Ocular trauma is a significant health problem in paediatric age group. This study is to evaluate the
demographics, etiology, management and visual outcome of paediatric ocular trauma in Sabah.
This is a retrospective review of all ocular trauma occurring in the paediatric age group from age
12 years old and below from January to December 2014 at Hospital Wanita Dan Kanak-Kanak,
Sabah. Medical records were reviewed and the data was examined based on Birmingham Eye
Trauma Terminology (BETT) system. Incomplete case notes were excluded from the study. A total
of 37 cases were accumulated during the study period. All the paediatric ocular trauma cases were
admitted and accounted for 13.4% of the total paediatric eye ward admission. However, 4 cases
were excluded from the study as the medical records were incomplete. There were 26(78.8%) males
while 7(21.2%) female children with a ratio male: female of 3.7: 1. There were 31(93.9%) unilateral
ocular injury cases while only 2(6.1%) bilateral injury caused by chemical injury. The most
common type of ocular trauma was closed globe injury totaling 24 (72.7%) cases. Trauma caused
by blunt object contributed to the highest mode of injury 15 (45.5%) of cases. Open globe injuries
which had poor visual outcome accounted for 9 (27.3%) cases. Most of patients required surgical
treatment 21(63.6%) while 12(36.4%) cases treated non-surgically. In conclusion, ocular trauma
was more common in male and pre-school age group. The main aetiology was blunt injury. Most
of the cases treated surgically. Poorer visual outcome was observed in open globe injury.
Dengue fever is common in the tropics and its clinical manifestations and complications are well-known. However, dengue-related ocular complications are rare. Here we present a postpartum female who complained of bilateral central scotoma, at five days after the clinical diagnosis of dengue fever. The ocular examination was suggestive of dengue maculopathy and foveolitis. She was treated with a combination of intravenous methylprednisolone and immunoglobulin. The final visual recovery was good.