Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Çocukluk Çağı Adli Nitelikli Göz Yaralanmaları: Kesitsel Araştırma
Childhood Forensic Eye Injury: Cross-Sectional Research
Ümit ŞİMŞEKa , Kenan KARBEYAZa
aEskişehir Osmangazi Üniversitesi Tıp Fakültesi, Adli Tıp ABD, Eskişehir, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2023;20(2):99-104
doi: 10.5336/forensic.2023-95400
Article Language: TR
Full Text
ÖZET
 Amaç: Çocukluk çağındaki travmatik göz yaralanmaları, görmenin tam kaybı veya az görme ile sonuçlanabilen, çocuğun tüm hayatını olumsuz etkileyebilen olaylardır. Bu çalışmada, adli makamlar tarafından ana bilim dalımıza gönderilen çocukluk çağı adli nitelikli göz yaralanması olgularının değerlendirilmesi, elde edilecek verilerin literatürle paylaşılması amaçlanmıştır. Gereç ve Yöntemler: 2012- 2021 yılları arasındaki 10 yılda değerlendirilen 69 çocukluk çağı adli nitelikli göz yaralanmalı olgu incelenmiştir. Olgular yaş, cinsiyet, olay türü, yara özellikleri ve düzenlenen adli rapor içerikleri açısından retrospektif olarak incelenmiştir. Veriler SPSS paket istatistik programı aracılığıyla değerlendirildi. Ki-kare ve yüzdelik analizler yapıldı. Bulgular: Olguların %69,6'sının erkek olduğu, yaş ortalamalarının 12,7 olduğu, %65,2'sinin kaza nedeniyle yaralandığı, yaralanmaların %63,8'inin künt nitelikte olduğu belirlendi. Olguların 38'inin (%55,1) basit tıbbi müdahale ile giderilebilir nitelikte olduğu, 7 (%10,1) olguda işlev zayıflığı olduğu belirlendi. Olguların 24'ünün (%34,8) etkili eylem (kavga, darp) sonucu yaralandığı belirlendi. Kırk beş (%65,2) olgunun kaza nedeniyle yaralandığı belirlendi. 22 (%31,9) olgunun oyun kazası veya okul bahçesi, piknik alanı, sokak gibi sosyal alanlarda olan kazalar olduğu, 14 (%20,3) olgunun trafik kazası sonucu yaralandığı, 9 (%13) olgunun ev kazası şeklinde yaralandığı belirlendi. Sonuç: Çocukluk çağı göz yaralanmalarının önlenebilir yaralanmalar olduğu, çocukların bakım ve gözetimini sağlayan kişilerin bu hususta özen göstermeleri gerektiği, göz yaralanmalarının değerlendirilmesinde, adli tıp, göz hastalıkları ve ilgili diğer uzmanların multidisipliner yaklaşımının önemli olduğu düşünülmektedir.

Anahtar Kelimeler: Göz yaralanması; çocukluk; adli
ABSTRACT
 Objective: Traumatic eye injuries in childhood are events that can result in complete loss of vision or low vision, and can negatively affect the whole life of the child. In this study, it is aimed to evaluate the childhood forensic eye injury cases sent to our department by the judicial authorities and to share the data to be obtained with the literature. Material and Methods: 69 pediatric forensic eye injuries evaluated in 10 years between 2012-2021 were examined. The cases were examined retrospectively in terms of age, gender, type of event, wound characteristics and the contents of the forensic report. The data were evaluated using the SPSS package statistics program. Chi-square and percentage analyzes were performed. Results: It was determined that 69.6% of the cases were male, their mean age was 12.7, 65.2% of them were injured due to an accident, and 63.8% of the injuries were blunt. It was determined that 38 (55.1%) cases were reversible with simple medical intervention, and functional weakness was found in 7 (10.1%) cases. It was determined that 24 (34.8%) of the cases were injured as a result of effective action (fight, assault). It was determined that 45 (65.2%) cases were injured due to accident. It was determined that 22 (31.9%) cases were due to playground accidents or accidents in social areas such as school garden, picnic area, street, 14 (20.3%) cases were injured as a result of traffic accidents, and 9 (13%) cases were injured in the form of home accidents. Conclusion: It is thought that childhood eye injuries are preventable injuries, the care and supervision of children should be careful in this regard, and the multidisciplinary approach of forensic medicine, eye diseases and other related specialists is important in the evaluation of eye injuries.

Keywords: Eye injury; childhood; forensic
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