Epidemiology and Implications of Ocular Trauma Admitted to a Tertiary Care Hospital in North India

Singh, Kehar; Mutreja, Ankush; Bhattacharyya, Mainak; Dangda, Sonal

doi:10.17925/usor.2017.10.01.64

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…Final visual outcome was poor in majority of patients having vision limited to finger counting in 60%(30) cases, 30% patients has HM and 6% patients have PL (table 3).While patient with blunt injuries with only macular edema ( Figure 2) or retinal/vitreous hemorrhage showed good vision after settlement of absorption of hemorrhage and reached a vision upto 6 meter finger counting. Our findings are comparable to Kirti singh 11 who in his study of 103 patients showed a poor visual outcome (final vision <6/60) in 49.5% (51 cases) in which 48 patients had concomitant posterior segment involvement along with anterior segment.…”

Section: Discussionsupporting

confidence: 88%

“…According to BETT (Birmingham eye trauma terminology) 14 B scan or indirect ophthalmoscopic findings revealed vitreous hemorrhage to be most common (54%) finding followed by retinal detachment (24%) ( Figure 1) in patients presenting with posterior segment trauma which is comparable to Kirti singh 11 who found vitreous hemorrhage in 40% (20 cases, n=50) and retinal detachment in 32% (16 cases, n=50) of patients taking into account the data of patients involving posterior segment alone from his study.…”

Section: Discussionmentioning

confidence: 78%

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Profile of Patients Presenting with Ocular Trauma with Emphasis on Posterior Segment Involvement: An Experience from Tertiary Care Hospital from Western India

Agarwal¹,

Shastri²,

Singhal³

2018

IJCMR

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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

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 78%

Profile of Patients Presenting with Ocular Trauma with Emphasis on Posterior Segment Involvement: An Experience from Tertiary Care Hospital from Western India

Agarwal¹,

Shastri²,

Singhal³

2018

IJCMR

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“…Previous studies have reported that more ocular injuries occur in males than in females [ 2 , 14 – 16 ]. This has similarly been described in our study patients with a ratio of 2.8:1 [ 17 – 19 ].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and visual outcome of ocular trauma patients at Queen Elizabeth Central Hospital in Malawi

et al. 2021

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Background To describe the epidemiology and visual outcome of patients with ocular trauma treated at Queen Elizabeth Central hospital in Malawi. Methods A prospective, observational study was undertaken from September 2017 to December 2017. Data on socio-demographic features, aetiology of trauma, type of ocular injury pre-referral pathway and treatment of ocular trauma was collected as the exposure variables. The main outcome variable was best corrected visual acuity at 8 weeks following initial visit. Results A total of 102 patients (103 eyes) with ocular trauma were recruited with loss of follow up of 11 participants at 8 weeks following recruitment. The most affected age group were children under 11 years old (35.3%), followed by young adults of age between 21–30 years (22.5%). The male-to-female ratio for ocular injury was 2.8:1. Most participants had closed globe injuries (n = 72, 70.6%), with over half the population injured by blunt objects (n = 62, 60.8%). Furthermore, among the adult population, majority (n = 19 38%) were injured on the road during assaults (n = 24, 48%), while most paediatric injuries (n = 32, 61.5%) occurred at home during play. The incidence of monocular blindness was 25.3% at eight weeks after the first presentation. Factors that were associated with monocular blindness on multivariate analysis were living in rural areas and open globe injuries. Conclusion Ocular trauma led to monocular blindness in a quarter of the study population. There is need for preventive education of ocular injuries at both family and community level.

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“…Kumar and Vishwas [ 9 ], in their study of 60 patients, found middle-aged males (36-55 years) to be the age group with the highest incidence (43.33%). In the study by Singh et al [ 10 ] on pediatric ocular trauma in central India, the incidence was 12.8%.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study and Profile of Ocular Trauma: Findings From a Rural Hospital in Central India

Wagh¹,

Tidake²

2022

Cureus

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In this study, we aimed to examine the presence of visual damage due to ocular trauma and assess visual outcomes, and document the clinical spectrum and outcomes following ocular injuries among patients presenting to a tertiary care hospital in rural central India. MethodsThis was a hospital-based prospective interventional study conducted over a period of two years from August 2019 to August 2021. Patients with ocular injuries attending the casualty and the Ophthalmology department were included in the study after applying the inclusion and exclusion criteria. A detailed and comprehensive ophthalmic examination was performed and visual acuity was noted at the presentation and follow-ups. The patients were followed up at regular intervals, initially at one week and subsequently at three and six weeks. ResultsThe incidence of ocular trauma was highest in the age group of 31-40 years. There were only three patients aged more than 60 years; 15 were in the pediatric age group (1-20 years). The ocular trauma was highest in males (88.33%) than in females (11.67%). The majority of the patients were from rural areas (70%) and 30% were from urban areas. In this study, both eyes were equally involved. The right eye was involved in 45% of patients and the left eye was involved in 55%. Of note, 80% of the patients presented with closed globe injury, and 20% presented with open globe injury. On classifying the open and closed globe injuries into their subtypes, it was observed that the majority of the patients had lid laceration (n=43, 71.67%), followed by corneal penetration in 12 patients (20%), corneal abrasion in three patients (5%), and lid abrasion in two patients (3.33%). While 34 patients presented to the hospital with a history of road traffic accidents (56.67%), accidental trauma (by a wooden stick, hook of a blouse, bangle, etc.) was noted in 17 patients (28.33%), trauma by soil particle and hand pump in five patients (8.33%), and electrical trauma caused by the blast of capacitor in one patient (1.67%). One patient (1.67%) had sustained trauma from a piece of wood while working on the farm and two patients (3.33%) had a trauma because of assault. Thirty-four patients (66.67%) had a history of falls from bikes, and the next most common object causing trauma was a wooden piece/stick (four patients, 6.67%), followed by trauma caused by an iron particle in four patients (6.67%), trauma by stone in three patients (5%), and trauma by hand pump in two patients (3.33%). ConclusionRoad traffic accidents were the most common cause of ocular trauma in patients attending this rural hospital in central India. The ocular structures involved and types of ocular trauma play a significant role in determining the visual outcomes in these patients.

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Epidemiology and Implications of Ocular Trauma Admitted to a Tertiary Care Hospital in North India

Cited by 7 publications

References 14 publications

Profile of Patients Presenting with Ocular Trauma with Emphasis on Posterior Segment Involvement: An Experience from Tertiary Care Hospital from Western India

Profile of Patients Presenting with Ocular Trauma with Emphasis on Posterior Segment Involvement: An Experience from Tertiary Care Hospital from Western India

Characteristics and visual outcome of ocular trauma patients at Queen Elizabeth Central Hospital in Malawi

Clinical Study and Profile of Ocular Trauma: Findings From a Rural Hospital in Central India

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