanekler A. Göz yaralanması sonucu acil servise başvuran hastaların geriye dönük incelenmesi. Türkiye Acil Tıp Dergisi. 2007; 7(2): 64 - 67.
• 14. Liggett PE, Pince KJ, Barlow W, Ragen M, Ryan SJ. Ocular trauma in an urban population: review of 1132 cases. Ophthalmology. 1990;97(5):581-584.
• 15. Kaplan AT, Kaymak NZ, Günaydın NT, Oral AY, Şimşek Ş. Epidemiological Evaluation of Pediatric Patients Admitted to the Emergency Ophthalmology Clinic. Bosphorus Med J. 2018;5(2):58-61.