Prevalence of Ocular, Adnexal and Orbital Trauma at Three Areas in Different Tertiary Care Centers in Karachi.

Abstract

Purpose:To assess the prevalence of ocular, adnexal and orbital trauma resulting from various inciting agents presenting at three large centers located in different areas of Karachi, Pakistan.Method:Patients with ocular trauma were recruited at three centers over three months. Proforma was filled for every patient, and the inciting agents and prevalence of the different types of ocular damage were identified. Trauma scoring was performed according to the Ocular Trauma Score.Results:A total of 343 patients with trauma presenting at different tertiary centers, including Dow International Medical College (DIMC) 38 (11%), Jinnah Postgraduate Medical Center (JPMC) 150 (44%) and Al Ibrahim Eye Hospital/Isra Postgraduate Institute of Ophthalmology (IPIO) 155 (45%), were included. Commonest causes at IPIO were vegetative trauma, road traffic accidents at JPMC and metallic foreign bodies at DIMC (Table 5). Most of the patients fell at grade 5 of the Ocular Trauma Score. Patients with lid, conjunctival, paracentral corneal or lenticular damage retained V/A > 6/18 after medical and/or surgical treatment. However, it remained < 6/60 in those with central corneal, vitreal or retinal damage.Conclusion:This study showed that different inciting agents topped at the three centers with respect to their location, surrounding workplaces and dealing with medicolegal cases.