The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries

Freda Sii,1,2 Robert J Barry,1 Joseph Abbott,3 Richard J Blanch,1,4 Caroline J MacEwen,5 Peter Shah1,2,6,7 1Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, 2Birmingham Institute for Glaucoma Research, Institute of T...

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Autores principales:	Sii F, Barry RJ, Abbott J, Blanch RJ, MacEwen CJ, Shah P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Aetiology Childhood eye injury Epidemiology Penetrating eye injury Perforating eye injury Prevention Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c899f209323346fca618f03669331ac1
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spelling	oai:doaj.org-article:c899f209323346fca618f03669331ac12021-12-02T04:41:07ZThe UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries1177-5483https://doaj.org/article/c899f209323346fca618f03669331ac12018-01-01T00:00:00Zhttps://www.dovepress.com/the-uk-paediatric-ocular-trauma-study-2-pots2-demographics-and-mechani-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Freda Sii,1,2 Robert J Barry,1 Joseph Abbott,3 Richard J Blanch,1,4 Caroline J MacEwen,5 Peter Shah1,2,6,7 1Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, 2Birmingham Institute for Glaucoma Research, Institute of Translational Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, 3Department of Ophthalmology, Birmingham Children’s Hospital NHS Foundation Trust, Birmingham, 4Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, 5Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, 6National Institute of Health Research Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, 7Centre for Health and Social Care Improvement, School of Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK Purpose: Pediatric ocular trauma is an important cause of visual morbidity worldwide, accounting for up to one-third of all ocular trauma admissions. It has long-term implications for those affected and significant economic consequences for healthcare providers. It has been estimated that 90% of all ocular trauma is preventable. Targeted strategies are required to reduce the incidence and the severity of pediatric ocular trauma; this requires an understanding of the epidemiology and characteristics of these injuries and the children involved. Methods: Prospective, observational study of pediatric ocular trauma cases presenting to UK-based ophthalmologists over a 1-year period; reporting cards were distributed by the British Ophthalmological Surveillance Unit, and clinicians were asked to report incidents of acute orbital and ocular trauma in children aged ≤16 years requiring inpatient or day-case admission. A validated, standardized questionnaire was sent to reporting ophthalmologists to collect data on the demographics and circumstances of injury. Results: Median age at presentation was 7.7 years, with boys more than twice as likely to be affected than girls (M:F =2.1:1.0). Almost 50% of injuries occurred at home, with 25% occurring in school or nursery. A total of 67% of injuries occurred during play, and 31% involved a sharp implement. Conclusion: Pediatric ocular trauma remains an important public health problem. At least three-quarters of all injuries are preventable through measures, including education of children and responsible adults, restricting access to sharp implements, improving adult supervision, and appropriate use of eye protection. Keywords: etiology, childhood eye injury, epidemiology, penetrating eye injury, perforating eye injury, preventionSii FBarry RJAbbott JBlanch RJMacEwen CJShah PDove Medical PressarticleAetiology Childhood eye injury Epidemiology Penetrating eye injury Perforating eye injury PreventionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 105-111 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Aetiology Childhood eye injury Epidemiology Penetrating eye injury Perforating eye injury Prevention Ophthalmology RE1-994
spellingShingle	Aetiology Childhood eye injury Epidemiology Penetrating eye injury Perforating eye injury Prevention Ophthalmology RE1-994 Sii F Barry RJ Abbott J Blanch RJ MacEwen CJ Shah P The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries
description	Freda Sii,1,2 Robert J Barry,1 Joseph Abbott,3 Richard J Blanch,1,4 Caroline J MacEwen,5 Peter Shah1,2,6,7 1Department of Ophthalmology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, 2Birmingham Institute for Glaucoma Research, Institute of Translational Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, 3Department of Ophthalmology, Birmingham Children’s Hospital NHS Foundation Trust, Birmingham, 4Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, 5Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, 6National Institute of Health Research Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, 7Centre for Health and Social Care Improvement, School of Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK Purpose: Pediatric ocular trauma is an important cause of visual morbidity worldwide, accounting for up to one-third of all ocular trauma admissions. It has long-term implications for those affected and significant economic consequences for healthcare providers. It has been estimated that 90% of all ocular trauma is preventable. Targeted strategies are required to reduce the incidence and the severity of pediatric ocular trauma; this requires an understanding of the epidemiology and characteristics of these injuries and the children involved. Methods: Prospective, observational study of pediatric ocular trauma cases presenting to UK-based ophthalmologists over a 1-year period; reporting cards were distributed by the British Ophthalmological Surveillance Unit, and clinicians were asked to report incidents of acute orbital and ocular trauma in children aged ≤16 years requiring inpatient or day-case admission. A validated, standardized questionnaire was sent to reporting ophthalmologists to collect data on the demographics and circumstances of injury. Results: Median age at presentation was 7.7 years, with boys more than twice as likely to be affected than girls (M:F =2.1:1.0). Almost 50% of injuries occurred at home, with 25% occurring in school or nursery. A total of 67% of injuries occurred during play, and 31% involved a sharp implement. Conclusion: Pediatric ocular trauma remains an important public health problem. At least three-quarters of all injuries are preventable through measures, including education of children and responsible adults, restricting access to sharp implements, improving adult supervision, and appropriate use of eye protection. Keywords: etiology, childhood eye injury, epidemiology, penetrating eye injury, perforating eye injury, prevention
format	article
author	Sii F Barry RJ Abbott J Blanch RJ MacEwen CJ Shah P
author_facet	Sii F Barry RJ Abbott J Blanch RJ MacEwen CJ Shah P
author_sort	Sii F
title	The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries
title_short	The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries
title_full	The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries
title_fullStr	The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries
title_full_unstemmed	The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries
title_sort	uk paediatric ocular trauma study 2 (pots2): demographics and mechanisms of injuries
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/c899f209323346fca618f03669331ac1
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The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries

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