The clinical analysis of ocular injuries by fire-works during Deepavali festival at tertiary eye care center
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 3
Abstract
Aim: The clinical analysis of ocular injuries by fireworks and assessment of their visual outcome during Diwali festival. Methods: It was a prospective study of all patients with ocular injuries by fireworks who was consulted and referred from emergency department of other hospitals to our Tertiary Eye Care Center. Data collection in form of- Age, Sex, Laterality of eye, Type of fireworks, Time of presentation after injury, Location of injuries (home/public places), Active/bystanders, Initial Best Corrected Visual Acuity (BCVA), Type of ocular injuries-classified according to BETTS (Birmingham Eye Trauma Terminology System) and Systemic injuries, Diagnosis, Best Appropriate Management and BCVA minimum at 7th day and maximum at 6th month follow-up documented Results: We studied 50 eyes of 38 patients. Injuries were more frequent in male (27, 71%); Children {<15years (23, 60%)} and Closed globe (31, 82%). Anterior segment injuries were as follow- Lid(4,8%); Cornea(23,46%); Conjunctiva(26,52%); Hyphema(9,18%); Iris damage(7,14%); Traumatic cataract(3,6%). Posterior segment injuries were Retinal detachment (6, 12%); Vitreous hemorrhage (4, 8%); Macular edema (6,12%); Choroidal rupture (2,4%). Eyes which require surgical intervention were 19-12 were anterior segments (4 lid tear,1 conjunctival tear, 3 corneal, 2 scleral, 2 corneo-scleral and 6 were Posterior segment and 1 evisceration. Only 5% used protective measures and 15.65% had done firework under observation. Conclusions: Fireworks related ocular injuries were most common in male, children and closed globe type. Timely management in form of medical and surgical intervention as and when required gave us very good visual outcome mainly in anterior segment than posterior segment injuries.
Authors and Affiliations
Vaishali A Prajapati, Gunjan P Tank, Gautam Prajapati, Abhishek Shah
Keywords
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- EP ID EP536320
- DOI 10.26611/10099237
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