THE MANAGEMENT OF CORNEAL TRAUMA: ABOUT 198 CASES
Published 2024 - 28th ESCRS Winter Meeting
Reference: P046 | Type: Submission | DOI: 10.82333/mcf9-2h81
Authors: Naoual Mtalai* 1 , Ghizlane Daghouj 1 , Lamia Aarab 1 , Kawtar Elhadi 1 , Zyad Laftimi 1 , Loubna Elmaaloum 1 , Bouchra Allali 1 , Asmaa Elkettani 1
1PEDIATRIC OPHTALMOLOGY,20 AUGUST HOSPITAL,CASABLANCA,Morocco
Purpose
The main objective of our work is to study the epidemiological profile, therapeutic approaches and evolutionary profile of patients managed for a corneal wound.
Setting
Corneal trauma in children are a serious ophthalmological emergency, threatening the visual function.
Methods
This is a retrospective study that identified 198 cases of corneal wounds over a period of 02 and a half years, from January 2019 to January 2023, in the pediatric ophthalmology department of the Ibn Rochd Casablanca University Hospital.
Results
All patients admitted to the pediatric ophthalmology department for management of a corneal wound, limbal wound or corneoscleral wound were included in our study.
The mean age of our patients was 6 years, with a M/F sex ratio of 2. The average consultation time was 24 hours. Children's play accidents were the most frequent cause. The causal agent is a metallic one in the majority of cases.
The wound was corneal in 63% of cases, corneoscleral in 35% and isolated limbal in 2%.
Initial visual acuity was difficult to quantify in 37% of cases, <0.4 in 55% and > 0.4 in 8%.
The presence of associated lesions was noted in 65% of cases. Hyphaema was noted in 15% of patients, iris damage in 57%, post-traumatic cataract in 38% and retinal detachment in 6%.
Post-operative complications were dominated by persistent corneal opacity. Final visual acuity was > 4/10 in 35% of cases.
Conclusion
Corneal wounds in children require urgent and appropriate surgical treatment, combined with amblyopia therapy to enable visual rehabilitation. Preventing the occurrence of these traumas must be relayed to all levels of a child's educational chain.