The effect of behavior disorders on ocular trauma and visual outcome in children in Middle Delta, Egypt

• Main Authors: Rabab Elseht, Mohamed A Seleem
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-01-01
• Series: Journal of the Egyptian Ophthalmological Society
• Subjects: behavior disorders; ocular trauma; vision loss after trauma
• Online Access: http://www.jeos.eg.net/article.asp?issn=2090-0686;year=2017;volume=110;issue=2;spage=65;epage=70;aulast=Elseht
• ISSN: 2090-0686; 2314-6648

Purpose We sought to study the potential effects of child behavior disorders as well as the psychological profile and parenting style in children with ocular trauma and evaluate their effects with other traumatic associates on the visual outcome. Setting This study was conducted at Tanta University Eye Hospital, Middle Delta. Study design This was a nonrandomized cohort study. Patients and methods This study included all children at least 6 years with ocular trauma admitted to the Ophthalmology Department, Tanta University, from June 2015 to January 2016. Children were evaluated with regard to age, sex, time of seeking treatment, type, site of injury, and causative agent of trauma. Psychological assessment was carried out at the child psychiatry unit objectively using Western Psychological Services programs after trauma. Best-corrected visual acuity was detected at the last follow-up visit after trauma and was correlated to the behavioral disorders of children and the traumatic associates. Results In this study, we included 62 children aged 6–16 with an average±SD of 9.45±2.8 years. Among them, 71% were boys and 29% were girls (P<0.0001). Open globe injury was found in 37 eyes (59.7%), closed in 22 eyes (35.5%), and adnexal in three (4.8%). Single entry was a significant type of injury (P=0.0001), and sharp causative agents were many and variable. Certain psychiatric and parenting style problems were significantly associated with moderate and severe vision loss such as inattention, aggressive behaviors, attention deficit hyperactivity disorder (P=0.01), and oppositional defiant disorder with P=0.03. Conclusion Child behavior disorders and abnormal parenting style were significantly associated with ocular trauma in children. In addition, certain types and characters of trauma were effective in the visual outcome.