ANALYSIS OF MEDICO-LEGAL CASES REGISTERED AT EYE CASUALTY IN FAKHRUDDIN ALI AHMED MEDICAL COLLEGE AND HOSPITAL, BARPETA, ASSAM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 93
Abstract
BACKGROUND It is not unusual for an ophthalmologist to encounter medico-legal cases in practice. This study was conducted to analyse the clinical profile of medico-legal cases registered at the eye casualty in Fakhruddin Ali Ahmed Medical College in Barpeta, a tertiary care hospital in Assam. MATERIALS AND METHODS Descriptive study, data collected from the MLC Register. Cases were classified as per the Ocular Trauma Classification Group system. RESULTS Out of 196 patients, 166 (84.69%) were male. 60.2% of the patients were found to be in the 21-40 age group. Bilateral involvement was seen in 30 patients (15.30%). It was observed that 182 (92.85%) patients suffered mechanical trauma with ocular injury sustained by 131 (66.8%) patients and injury to the lid or orbit without damage to the globe by 51 (26.02%) patients. CGI (119 eyes) was found to be significantly higher than that of OGI (30 eyes). Of the 119 eyes that sustained CGI, the most common type of injury was Type A or contusion (78.99%). Zone I involvement was highest (82.35%). RAPD (Relative Afferent Pupillary Defect) was seen in 7 eyes (5.88%). 83 (69.7%) eyes had visual acuity in Group 1 (≥ 6/12). Of the 30 eyes that sustained OGI, 16 (53.3%) of these can be attributed to Type B injury (Penetrating). Zone II involvement was highest in 12 (40%) eyes. The presence of RAPD was detected in 11 (36.6%) eyes. 14 (46.6%) eyes had visual acuity (VA) in Group IV (hand movement to perception of light). Chemical injury was observed in 4 patients (2.04%) and malingering was found in 10 patients (5.1%). Physical assaults by the fist (51.5%) and Road Traffic Accidents (RTA) (32.65%) were the causes for trauma in maximum number of cases. CONCLUSION Ocular injury was found to be the more common form of mechanical trauma; within that, the presence of CGI was found to be significantly higher than that of OGI. With regard to zonal involvement, Zone I recorded the highest share in CGI and Zone II in OGI. In addition, contusion and penetrating accounted for the highest share in CGI and OGI cases respectively
Authors and Affiliations
Sewali Das, Mritunjay Sharma
Keywords
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- EP ID EP279365
- DOI 10.14260/jemds/2017/1454
- Views 97
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