Ocular injury presenting to a level-III pediatric trauma center

Kari L Schneider; Hai Nguyen-Tran; Bradley J Segura; Raymond G. Areaux; Dan Nerheim; Jeffrey P. Louie

doi:10.1097/pec.0000000000001524

Ocular injury presenting to a level-III pediatric trauma center

Kari L Schneider, Hai Nguyen-Tran, Bradley J Segura, Raymond G. Areaux, Dan Nerheim, Jeffrey P. Louie

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

The purpose of this study is to describe pediatric ocular injuries presenting to a level-III pediatric trauma center and emergency department.

METHODS: We performed a retrospective study and identified children from January 1, 2011, to January 1, 2016. Charts were reviewed for any subject, age from newborn to younger than 18 years, based on International Classification of Diseases, ninth and tenth revision, codes for any ocular injury. Data abstraction included age, sex, means of arrival, eye involved, mechanism of injury, type of ocular injury, imaging studies obtained, procedures performed, location of definitive repair (in the operating room or emergency department), and subspecialty services involved.

RESULTS: In the 5-year period, we describe 356 injuries among 278 children. Males had a slightly higher rate of presentation than females (156 and 122, respectively). Forty-three children (15.46%) required repair in the operating room. Dog bites comprised of 7.19% children with outpatient follow-up, one patient (0.36%) eventually developed anophthalmia, and 30 children (10.79%) had long-term ophthalmological sequelae (ie, glaucoma and blindness).

CONCLUSIONS: At our institution, a level-III trauma center, we evaluated and managed approximately 1 ocular injury case per week and children required surgical repair in the operating room at a higher rate than higher-level trauma centers. Injuries secondary to dog bites remain a clinically significant etiology.

Original language	English (US)
Pages (from-to)	e606-e609
Journal	Pediatric Emergency Care
Volume	36
Issue number	11
DOIs	https://doi.org/10.1097/pec.0000000000001524 https://doi.org/10.1097/PEC.0000000000001524
State	Published - Nov 1 2020

Bibliographical note

Funding Information:
From the *Department of Pediatrics, Division of Emergency Medicine, University of Minnesota Masonic Children's Hospital; †University of Minnesota School of Medicine; ‡Department of Surgery, Pediatric Surgery, University of Minnesota Masonic Children’s Hospital; and §Pediatric Ophthalmology and Strabismus, Department of Ophthalmology and Visual Neurosciences, Lions Children's Eye Clinic, University of Minnesota Masonic Children's Hospital, Minneapolis, MN. Disclosure: The authors declare no conflict of interest. Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (UL1TR000114). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Reprints: Jeffrey P. Louie, MD, Department of Pediatrics, Division of Emergency Medicine, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, Minneapolis, MN 55454 (e‐mail: [email protected]). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. ISSN: 0749-5161

Keywords

dog bite
hyphema
level-III trauma center
ocular injury

PubMed: MeSH publication types

Journal Article

Publisher link

Find It

Find It at U of M Libraries

Cite this

@article{9ab653f634be45f39c027d8c00008c7d,

title = "Ocular injury presenting to a level-III pediatric trauma center",

abstract = "The purpose of this study is to describe pediatric ocular injuries presenting to a level-III pediatric trauma center and emergency department.METHODS: We performed a retrospective study and identified children from January 1, 2011, to January 1, 2016. Charts were reviewed for any subject, age from newborn to younger than 18 years, based on International Classification of Diseases, ninth and tenth revision, codes for any ocular injury. Data abstraction included age, sex, means of arrival, eye involved, mechanism of injury, type of ocular injury, imaging studies obtained, procedures performed, location of definitive repair (in the operating room or emergency department), and subspecialty services involved.RESULTS: In the 5-year period, we describe 356 injuries among 278 children. Males had a slightly higher rate of presentation than females (156 and 122, respectively). Forty-three children (15.46%) required repair in the operating room. Dog bites comprised of 7.19% children with outpatient follow-up, one patient (0.36%) eventually developed anophthalmia, and 30 children (10.79%) had long-term ophthalmological sequelae (ie, glaucoma and blindness).CONCLUSIONS: At our institution, a level-III trauma center, we evaluated and managed approximately 1 ocular injury case per week and children required surgical repair in the operating room at a higher rate than higher-level trauma centers. Injuries secondary to dog bites remain a clinically significant etiology.",

keywords = "dog bite, hyphema, level-III trauma center, ocular injury",

author = "Schneider, {Kari L} and Hai Nguyen-Tran and Segura, {Bradley J} and Areaux, {Raymond G.} and Dan Nerheim and Louie, {Jeffrey P.}",

note = "Funding Information: From the *Department of Pediatrics, Division of Emergency Medicine, University of Minnesota Masonic Children's Hospital; †University of Minnesota School of Medicine; ‡Department of Surgery, Pediatric Surgery, University of Minnesota Masonic Children{\textquoteright}s Hospital; and §Pediatric Ophthalmology and Strabismus, Department of Ophthalmology and Visual Neurosciences, Lions Children's Eye Clinic, University of Minnesota Masonic Children's Hospital, Minneapolis, MN. Disclosure: The authors declare no conflict of interest. Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (UL1TR000114). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Reprints: Jeffrey P. Louie, MD, Department of Pediatrics, Division of Emergency Medicine, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, Minneapolis, MN 55454 (e‐mail: [email protected]). Copyright {\textcopyright} 2018 Wolters Kluwer Health, Inc. All rights reserved. ISSN: 0749-5161",

year = "2020",

month = nov,

day = "1",

doi = "10.1097/pec.0000000000001524",

language = "English (US)",

volume = "36",

pages = "e606--e609",

journal = "Pediatric Emergency Care",

issn = "0749-5161",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "11",

}

TY - JOUR

T1 - Ocular injury presenting to a level-III pediatric trauma center

AU - Schneider, Kari L

AU - Nguyen-Tran, Hai

AU - Segura, Bradley J

AU - Areaux, Raymond G.

AU - Nerheim, Dan

AU - Louie, Jeffrey P.

N1 - Funding Information: From the *Department of Pediatrics, Division of Emergency Medicine, University of Minnesota Masonic Children's Hospital; †University of Minnesota School of Medicine; ‡Department of Surgery, Pediatric Surgery, University of Minnesota Masonic Children’s Hospital; and §Pediatric Ophthalmology and Strabismus, Department of Ophthalmology and Visual Neurosciences, Lions Children's Eye Clinic, University of Minnesota Masonic Children's Hospital, Minneapolis, MN. Disclosure: The authors declare no conflict of interest. Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (UL1TR000114). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Reprints: Jeffrey P. Louie, MD, Department of Pediatrics, Division of Emergency Medicine, University of Minnesota Masonic Children's Hospital, 2450 Riverside Ave, Minneapolis, MN 55454 (e‐mail: [email protected]). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. ISSN: 0749-5161

PY - 2020/11/1

Y1 - 2020/11/1

N2 - The purpose of this study is to describe pediatric ocular injuries presenting to a level-III pediatric trauma center and emergency department.METHODS: We performed a retrospective study and identified children from January 1, 2011, to January 1, 2016. Charts were reviewed for any subject, age from newborn to younger than 18 years, based on International Classification of Diseases, ninth and tenth revision, codes for any ocular injury. Data abstraction included age, sex, means of arrival, eye involved, mechanism of injury, type of ocular injury, imaging studies obtained, procedures performed, location of definitive repair (in the operating room or emergency department), and subspecialty services involved.RESULTS: In the 5-year period, we describe 356 injuries among 278 children. Males had a slightly higher rate of presentation than females (156 and 122, respectively). Forty-three children (15.46%) required repair in the operating room. Dog bites comprised of 7.19% children with outpatient follow-up, one patient (0.36%) eventually developed anophthalmia, and 30 children (10.79%) had long-term ophthalmological sequelae (ie, glaucoma and blindness).CONCLUSIONS: At our institution, a level-III trauma center, we evaluated and managed approximately 1 ocular injury case per week and children required surgical repair in the operating room at a higher rate than higher-level trauma centers. Injuries secondary to dog bites remain a clinically significant etiology.

AB - The purpose of this study is to describe pediatric ocular injuries presenting to a level-III pediatric trauma center and emergency department.METHODS: We performed a retrospective study and identified children from January 1, 2011, to January 1, 2016. Charts were reviewed for any subject, age from newborn to younger than 18 years, based on International Classification of Diseases, ninth and tenth revision, codes for any ocular injury. Data abstraction included age, sex, means of arrival, eye involved, mechanism of injury, type of ocular injury, imaging studies obtained, procedures performed, location of definitive repair (in the operating room or emergency department), and subspecialty services involved.RESULTS: In the 5-year period, we describe 356 injuries among 278 children. Males had a slightly higher rate of presentation than females (156 and 122, respectively). Forty-three children (15.46%) required repair in the operating room. Dog bites comprised of 7.19% children with outpatient follow-up, one patient (0.36%) eventually developed anophthalmia, and 30 children (10.79%) had long-term ophthalmological sequelae (ie, glaucoma and blindness).CONCLUSIONS: At our institution, a level-III trauma center, we evaluated and managed approximately 1 ocular injury case per week and children required surgical repair in the operating room at a higher rate than higher-level trauma centers. Injuries secondary to dog bites remain a clinically significant etiology.

KW - dog bite

KW - hyphema

KW - level-III trauma center

KW - ocular injury

UR - http://www.scopus.com/inward/record.url?scp=85094934505&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85094934505&partnerID=8YFLogxK

U2 - 10.1097/pec.0000000000001524

DO - 10.1097/pec.0000000000001524

M3 - Article

C2 - 29912087

SN - 0749-5161

VL - 36

SP - e606-e609

JO - Pediatric Emergency Care

JF - Pediatric Emergency Care

IS - 11

ER -

Ocular injury presenting to a level-III pediatric trauma center

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

Publisher link

Find It

Other files and links

Fingerprint

Cite this