PEDIATRIC PENETRATING EYE TRAUMA

Patients presenting with penetrating eye trauma at Dept. of Ophtalmology Istanbul Faculty of Medicine between 1988 and 1991 were evaluated, and examination findings, performed surgical interventions and follow-up findings were investigated. Initial findings affecting later visual outcome were assessed. 246 cases were under 16 years; 175 were male and 71 were female. The majority of cases (42.27%) were between 6 and 10 years. 203 cases had an initial vision of 0.1 or less. The most common site of injury was the cornea. Initial examination findings and factors affecting vision noted during follow-up according to injury characteristic were: Hyphema (p<0.001), lens injury (p<0.02), lacerated corneal injury (p<0.02) (only corneal injuries), corneal laceration greater than 3mm (p<0.04) (only corneal injuries), street injuries (p<0.04).

ÇOCUKLARDA DELÝCÝ GÖZ YARALANMALARI: RÝSK FAKTÖRLERÝ

Delici göz yaralanmasýyla 1988-1991 tarihleri arasýnda Ýstanbul Týp Fakültesi Göz Hastalýklarý Kliniðine acil olarak baþvurmuþ hastalarýn muayene bulgularý, uygulanmýþ olan cerrahi giriþimler ve takip bulgularý deðerlendirildi. Ýlk muayene bulgularýndan daha sonraki görmeye etki edenler araþtýrýldý. Onaltý yaþ altýnda 246 olgunun 175'i erkek, 71'i kýzdý. Olgularýn %42.27 ile en fazla kesim 6-10 yaþ arasýndaydý. Olgularýn 203'ü 0.1'den daha az görmeyle baþvurmuþlardý. En sýk görülen yara yeri lokalizasyonu korneada idi. Ýlk muayene bulgularý ve yaralanmanýn özelliklerine göre takip sýrasýnda saptanan görme keskinliðine etki eden faktörler þöyle sýralanýyordu. Hifema p<0.001, lens yaralanmasý p<0.02, parçalý korneal keþi p<0.02,3 mm'den büyük korneal kesi p<0.04, ve sokakta olmuþ travma p<0.04.