CLINICAL PRESENTATION OF OCULAR BLUNT INJURIES IN A TERTIARY EYE CARE CENTRE IN SOUTH INDIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 9
Abstract
BACKGROUND The firm belief that only a severe blow to the eye will affect the vision, often results in complacency and delay in reporting to the ophthalmologist. This study is to emphasize that trivial injuries uncared for will result in severe visual deficiency. MATERIALS AND METHODS 150 cases of blunt injuries who presented to our hospital were in included in our study after applying appropriate inclusion and exclusion criteria. 42% of patients had anterior segment injuries, 20% had posterior segment injuries, 28 % had combined anterior and posterior segment injuries and 10% of them had orbital injuries. RESULTS 102 males and 42 females were included in the study. Among the anterior segment manifestations the commonest presentations were subconjunctival haemorrhage and iridocyclitis the incidence of both being 16%. Traumatic iridocyclitis was seen in 16%, iris sphincter tear was found in 15% and hyphaema was found in 14% of the patients. Iridodialysis was found in 9% and 6% of the patients developed traumatic rosette type of cataract. Subluxation or posterior dislocation of the lens or the posterior chamber intraocular lens was found in 5%. Among the posterior segment injuries, the commonest finding in our study was traumatic macular oedema (commotio retinae) which was seen in 35%. Vitreous haemorrhage was found in around 30%. 19% had retinal detachment and 11% ended in traumatic optic neuropathy. Choroidal tear and chorioretinitis sclopetaria were seen in 2% and traumatic macular hole was seen in 1% of the patients. CONCLUSION Therefore even in patients with no gross external injuries, sight threatening posterior segment injuries may occur. Therefore ophthalmic examination should be mandatory however trivial the trauma maybe.
Authors and Affiliations
Latha Hariharan, Arthi Mohankumar
Keywords
Related Articles
- EP ID EP213626
- DOI 10.18410/jebmh/2017/86
- Views 85
- Downloads 0
A STUDY ON NEONATAL SEIZURE AMONG INTENSIVE CARE ADMITTED NEWBORNS AT TERTIARY CARE CENTRE, KUPPAM
BACKGROUND Neonatal seizures typically depict a significant underlying neurological disease. The recognition of aetiology and clinical profile for neonatal seizure is often helpful with respect to prognosis and treatment...
THE EFFICACY OF THERMO SPOT IN DETECTING NEONATAL HYPOTHERMIA COMPARED TO RECTAL TEMPERATURE
Hypothermia during the newborn period is widely regarded as a major contributory factor of significant morbidity and mortality in developing countries. High prevalence of hypothermia has been reported from countries with...
RARE CASE OF DESMOID TUMOR OF URINARY BLADDER
Desmoid tumor is a benign soft tissue tumor which belongs to a family of myofibroblastic fibromatoses. Occasionally, desmoid tumors have an unusual site of occurrence. We describe a case of incisional hernia in postmenop...
EFFECTS OF LIFESTYLE MODIFICATION ON FETOMATERNAL OUTCOME IN ANTENATAL WOMEN WITH INCREASED BMI
BACKGROUND Overweight and obese women represent a significant and increasing problem encountered in obstetric practice. With most authors agreeing that overweight and obese women show increased maternal and perinatal mor...
THE SIGNIFICANCE OF SERUM C-REACTIVE PROTEIN ESTIMATION IN ACUTE MENINGITIS IN ADULTS
In the study of 50 cases of acute meningitis the following observations were made in sex incidence, age, clinical presentation, CSF analysis and serum C reactive protein levels and prognosis. Serum CRP level of less than...