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Toy gun ocular injuries associated with festive holidays in Kuwait

Abstract

Background

Ocular trauma is one of the important causes of preventable blindness and visual impairment among children worldwide. Prevalence of pediatric ocular trauma associated with toy guns appear to be on the rise, although they are fully preventable. The purpose of this study is to report ocular trauma secondary to toy-gun pellets in Kuwait.

Methods

We conducted a non-comparative case series based on review of the medical records of children who suffered ocular injury from toy-gun pellets and were admitted to a tertiary eye center during a 7-day Eid el-Fitr holiday season in Kuwait.

Results

A total of 19 children were identified. Mean age was 7.8 years. Mean days of admission per patient was 3.6 days, with a total of 68 days of hospitalization. Variable anterior segment findings were identified, including lid edema, sub-conjunctival hemorrhage, corneal abrasion, and abnormal intraocular pressure. Most notably, different grades of hyphaema were seen in all patients, and traumatic cataract was identified in a 30-month-old child. The final visual acuity was 6/18 or better in nine patients and worse than 6/18 in eight patients.

Conclusions

Eye trauma with toy guns resulted in significant injuries that required medical intervention and hospitalization for variable lengths of time, with a potential of causing long-term ocular complications. Our findings should assist public health workers in formulating specific prevention strategies, including a health educational program to make parents and health care professionals aware of the potential harm of these toys.

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Acknowledgements

We acknowledge Dr. Suhail Doi and Dr. Lukman Thalib from the Faculty of Medicine for their critical comments. We also acknowledge Dr. Mumtaz Shukur for preparing the illustrations.

Author information

Correspondence to Manal Bouhaimed.

Additional information

The authors have full control of all primary data, and they agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review their data upon request. There is no financial interest in the subject of this work, as it was not sponsored by any organization.

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Bouhaimed, M., Alwohaib, M., Alabdulrazzaq, S. et al. Toy gun ocular injuries associated with festive holidays in Kuwait. Graefes Arch Clin Exp Ophthalmol 247, 463–467 (2009). https://doi.org/10.1007/s00417-008-0956-7

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Keywords

  • Toy guns
  • Ocular
  • Injury
  • Hyphema
  • Pellets
  • Festive season
  • Traumatic cataract
  • Pediatric age group