Complications of penetrating injuries of visual organ of in children

Abstract

Purpose. An analysis of complications in case of penetrating injuries of visual organ in children and methods of their elimination.

Material and methods. There were in the follow-up 36 patients (36 eyes) aged from 6 to 14 years with various ocular injuries: boys - 70% of cases, girls - 30% of cases. All children underwent ophthalmic and clinical examinations.

Results. The primary surgical treatment (PST) was performed in all patients at the place of residence in different regions of the Republic. The secondary surgical treatment (SST) was carried out according to the following indications: swelling cataract, filtration of corneal and scleral injuries, local endophthalmitis, iris incarceration, hypotension, secondary glaucoma, sutures failure, torpid uveitis, deformation of eyelids, abruption of lacrimal canaliculi, non-sutured scleral wound, suspect intraocular foreign body, the destruction of the eyeball, suspected intraocular foreign body, the destruction of the eyeball. Causes of PST complications were: the severity of injuries (47.2%), an unskilled first aid (41.7%), a late appeal of patient (47.2%).

Conclusion. As a SST result the inflammatory response was stopped and the eyes were maintained as an anatomical organ in 99.6% of cases, visual functions were preserved in 67.4% of cases. It is necessary to intensify educational work among the population, to improve the quality of emergency eye care and the adequate rehabilitation of patients.