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Abstract

To determine the frequency of presentation of pediatric ocular trauma presented to emergency department of ophthalmology unit of a tertiary care hospital.Patients were selected from emergency and outdoor patient department. Detailed ocular examination including visual acuity, extra ocular movements, adnexal examination, slit lamp examination of conjunctiva, cornea, anterior segment and posterior segment examination was carried out. Digital Xray orbit (Antero Posterior and Lateral view) was carried out to rule out intra ocular, intra orbital foreign body and orbital fractures.Total number of patients involve in this study were 101. Eighty one were male and 20 were female. Patient age ranges from 1 year to 16 years with mean age ± SD = 12 ± 2. Most of the patients were in age group 11-16 years(55%) and most frequent ocular trauma was open globe injury in 69.3% patients. There was statistically significant difference among age groups in type of Ocular trauma, open globe injury being the most common one in age group 11-16 years (P value = 0.0032).In pediatric age group most common injury following ocular trauma is open globe injury followed by closed globe injury, chemical injury, thermal injury, orbital wall fracture and eyelid & lacrimal laceration. Majority of eye injuries in pediatric age group are preventable and this cause of visual disability can be greatly reduced by implementation of safety precautions such as keeping sharp objects out of children reach.