Ophthalmology
doi: 10.25005/2074-0581-2020-22-3-373-382
EPIDEMIOLOGY OF THE PEDIATRIC EYE INJURIES IN THE SUGHD REGION OF TAJIKISTAN

Kh.J. Karim-Zade1, N.A. Ochilzoda2,, Z.A. Dadоboev2

1Department of Ophthalmology, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Eye Department, Regional Clinical Hospital of Sughd Region, Khujand, Republic of Tajikistan

Objective: To study epidemiology and clinical features of of eye injuries in children in Sughd Region of the Republic of Tajikistan from 1993 up to 2013.

Methods: A retrospective analysis of 616 (622 eyes) children with eye injuries required in-patient treatment in the Eye Department of Regional Clinical Hospital of Sughd Region was conducted for 20 years from 1993 to 2013.

Results: For observable period in 616 children with eye injuries, who got in-patient treatment, the level of incidence was 6.6 per 100 000 children’s population of the region. Mean age was 7.7 (range from 1 to 15 years), male/female ratio was 2.8:1. Children aged 3-10 were most affected to injuries. Eye blunt trauma was diagnosed in 168 eyes (27%), open globe injuries in 429 (69%), eyelid injuries in 25 patients (4%). Visual acuity improvement (0.5-1.0) noted in 24.6%, moderate decrease of visual acuity (0.2-0.4) – in 12.9%, low vision (0.05-0.1) – in 7.9% and blindness (0-0.04) in 23% of cases. Factors, associated with unfavorable visual outcome were vitreous hemorrhage, hyphema, cataract and endophthalmitis.

Conclusion: According to the results of the study, pediatric eye injuries are important causes of monocular blindness and impaired vision. In spite of improving possibilities of healthcare and treatment, in our study, one-third of children suffer from blindness and impaired vision, as a result of injuries, which indicates the need to develop and implement preventive and treatment measures in order to achieve the most favorable results of the injury.

Keywords: Eye injury, children, Sughd Region, blindness, low vision.

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Authors' information:

Karim-Zade Khakima Jangovarovna
Candidate of Medical Sciences, Associate Professor of the Department of Ophthalmology, Avicenna Tajik State Medical University
Researcher ID: AAO-7768-2020
Scopus ID: 14031720200
ORCID ID: 0000-0003-3922-3829
SPIN: 1646-0538
Author ID: 1072708
E-mail: kh.karimzade@gmail.com

Ochilzoda Nasimdzhon Abdunozimovich
Ophthalmologist, Eye Department, Regional Clinical Hospital of Sughd Region
Researcher ID: AAR-2042-2020
ORCID ID: 0000-0001-6793-2660
SPIN: 3391-5933
E-mail: nasimjonochilzoda@gmail.com

Dadоboev Zokhirdzhon Azimovich
Ophthalmologist, Eye Department, Regional Clinical Hospital of Sughd Region
Researcher ID: AAQ-9654-2020
ORCID ID: 0000-0001-5224-5817
SPIN: 7505-8624
E-mail: zohirjon89@gmail.com

Information about support in the form of grants, equipment, medications

The work was carried out according to the plan of scientific research works of Avicenna Tajik State Medical University (state registration number – 0110РК033). The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Karim-Zade Khakima Jangovarovna
Candidate of Medical Sciences, Associate Professor of the Department of Ophthalmology, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (934) 458236

E-mail: kh.karimzade@gmail.com

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