Profile of Patients Presenting with Ocular Trauma with Emphasis on Posterior Segment Involvement: An Experience from Tertiary Care Hospital from Western India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Human body with its constant activity is always prone to injuries. Ocular trauma may occur in isolation or with multisystem involvement. Trauma affecting posterior segment of eye is always taken as emergency because of late manifestation and may lead to blindness. Ocular trauma is considered as neglected disorder. Best treatment of ocular trauma is prevention itself. The aim of the study was to study profile of patients presenting with ocular trauma and to calculate the ratio of involvement of posterior segment and to study complications in ocular trauma patients involving posterior segment Material and Methods: It is a prospective study done at Department of Ophthalmology in a tertiary care hospital from western India during 24 months extending from January 2008 to December 2009. The study includes a total of 50 patients attending eye OPD with a history of ocular trauma. Results: Out of 50 cases studied most of the cases (40%) were in 11-20 years age group with majority presenting from urban area (94%). 96% of cases came to hospital within 24 hours of injury. About 64% patients had left eye involvement. Injury by metallic object was the commonest cause (36%). According to BETT, 58% cases suffered closed globe injury and 42% cases suffered open globe injury with grade IV involvement. B scan revealed vitreous hemorrhage to be most common finding (54% cases) for which vitrectomy was performed after 1 week in open globe type injury and wait and watch policy for three months was followed in blunt trauma type injury. Final visual outcome was poor in majority of patients having vision limited to finger counting in majority (60%) cases. Conclusion: Ocular trauma is a preventable cause of ocular morbidity. Early intervention is associated with good visual acuity in cases affecting purely anterior segment. However with posterior segment involvement long term prognosis remains feeble
Authors and Affiliations
Garima Agarwal, Manisha Shastri, Deepika Singhal
Keywords
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