Computed Tomographic Evaluation of Orbito-Ocular Injuries in Patients with Acute Head Trauma in University of Abuja Teaching Hospital Gwagwalada.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Background: Associated orbito-ocular injuries do occasionally occur in acute head trauma patients. However there are scanty studies of patterns of orbito-ocular injuries in head trauma patient using computed tomography. Aim :To determine the prevalence and pattern of orbital- ocular injuries in patients with acute head trauma. Methods :A retrospective review of one hundred and forty-three cases of acute head trauma sent for computed tomography evaluation over a period of twelve months (July 2015-July 2016) at the University of Abuja teaching hospital Gwagwalada, (UATH) Abuja FCT,Nigeria was carried out. The computed tomographic images and results were reviewed for presence of associated orbito-ocular injuries. Demographic characteristics of the patients, and detailed information about aetiologyand the severity of the head trauma were also recorded. Results: A total of 143 patients comprising of 114(79.7%) males and 29(20.3%) females were included in the study with mean age of31.76±17.45years. Majority of the patients 44 (30.8%) were in the age group 21-30 years. 26.6% of patients with acute head trauma had ocular injuries while the remaining 73.4% were normal. Road traffic accidents (RTA) were the most predominant cause of head injury among the patients accounting for 77.6% of cases. 22.4% of patients with acute head trauma from RTA had ocular injuries accounting for the most common aetiology associated with ocular injuries. Ocular injuries were seen most in patients with moderate and severe closed head injury.Simple fracture was demonstrated in 13(9.1%) patients and was the most common orbito-ocular findings. Conclusion: The prevalence of orbito-ocular findings in acute head traumain this study was 26.6%. This study has showed the usefulness of CT in evaluation of ocular injuries associated with head trauma. Computed tomography is highly recommended as the single most informative diagnostic modality for ocular injuries.
Authors and Affiliations
Kolade-Yunusa, Hadijat O Department Of Radiology, University Of Abuja Teaching Hospital Gwagwalada, Abuja Federal Capital Territory, Nigeria.
Keywords
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- EP ID EP588801
- DOI 10.9790/0853-1601033742
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