@article{ref1,
title="Eyelid lacerations due to dog bite in children",
journal="Journal of Pediatric Ophthalmology and Strabismus",
year="2015",
author="Sadiq, Mohammad Ali A. and Corkin, Frances and Mantagos, Iason S.",
volume="52",
number="6",
pages="360-363",
abstract="PURPOSE: To evaluate the nature and extent of lacrimal apparatus injury in children after eyelid laceration from a dog bite. <br><br>METHODS: A retrospective chart review of all eyelid lacerations treated between 1990 and 2012 at Boston Children's Hospital, Boston, Massachusetts, was conducted. Seventy-three patients who sustained an eyelid laceration due to dog bite were identified and were matched 5:1 with a randomly selected cohort of 365 patients from the group of 1,177 patients who had sustained eyelid lacerations from other causes during the same time period. <br><br>RESULTS: Of the 73 patients who sustained an eyelid laceration due to a dog bite, 26 (35.62%) had damage to the lacrimal apparatus. This was statistically significant when compared to patients who sustained eyelid lacerations from other causes, in which 13 (3.56%) patients had damage to the lacrimal apparatus (P <.000001). The inferior canaliculus was the most commonly involved site of lacrimal apparatus trauma as a result of a dog bite. Success was defined as lack of epiphora at the time of the last follow-up. Early surgical management of eyelid lacerations with lacrimal apparatus involvement had a success rate of 82%. <br><br>CONCLUSIONS: Eyelid lacerations due to dog bites have a greater prevalence of involvement of the lacrimal apparatus and especially the inferior canaliculus than lacerations due to other causes in children. Clinicians should have a high index of suspicion for lacrimal apparatus involvement and be prepared for surgical repair, if indicated. [J Pediatr Ophthalmol Strabismus. 201X;X(X):XX-XX.].<p /> <p>Language: en</p>",
language="en",
issn="0191-3913",
doi="10.3928/01913913-20150901-02",
url="http://dx.doi.org/10.3928/01913913-20150901-02"
}