Profile of Trauma-related Residual Periorbital Deformities in Indian Children

International Ophthalmology (2004) 25: 239242DOI 10.1007/s10792-005-5015-3 Springer 2005Prole of trauma-related residual periorbital deformities in Indian childrenNeelam Pushker, Mandeep S. Bajaj, Vidushi Sharma & R. BalasubramanyaOculoplastic and Paediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences,

All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, IndiaReceived 25 November 2005; accepted 17 March 2005Key words: children, eye injuries, Dacryocystorhinostomy (DCR)AbstractPurpose: To describe the prole of periorbital trauma in Indian children less than 10 years of age.

Methods: Thirty two children with periorbital injuries were evaluated, over a period of 1 year. Demographic features, mechanism and type of injury were noted. Detailed ophthalmic examination and investigations, including X-ray, ultrasonography, and CT scan were done as needed. Patients requiring

secondary intervention were followed-up up to 6 months after surgery. Results: Among the 32 children

seen, 20 (63%) were males, 25 of 32 (78%) were between 4 and 7 years of age. Fall was the cause of injury in

31% (10/32) and assault in 28% (9/32). Medial canthal injury was the commonest of all periorbital injuries

manifesting as lacrimal drainage obstruction and telecanthus. Associated fractures of the naso-orbital

bones were present in 7 patients (22%) and ocular injuries were seen in 18 patients (56%). Secondary

intervention was performed in 20 patients and lacrimal drainage procedure was the commonest surgery,

performed in 15 out of 20 (75%). Conclusion: Periorbital injuries in children not only lead to midfacial

deformities and lacrimal drainage obstruction but are associated with signicant ocular damage also.IntroductionPeriorbital trauma is a fairly common occurrence in

children. However, relatively little information is

available on it in the literature, especially from the

developing countries. Most of the studies available

are in the general population [14], or limited to

specic types of injuries or circumstances [59]. By

determining patient demographics, causes of the

facial injuries, extent of periorbital damage and the

circumstances under which they were incurred, we

hope to identify predisposing factors. A prospective

evaluation of outcome of secondary management is

also presented.MethodsIn this hospital based study, we evaluated all

patients less than 10 years of age, with residual

injuries to periorbital region, who presented to the

oculoplasty clinic at our centre between January

and December 2000. Patients requiring secondary

intervention were admitted whereas others were

managed...