The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries

Robert J Barry,1,2 Freda Sii,1,3 Alice Bruynseels,1 Joseph Abbott,4 Richard J Blanch,1–2,5 Caroline J MacEwen,6 Peter Shah1,3,7–81Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham,...

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Autores principales:	Barry RJ, Sii F, Bruynseels A, Abbott J, Blanch RJ, MacEwen CJ, Shah P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Childhood eye injury Incidence Management Penetrating eye injury Perforating eye injury Presentation Prevention Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/86bef77465e0482c9287c5406af482c4
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spelling	oai:doaj.org-article:86bef77465e0482c9287c5406af482c42021-12-02T07:21:56ZThe UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries1177-5483https://doaj.org/article/86bef77465e0482c9287c5406af482c42019-07-01T00:00:00Zhttps://www.dovepress.com/the-uk-paediatric-ocular-trauma-study-3-pots3-clinical-features-and-in-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Robert J Barry,1,2 Freda Sii,1,3 Alice Bruynseels,1 Joseph Abbott,4 Richard J Blanch,1–2,5 Caroline J MacEwen,6 Peter Shah1,3,7–81Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; 2Neuroscience and Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK; 3Birmingham Institute for Glaucoma Research, Institute of Translational Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; 4Department of Ophthalmology, Birmingham Children’s Hospital NHS Foundation Trust, Birmingham, UK; 5Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Dundee, UK; 6Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, UK; 7University College London, London, UK; 8Centre for Health and Social Care Improvement, School of Health and Wellbeing, University of Wolverhampton, Wolverhampton, UKPurpose: Worldwide, as many as 6 million children annually sustain ocular trauma, with up to a quarter of a million children requiring hospitalization. Management of pediatric ocular trauma differs from that in adults, both in terms of initial assessment and acute intervention, with significant variation in practice between different centers. Patterns of healing and long-term outcomes are also very different for children compared to adults. In order to develop effective protocols for management, it is first necessary to understand current trends in presentation and treatment.Methods: We conducted a prospective, observational study of pediatric ocular trauma presenting to UK-based ophthalmologists over a one-year period; reporting cards were distributed by the British Ophthalmic Surveillance Unit, and clinicians were asked to report cases of acute orbital and ocular trauma in children aged 16 years or less requiring inpatient or day-case admission. A validated, standardized questionnaire was sent to reporting ophthalmologists to collect data on clinical features and initial management of injury.Results: Eighty-six episodes of pediatric ocular trauma were reported. Trauma involving the globe was reported in 66/86 patients (76.7%), of which 40/66 (60.1%) were open-globe. Trauma to the anterior segment was reported in 57/86 (66.3%), and posterior segment in 23/86 patients (26.7%). Twenty-five of 86 (29.1%) patients sustained severe trauma defined as having best-corrected visual acuity worse than 6/60 Snellen (incidence 0.19 per 100,000 population).Conclusions: There has been no improvement in the incidence or severity of pediatric ocular injury rates over the past 25 years. Eye-care providers must be able to provide the necessary services for assessment and management of severe pediatric ocular trauma in the emergency setting.Keywords: childhood eye injury, incidence, management, penetrating eye injury, perforating eye injury, presentation, preventionBarry RJSii FBruynseels AAbbott JBlanch RJMacEwen CJShah PDove Medical PressarticleChildhood eye injury Incidence Management Penetrating eye injury Perforating eye injury Presentation PreventionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1165-1172 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Childhood eye injury Incidence Management Penetrating eye injury Perforating eye injury Presentation Prevention Ophthalmology RE1-994
spellingShingle	Childhood eye injury Incidence Management Penetrating eye injury Perforating eye injury Presentation Prevention Ophthalmology RE1-994 Barry RJ Sii F Bruynseels A Abbott J Blanch RJ MacEwen CJ Shah P The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries
description	Robert J Barry,1,2 Freda Sii,1,3 Alice Bruynseels,1 Joseph Abbott,4 Richard J Blanch,1–2,5 Caroline J MacEwen,6 Peter Shah1,3,7–81Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; 2Neuroscience and Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK; 3Birmingham Institute for Glaucoma Research, Institute of Translational Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; 4Department of Ophthalmology, Birmingham Children’s Hospital NHS Foundation Trust, Birmingham, UK; 5Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Dundee, UK; 6Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, UK; 7University College London, London, UK; 8Centre for Health and Social Care Improvement, School of Health and Wellbeing, University of Wolverhampton, Wolverhampton, UKPurpose: Worldwide, as many as 6 million children annually sustain ocular trauma, with up to a quarter of a million children requiring hospitalization. Management of pediatric ocular trauma differs from that in adults, both in terms of initial assessment and acute intervention, with significant variation in practice between different centers. Patterns of healing and long-term outcomes are also very different for children compared to adults. In order to develop effective protocols for management, it is first necessary to understand current trends in presentation and treatment.Methods: We conducted a prospective, observational study of pediatric ocular trauma presenting to UK-based ophthalmologists over a one-year period; reporting cards were distributed by the British Ophthalmic Surveillance Unit, and clinicians were asked to report cases of acute orbital and ocular trauma in children aged 16 years or less requiring inpatient or day-case admission. A validated, standardized questionnaire was sent to reporting ophthalmologists to collect data on clinical features and initial management of injury.Results: Eighty-six episodes of pediatric ocular trauma were reported. Trauma involving the globe was reported in 66/86 patients (76.7%), of which 40/66 (60.1%) were open-globe. Trauma to the anterior segment was reported in 57/86 (66.3%), and posterior segment in 23/86 patients (26.7%). Twenty-five of 86 (29.1%) patients sustained severe trauma defined as having best-corrected visual acuity worse than 6/60 Snellen (incidence 0.19 per 100,000 population).Conclusions: There has been no improvement in the incidence or severity of pediatric ocular injury rates over the past 25 years. Eye-care providers must be able to provide the necessary services for assessment and management of severe pediatric ocular trauma in the emergency setting.Keywords: childhood eye injury, incidence, management, penetrating eye injury, perforating eye injury, presentation, prevention
format	article
author	Barry RJ Sii F Bruynseels A Abbott J Blanch RJ MacEwen CJ Shah P
author_facet	Barry RJ Sii F Bruynseels A Abbott J Blanch RJ MacEwen CJ Shah P
author_sort	Barry RJ
title	The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries
title_short	The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries
title_full	The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries
title_fullStr	The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries
title_full_unstemmed	The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries
title_sort	uk paediatric ocular trauma study 3 (pots3): clinical features and initial management of injuries
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/86bef77465e0482c9287c5406af482c4
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The UK Paediatric Ocular Trauma Study 3 (POTS3): clinical features and initial management of injuries

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