What are the characteristics of ocular trauma in children?

Ocular trauma is the most common childhood eye disease, and endophthalmitis is a serious complication of ocular trauma that can be devastating to vision. Because of their poor self-protection ability, children are relatively more susceptible to ocular trauma. The blindness rate of traumatic endophthalmitis in children is extremely high, with up to 78% reported in the literature. When the eye is pierced, bacteria enter the eye and multiply rapidly, causing post-traumatic endophthalmitis. Endophthalmitis occurs 1 to 7 days after the injury, and is more common about 4 days after the injury. Children’s traumatic endophthalmitis is characterized by: ① easy to form endophthalmitis after trauma, and the condition is serious. ② children for fear of parental scolding, often do not inform their parents after the injury; there are some primary hospitals do not see any improvement in the treatment before the transfer, so that the condition is delayed. Children’s eyeball removal, will affect the future orbital development, resulting in facial development deformities, bringing physical and psychological trauma to growing children. Untimely treatment may even threaten the life of the child. Therefore, the key to the treatment of traumatic endophthalmitis in children is early detection and early treatment. Vitreous cavity injection and vitrectomy surgery are the effective means of treating endophthalmitis at present. Statistics from the Department of Ophthalmology over the past 10 years show that the objects that cause eye trauma in children mainly include toy guns, disposable hypodermic needles, pencils, bamboo sticks, scissors, stones, firecrackers, tree branches, glass shards, etc. The number of patients is twice as high in boys as in girls. The number of patients is 4 times higher than that of girls, and the age of patients is usually 3-12 years old. 34% of patients are self-injured, and 66% of patients are other-injured. In order to effectively prevent the occurrence of traumatic endophthalmitis in children, it is necessary to attract the great attention of society as a whole, should improve the safety consciousness of society as a whole, strengthen the popularization of society and families to publicize the preventive measures and knowledge of traumatic eye injury in children, improve the understanding of the harmfulness of traumatic eye injury in children, enhance the sense of precaution, understanding of the reasons for children’s traumatic eye injuries, and do a good job of targeted preventive work, and the whole society, including the school, the family, work together. The whole society, including schools and families, should work together to take effective measures to reduce the occurrence of eye trauma in children. In addition, it is necessary to popularize the knowledge of children’s eye trauma first aid to parents, fully understand the seriousness of children’s eye trauma on eye tissue damage, once children’s eye trauma, should be sent to the hospital immediately, take timely and effective treatment, in order to reduce the damage to a minimum.