The pattern of ocular trauma in Kolkata & surroundings- aetiology & epidemiology
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 11
Abstract
The purpose of the study was to determine the epidemiology, aetiology and pattern of penetrating ocular trauma in Kolkata and surroundings. It was a retrospective study of patients with open globe injuries who underwent surgery from July 2015 to January 2018 at KPC Medical College & Hospital, West Bengal & RIO, Kolkata. We examined and classified the injuries based on BETTS (Birmingham eye trauma terminology system). We included 192 eyes from 192 patients. The majority of injuries occurred in young (48% patients were <16 years). 54.17% patients were male and 45.83% were female. Most common mode of trauma was Stone (52), Followed by Iron Rod or Piece (44) and Wood (32). Other causes were Cow's horn (14), Needle (12) Knife (8), Arrow (6), Sickie (6), Rubber Tube (4), Glass (2), Crackers (4), Metal Instrument (2), Bird Beak (2) and Pencil (2). The highest proportion of injuries occurred at home followed by outside. According to BETTS, 61 patients had zone 1, 29 patients - zone 2, 6 patients - zone 3 injury. Associated features were iris prolapse, hyphaema, anterior capsular rupture, lid tear and impacted foreign body. Mean period of presenting at hospital was 2.72 days. Most common visual acuity at presentation was less than 6/60 to perception of light. In our study, serious ocular trauma frequently occurred at home followed by outside and the young were particularly at risk. Most common mode of trauma was stone. Most of the injuries were limited to cornea up to limbus. More adequate adult vision and educational measures are necessary in order to reduce the prevalence of these accidents.
Authors and Affiliations
Partha Pratim Mondal, Subroto Rakshit, Kakali Sen
Keywords
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