Indirect optic nerve injury in two-wheeler riders in northeast India

Bhattacharjee, Harsha; Bhattacharjee, Kasturi; Jain, Lokesh; Sarma, Gitumoni; Sarma, Angshuman Sen; Medhi, Jnanankar; Das, Dipankar; Buragohain, Sanjoy Kr

doi:10.4103/0301-4738.43367

Cited by 37 publications

(32 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four eyes were having orbital wall fractures, two eyes with orbital floor fracture, one eye with medial wall fracture and one with both medial wall and floor fracture. Our study was comparable with a study of indirect optic nerve injury in two-wheeler riders in North-East India by Harsha Bhattacharjee et al 7 Two eyes of 2 patients presented with traumatic oculomotor nerve palsy with pupillary involvement. Both patients presented with ptosis, anisocoria and ophthalmoplegia.…”

Section: Posterior Segment Involvementsupporting

confidence: 91%

Clinical Pattern and Visual Outcome in Ocular Injuries at 6 Months Following Road Traffic Accidents- A Prospective Follow Up Study

Anitha¹,

C.G²

2017

jebmh

View full text Add to dashboard Cite

BACKGROUND The history of ocular injuries began when primitive men fought with another, hunted their prey for food or first chipped a stone to make his primitive tool. However, in modern times, the scenario has been widened to include occupational, industrial, domestic accidents, as also vehicular accident. The ever increasing number of vehicles on road has ensured that injuries due to the latter cause is on the rise. Eye injuries often resulting in some visual loss, create economic loss both to victim and society. Although, RTA is not the major cause of ocular injuries. Many such injuries that do occur are preventable by the use of safety measures. MATERIALS AND METHODS Prospective case series of 235 patients who sustained road traffic accidents and admitted in medical college, Trivandrum, were followed up for one year to assess the clinical pattern of ophthalmic injuries and the change in visual outcome. RESULTS The commonest group were young males in 31 to 40 years riding two wheelers. A significant number of them were not using helmets. Most RTA occurred at night when wakefulness is less and alcohol abuse is more. Periorbital oedema and subconjunctival haemorrhage was the commonest finding either as isolated or associated with severe ocular injuries. Lid lacerations in 17 eyes, corneal full thickness wound with iris prolapse in 6 eyes, lenticular involvement in 25 eyes and hyphaema in 16 eyes were the significant anterior segment presentations. 53 eyes had posterior segment involvement in the form of vitreous haemorrhage, traumatic optic neuropathy (6), Berlin oedema (14), retinal detachment (5), choroidal rupture (6), orbital and midfacial fracture were seen in 30 eyes with orbital floor fracture being the commonest. CONCLUSION The incidence of RTA is on the rise. The higher incidence of trauma in men is due to the fact that they are more exposed to two wheeler use, highway traffic, night traffic and use of alcohol. Strict adherence to traffic rules, better road conditions and use of public transport systems to reduce the traffic helps in preventing accidents. Use of first aids and tertiary centres to treat accidents primarily and message of early treatment leading to better outcome should be spread among public.

show abstract

Section: Posterior Segment Involvementsupporting

confidence: 91%

Clinical Pattern and Visual Outcome in Ocular Injuries at 6 Months Following Road Traffic Accidents- A Prospective Follow Up Study

Anitha¹,

C.G²

2017

jebmh

View full text Add to dashboard Cite

show abstract

“…1–6 Unlike in most developed (OECD) nations where cases of congenital cataracts are treated within a few months of birth, children with this condition in the developing world often go untreated for several years. Lack of awareness, access and monetary resources deprive many blind children of corrective surgery.…”

Section: Introductionmentioning

confidence: 99%

Results of late surgical intervention in children with early-onset bilateral cataracts

et al. 2014

View full text Add to dashboard Cite

Background Cataracts are a major cause of childhood blindness globally. Although surgically treatable, it is unclear whether children would benefit from such interventions beyond the first few years of life, which are believed to constitute `critical' periods for visual development. Aims To study visual acuity outcomes after late treatment of early-onset cataracts and also to determine whether there are longitudinal changes in postoperative acuity. Methods We identified 53 children with dense cataracts with an onset within the first half-year after birth through a survey of over 20 000 rural children in India. All had accompanying nystagmus and were older than 8 years of age at the time of treatment. They underwent bilateral cataract surgery and intraocular lens implantation. We then assessed their best-corrected visual acuity 6 weeks and 6 months after surgery. Results 48 children from the pool of 53 showed improvement in their visual acuity after surgery. Our longitudinal assessments demonstrated further improvements in visual acuity for the majority of these children proceeding from the 6-week to 6-month assessment. Interestingly, older children in our subject pool did not differ significantly from the younger ones in the extent of improvement they exhibit. Conclusions and relevance Our results demonstrate that not only can significant vision be acquired until late in childhood, but that neural processes underlying even basic aspects of vision like resolution acuity remain malleable until at least adolescence. These data argue for the provision of cataract treatment to all children, irrespective of their age.

show abstract

“…[ 2 ] Although BL in children is relatively uncommon, this age group is also considered a priority as severe visual loss in children can affect their development, mobility, education, and employment opportunities, which can have far reaching implications on the quality-of-life of children and affected families. [ 3 4 ]…”

mentioning

confidence: 99%

Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment

Bhalerao

Tandon

Singh

et al. 2015

Indian J Ophthalmol

View full text Add to dashboard Cite

Background/Aims:Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular morbidity in the blind schools in Allahabad and in its vicinity.Study Design and Setting:A cross-sectional study was carried out in all the four blind schools in Allahabad and its vicinity.Materials and Methods:The students in the blind schools visited were included in the study and informed consents from parents were obtained. Relevant ocular history and basic ocular examinations were carried out on the students of the blind schools.Results:A total of 90 students were examined in four schools of the blind in Allahabad and in the vicinity. The main causes of severe visual impairment and BL in the better eye of students were microphthalmos (34.44%), corneal scar (22.23%), anophthalmos (14.45%), pseudophakia (6.67%), optic nerve atrophy (6.67%), buphthalmos/glaucoma (3.33%), cryptophthalmos (2.22%), staphyloma (2.22%), cataract (2.22%), retinal dystrophy (2.22%), aphakia (1.11%), coloboma (1.11%), retinal detachment (1.11%), etc. Of these, 22 (24.44%) students had preventable causes of BL and another 12 (13.33%) students had treatable causes of BL.Conclusion:It was found that hereditary diseases, corneal scar, glaucoma and cataract were the prominent causes of BL among the students of blind schools. Almost 38% of the students had preventable or treatable causes, indicating the need of genetical counseling and focused intervention.

show abstract

Indirect optic nerve injury in two-wheeler riders in northeast India

Cited by 37 publications

References 11 publications

Clinical Pattern and Visual Outcome in Ocular Injuries at 6 Months Following Road Traffic Accidents- A Prospective Follow Up Study

Clinical Pattern and Visual Outcome in Ocular Injuries at 6 Months Following Road Traffic Accidents- A Prospective Follow Up Study

Results of late surgical intervention in children with early-onset bilateral cataracts

Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment

Contact Info

Product

Resources

About