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Traumatic Eye-injuries in Children and Young Adults

Kilias S., Faris N., Dietze U. H.,
Augenklinik Berlin-Marzahn (Berlin)

Background: Injuries of the eye and eyelid in adults are often caused by work-accidents and in children and young adults the main causes are sport, school and play.
Methods: We documented all serious eye- and eyelid-injuries of children in the Clinic for Ophthalmology in Berlin Marzahn between 01/1998 and 12/2001. We recorded the type and cause of the injury, the visual acuity, tension, therapy and complications.
Results: During the period of study, we admitted 212 patients with serious eye-injuries. 47 patients (23%) were under 18 years of age (36 males, 11 females). The main injuries seen were contusions, perforations of the bulb, intraocular foreign bodies and damage to the eyelid. Causes (in decreasing frequency) were shooting injuries, balls, sport-equipments, glass-shards, explosions and violence. The visual acuity at discharge of patients with normal eyes before injury was 0,7. 9 (19%) children at discharge had a visual acuity under 0,5.
Conclusions: Prevention and safety by children and young adults is difficult. Therefore attentiveness and carefulness are very necessary. Children with permanent functional and cosmetic problems benefit from an adapted rehabilitation- and integration-programme for their school and later professional lives.

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