CLINICAL PATTERN AND VISUAL OUTCOME IN OCULAR INJURIES AT 6 MONTHS FOLLOWING ROAD TRAFFIC ACCIDENTS- A PROSPECTIVE FOLLOW UP STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 22
Abstract
BACKGROUND The history of ocular injuries began when primitive men fought with another, hunted their prey for food or first chipped a stone to make his primitive tool. However, in modern times, the scenario has been widened to include occupational, industrial, domestic accidents, as also vehicular accident. The ever increasing number of vehicles on road has ensured that injuries due to the latter cause is on the rise. Eye injuries often resulting in some visual loss, create economic loss both to victim and society. Although, RTA is not the major cause of ocular injuries. Many such injuries that do occur are preventable by the use of safety measures. MATERIALS AND METHODS Prospective case series of 235 patients who sustained road traffic accidents and admitted in medical college, Trivandrum, were followed up for one year to assess the clinical pattern of ophthalmic injuries and the change in visual outcome. RESULTS The commonest group were young males in 31 to 40 years riding two wheelers. A significant number of them were not using helmets. Most RTA occurred at night when wakefulness is less and alcohol abuse is more. Periorbital oedema and subconjunctival haemorrhage was the commonest finding either as isolated or associated with severe ocular injuries. Lid lacerations in 17 eyes, corneal full thickness wound with iris prolapse in 6 eyes, lenticular involvement in 25 eyes and hyphaema in 16 eyes were the significant anterior segment presentations. 53 eyes had posterior segment involvement in the form of vitreous haemorrhage, traumatic optic neuropathy (6), Berlin oedema (14), retinal detachment (5), choroidal rupture (6), orbital and midfacial fracture were seen in 30 eyes with orbital floor fracture being the commonest. CONCLUSION The incidence of RTA is on the rise. The higher incidence of trauma in men is due to the fact that they are more exposed to two wheeler use, highway traffic, night traffic and use of alcohol. Strict adherence to traffic rules, better road conditions and use of public transport systems to reduce the traffic helps in preventing accidents. Use of first aids and tertiary centres to treat accidents primarily and message of early treatment leading to better outcome should be spread among public.
Authors and Affiliations
Anitha S, Anulekshmy C. G
Keywords
Related Articles
- EP ID EP215250
- DOI 10.18410/jebmh/2017/249
- Views 85
- Downloads 0
CARDIAC MYXOMA- A STUDY OF 10 CASES
BACKGROUND Myxoma is the most common primary tumour of the heart in adults with age range of 30 to 60 years. About 90% of them are situated in left atrium. Here we present a study of 10 cases of cardiac myxomas. MATERIAL...
CORONARY ARTERY DISEASE IN INDIAN WOMEN
BACKGROUND Cardiovascular disease is the leading cause of death among women regardless of race or ethnicity accounting for deaths of 1 in 3 women. The aim of the study is to identify the important risk factors contributi...
A SURGICAL AUDIT ON ILEOSTOMY- FROM CREATION TO CLOSURE
BACKGROUND Temporary ileostomies are commonly used forms of faecal diversion. We wanted to study the various indications, complications, morbidity and mortality of ileostomy. METHODS An analysis was performed of all pati...
FINE-NEEDLE ASPIRATION CYTOLOGY OF EPIDIDYMAL LESIONS- AN AUDIT FROM TERTIARY CARE TEACHING HOSPITAL OF EASTERN NEPAL
BACKGROUND Fine-Needle Aspiration Cytology (FNAC) is a rapid, easily available technique for evaluation of nodular lesions of the epididymis and plays a prime role in the diagnosis of tubercular epididymitis and epididym...
THE STUDY OF MICRONUCLUES INDEX IN PATIENTS PRESENTING WITH MALIGNANT LESIONS
Micronucleus is the nucleus that expresses the genotypic alterations caused in the process of malignancy. It is characteristically seen in exfoliated epithelial cells like Buccal Mucosa and urinary bladder wall during pr...