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Category: Volume 06 Issue 05 May 2018
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Title: Epidemiology of Paediatric Open Globe Injuries

Authors: Dr Sunil Motiram Bhad, Dr Bhushan Chaukhe, Dr Swati Kambale

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.20

Abstract

Purpose: To study the epidemiology of the paediatric open globe injuries (OGI) at tertiary care centre in central India in detail, such a way, that to reduce the incidences of OGI with the help of detailed epidemiological knowledge of the cause and the public education.

Method: This was the prospective analytical study in Tertiary care centre in central India from November 2014-October 2016. All the selected patients were under the age of 12 years. All the patients were under the records and tabulated. Statistical analysis was done using spss software.

Results: 6912 children up to the age of 12 years attended the out-patient clinic in the department of ophthalmology at the Government Medical College and hospital Nagpur, Maharashtra, India, from November 2014 to October 2016. 56 patients found with OGI. Incidence of paediatric OGI is 0.81%. 36 (64.28%) were boys and 20 (35.72%) were girls. 43 patients (76.78%) belonged to 3-9 year age group. In 22(39.29%) injuries occurred indoor, 34(60.71%) injuries occurred outdoor. Wooden stick (Gulli-Danda, Bow and arrow) is the predominant object causing OGI in 22 children (39.29%).32(57.14%)injuries occurred in summer. 53(94.64%) patients were injured during day time. literate parents were only 20(35.71%),36(64.29%) were illiterate. 36(64.88%) patients were belonging to villages/ rural area. 38(67.85%) patients who belongs to below poverty line and only 18(32.15%) patients were above poverty line. There was no statistical significance in affected eye of patient and dexterity.

Conclusion: Community education is an essential part in prevention of OGI in paediatric age groups. Prevention of penetrating ocular injury requires greater education of community, parents and children and their care takers. A majority of ocular trauma in children is preventable. Effective and targeted preventive strategies will helps in reducing their incidence is possible with the help of the detailed understanding of the epidemiology of the OGI.

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Corresponding Author

Dr Sunil Motiram Bhad

GMC Nagpur