Pediatric ocular trauma

Abstract

• Most traumatic corneal abrasions should not be patched. Topical non-steroidal anti-inflammatory drugs are helpful in reducing the associated pain. • Children with sickle cell hemoglobinopathy are at greater risk of developing optic nerve ischemia and secondary hemorrhages with traumatic hyphemas. • Vitreous hemorrhages in children can cause amblyopia and axial elongation and should be treated with a vitrectomy if the hemorrhages persist for 1 month or more. • Open globes secondary to lacerations of the cornea generally have a favorable visual prognosis whereas open globes rupturing after blunt injuries generally have an unfavorable visual prognosis. © 2009 Springer Berlin Heidelberg.