This study retrospectively analysed and summarized the age, causes, clinical characteristics, and treatment of paediatric patients with ocular trauma hospitalized at Hebei Eye Hospital and aimed to provide effective guidance for the prevention and postinjury treatment of paediatric ocular trauma. We conducted a systematic retrospective analysis of 704 paediatric patients with ocular trauma who were admitted to the Department of Ocular Trauma at Hebei Eye Hospital from January 2020 to December 2024. Patients included 550 males and 154 females aged 1–17 years, with a mean age of 9.33 ± 4.66 years. A systematic retrospective analysis was conducted on the basis of age, sex, injured eye, initial consultation time, injury location, injury cause, injury type, treatment methods, ocular complications, and visual acuity before and after treatment. The male-to-female ratio in this study was 3.57:1, with a higher prevalence in boys. The results of this study revealed that the most common location at which childhood ocular trauma occurred was at home (40.3%) and that the most common type of ocular trauma was ocular adnexal trauma, followed by open and closed ocular trauma. In this study, approximately 74.9% of the children underwent primary tissue repair and suturing within 24 h of their initial consultation, and approximately 16.6% of the children underwent secondary surgeries. Fisher’s exact test revealed that accompanying lens damage, accompanying retinal or optic nerve damage, endophthalmitis, admission vision, secondary surgery, and the type of secondary surgery were significantly ( P < 0.05). Factors for which P < 0.05 were included in a multivariate binary logistic regression model for analysis. The following factors were statistically significant in the multivariate analysis: lens damage, retinal or optic nerve damage, endophthalmitis, secondary surgery, secondary cataract surgery, and vitrectomy with intraocular lens implantation ( P < 0.05). In summary, ocular trauma in children may lead to irreversible visual impairment. Therefore, preventive measures and increased awareness regarding eye protection among parents are highly important for reducing the incidence of ocular trauma in children.
Han et al. (Tue,) studied this question.