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March 1990

Eye Injuries in Children in Israel: A Nationwide Collaborative Study

Author Affiliations

From the Department of Ophthalmology, Edith Wolfson Medical Center, Holon, Israel (Drs Rapoport, Romem, and Kinek); the Department of Ophthalmology, Golda Medical Center, Petah Tiqva, Israel (Drs Koval, Teller, and Savir); the Golschleger Eye Research Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel (Dr Belkin); the Sackler School of Medicine, Tel-Aviv (Israel) University (Drs Rapoport, Romem, Kinek, Koval, Teller, Savir, and Belkin); the Kupat-Holim (Health Insurance Institution of the General Federation of Labor in Israel) (Mr Yelin), and the Institute for Prevention of Blindness, The Hebrew University, Jerusalem, Israel (Dr Yanco).

Arch Ophthalmol. 1990;108(3):376-379. doi:10.1001/archopht.1990.01070050074034

• A nationwide prospective collaborative study on ocular trauma was performed in Israel during a period of 3 years (1981 through 1983). Almost half of the traumas (1127 [47%] of 2416 eyes) were sustained by children younger than age 17 years, and mainly between the ages of 6 and 12 years. Most of the injuries happened at home (38.1%) or in the street (26.8%) and during play and sport (65.1%). The male-to-female ratio among the children was 4:1. Blunt injuries accounted for 59.2%; 30.5% were perforating injuries and the rest were chemical and radiation injuries. The visual acuity at the time of hospital discharge was better than 6/30 in the majority of the eyes but 122 patients (11%) had a visual acuity of less than 6/60, and no light perception was the result in 40 eyes (3%). The reasons for the severe outcome were as follows: 23 eyes (2%) owing to phthisis, 22 eyes (1.9%) were enucleated, and 16 eyes (1.4%) suffered from endophthalmitis.