BACKGROUND: Eye injuries are an important, preventable public health problem worldwide. It is a matter of concern for health sector strategy and rules formulations. AIM: To study the epidemiology and clinical profile of eye trauma in a tertiary care centre. SETTINGS AND DESIGN: Prospective analysis of all eye injuries presenting to the Out Patient Department of Ophthalmology and emergency and trauma centre from 1 st January 2013 to 31 st March 2013. MATERIAL AND METHOD: All patients with eye injuries were assessed by an ophthalmologist. Data on demographic profile, the type and source of injury of the patients, and clinical presentation and visual profile were documented using a uniform and validated datasheet. RESULTS: Out of total 141 cases 84.4% were male and 15.6% were females. The average age was 29.8years. The most common mode of ocular injury among adults was Road Traffic Accident (RTA). Pediatric eye trauma constituted 18.4% of total cases which mostly occurred at home. 58.9% cases arrived to our centre between 4-24 hour and 28% presented after 24 hours. Only 13.5% ocular injuries had come to seek treatment within 4 hours of trauma. Among 76 cases of RTA, none of them were using helmets and 29% were under influence of alcohol. 8.5% cases were involved in medicolegal proceedings. Majority of the cases comprised of monocular trauma (89%) although subjective visual deficit was reported in only 15% cases. Closed globe injuries constituted about 87% of total cases of which most cases presented with laceration around globe followed by ecchymosis. CONCLUSION: A preventive and educational strategy among the population with special focus on traffic rules is necessary to reduce eye injury burden. KEY WORDS: eye injuries, tertiary health centre MeSH terms: eye injuries, tertiary health centre INTRODUCTION: Eye injuries are a matter of concern worldwide. It is an important, preventable cause of ocular morbidity. As many as half a million people in the world are blind as a result of eye injuries. (1) Eye trauma may range from minute corneal abrasions or subconjunctival hemorrhage to a badly lacerated globe. It is known to be the prominent cause of monocular blindness. Reports suggest that up to 60.5% of cases of ocular injury lead to significant visual loss with higher rates among men under age of 30 years. (2) Studies indicate that one out of every 5 adults have a history of ocular trauma. (3) In pediatric group, these rates are 12% to 38%, making ocular trauma the most avoidable
Pertrochanteric fractures are of intense interest globally. Incidence has increased significantly during recent decades and this tendency will probably continue to rise in near future due to increased span of life. Before the introduction of suitable fixation devices, the treatment was predominantly conservative. This conservative approach has now fallen into disrepute because of the high complication rate , making operative management preferred treatment. The present study is undertaken to study the role of surgical management and assess its functional outcome in Pertrochanteric and subtrochanteric fracture .The study was carried out in patients treated for closed displaced pertrochanteric and subtrochanteric fractures , from Feb 2015 to Jan 2017. A total of 45 patients with closed pertrochanteric and subtrochanteric fracture were included in the study. Patients were between the age group of 24 to 76 years with 30 males and 15 females. Fractures were classified according to Boyd and Griffin and Seinsheimer's for intertrochanteric and subtrochanteric fractures respectively. Functional Outcome was evaluated according to HARRIS HIP SCORE , with mean score of 87.6. Excellent score was noted in 51.11% , Good in 31.11% , Fair in 17.7% with no poor results. Treatment goal of unstable proximal femoral fractures is stable fixation, early mobilization with least complications. This was achieved more satisfactiorily with the use of PFLCP . So, finally to conclude PFLCP represents a feasible alternative for unstable proximal femoral fractures( + osteoporosis ).
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