Absztrakt
Background: Eye injuries cause significant ocular morbidity in general ophthalmic practice, and reports, suggest that majority of these injuries occur at home. Eye injuries within the home may result from accidental and non-accidental injury. While accidental ocular trauma is well recognized and often promptly reported, non-accidental ocular trauma may be harder to identify. Non-accidental domestic eye injuries often result from interpersonal violence within the home; otherwise known as “family violence”. Corporal punishment, a common practice in the African setting, accounts for a significant number of non-accidental domestic eye injuries.
Aim: This article seeks to draw attention to interpersonal violence within the home, as an important cause of avoidable ocular injuries and to sensitize physicians, to the need for multidisciplinary management and social intervention.
Methods: This was a five-year review of eye injuries that occurred at home. Cases resulting from nonaccidental injury inflicted by a relative or family member were included. Demographic data regarding the injured cases, and their assailants, was collected. Ocular presentation, presenting visual acuities, and final visual outcomes were analyzed.
Results: One hundred thirty-eight eye injuries were reviewed. Of these, 57.2% (79/ 138) occurred at home. Interpersonal violence, accounted for 16 out of the 79 domestic eye injuries, comprising 5 males and 11 females. Nearly half (7/16) of the injuries, resulted from corporal punishment. Patients were aged 10-45 years (mean 23.8 years). Patients presented, on average, 5.5 days post-injury. Visual outcome was generally poor.
Conclusion: Spousal and child abuse are under-recognized causes of eye injuries in the home.
Keywords: Violence, Home, Eye injuries, avoidable blindness, corporal punishment, child abuse
Résumé
Contexte: Les lésions oculaires causent une morbidité oculaire importante dans la pratique ophtalmologique générale, et les rapports suggèrent que la majorité de ces blessures se produisent à la maison. Les lésions oculaires dans la maison peuvent résulter de blessures accidentelles et non accidentelles. Tandis que le traumatisme oculaire accidentel est bien reconnu et souvent signalé rapidement, le traumatisme oculaire non accidentel peut être plus difficile à identifier. Les lésions oculaires domestiques non accidentelles résultent souvent de la violence interpersonnelle à l’intérieur du foyer; autrement connu sous le nom de “violence familiale”. Le châtiment corporel, une pratique courante dans le milieu africain, représente un nombre important de blessures oculaires domestiques non accidentelles.
Objectif: Cet article cherche à attirer l’attention sur la violence interpersonnelle au foyer, comme une caus importante de blessures oculaires évitables et pour sensibiliser les médecins, à la nécessité d’une gestion multidisciplinaire et d’une intervention sociale.
Méthodes: Il s’agissait d’un examen quinquennal de lésions oculaires survenues à la maison. Les cas résultant d’une blessure non accidentelle infligée par un parent ou un membre de la famille ont été inclus. Les données démographiques concernant les cas blessés et leurs agresseurs ont été recueillies. La présentation oculaire, la présentation de l’acuité visuelle et les résultats visuels finaux ont été analysés.
Résultats: Cent trente-huit blessures des yeux ont été examinées. Parmi ceux-ci, 57,2% (79/138) se sont produits à la maison. La violence interpersonnelle représentait 16 des 79 blessés dentaires domestiques, dont 5 hommes et 11 femmes. Près de la moitié (7/16) des blessures ont résulté de châtiments corporels. Les patients étaient âgés de 10 à 45 ans (moyenne de 23,8 ans). Les patients ont présenté, en moyenne, 5,5 jours après la blessure. Le résultat visuel était généralement médiocre.
Conclusion: La violence faite au conjoint et aux enfants sont des causes insuffisamment reconnues des lésions oculaires dans la maison.
Mots-clés: Violence, Maison, Lésions oculaires, aveuglement évitable, châtiment corporel, maltraitance des enfants
Correspondence: Dr. Olufunmilola A, Ogun, Department of Ophathmology, College of Medicine, University of Ibadan, Ibadan, Nigeria. Email: Olufunmiogun@gmail.com
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