New Zealand childhood ocular trauma study: Analysis of 75 601 cases of ocular injury from 2007 to 2016

Clinical & Experimental Ophthalmology
Reid A FergusonJames McKelvie

Abstract

Childhood ocular injury is a common, preventable cause of potentially severe permanent disability. This study evaluates the nationwide incidence, demographics and visual outcomes of children with ocular injury in New Zealand. Nationwide retrospective review. All children in New Zealand aged 0 to 17 years from 2007 to 2016 with ocular injury requiring assessment by a medical practitioner. New Zealand national and regional datasets were used to evaluate population-level statistics for ocular injury over a 10-year period. Visual and clinical outcome data were assessed using a randomized sample of 150 patients. Annual incidence, aetiology, demographics, injury location, visual outcomes, protective eyewear use, surgical intervention and follow-up. A national total of 75 601 cases were included with a mean incidence of 719/100 000 children/year. Cases were predominantly male (63.2%) and of New Zealand-European ethnicity (60.8%), aged 0 to 4 years (30.66%). Injury cause was most commonly "struck by object" (53.7%) and occurred in the home (50.9%). Tertiary hospital assessment and treatment was required in 17.7% where final visual acuity of 6/12 or worse was noted in 19.7% and protective eyewear use was reported in 2.7%. Maori and Paci...Continue Reading

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