Purpose
This study aimed to determine the frequency, sociodemographic profile, clinical presentation, patterns of injury, treatment and outcomes of cases of simultaneous bilateral ocular trauma.
Methods
This retrospective study was conducted from May 2015 to April 2019. The medical records of patients presenting with bilateral ocular injuries were reviewed.
Results
Among the 402 patients presenting with ocular injuries, 34 (8.46%) had simultaneous bilateral ocular trauma. The majority were male (70.59%) and the mean age was 26.82 ± 15.86 years (range: 2–70 years).Most injuries occurred away from home (64.71%), mainly in roads (32.36%) or playgrounds (14.71%), and the vast majority (91.18%) were non-occupational in nature. Mechanical injuries were most frequent (47.05%), followed by cracker (17.65%), chemical (17.65%) and thermal (11.76%) injuries. Most cases occurred due to assault (26.47%), road traffic injury(20.59%) or sports/recreational activities (17.65%). The majority of victims were not using protective devices at the time of injury (82.35%) and had associated polytrauma (58.82%).Closed and open globe injuries accounted for 29.41% and 14.71% of cases, respectively, mostly involving zones I (55.00%) and II (40.00%). Orbital fractures occurred in 27.94% of eyes. Category I and II ocular trauma scores were noted in 5.88% and 7.35% of eyes, respectively. Overall, 13.24% were blinded as a result of the trauma.
Conclusion
Simultaneous bilateral ocular trauma is rare and occurs mostly following traffic accidents, assault or recreational activities. In particular, younger males are more prone to bilateral ocular injuries, the majority of which are severe and associated with poor outcomes.