Etiology of Ophthalmic Medicolegal Cases Presenting to Tertiary Care Hospital.

Amjad, Arooj; Shaheer, Muhammad; Saleem, Zubair

doi:10.29309/tpmj/2019.26.07.2631

Cited by 2 publications

(4 citation statements)

References 19 publications

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“…Similar results were reported by Baig R et al, which also reported high incidence of eye injuries among male patients in Karachi 14 . Amjad et al had also reported 65% male patients with trauma in their study 8 . In the study by Timsinha et al, 69.32% were males 13 .…”

Section: Discussionmentioning

confidence: 62%

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Visual Outcome of Ocular Trauma and its Medicolegal Interpretation in a Tertiary Care Hospital, Karachi

Rasool¹,

Shahid

Ehsan³

et al. 2020

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Objective: To evaluate the visual outcome of ocular trauma and its medicolegal interpretation in a tertiary care hospital, Karachi.Methods: This was a prospective, cross-sectional observational study conducted at Abbasi Shaheed Hospital, Karachi. Data was collected through nonprobability consecutive sampling technique. The study duration was 12 months, from 14 September 2014 to 15 September 2015. Inclusion criteria were patients of both genders aged between 18 - 60 years, presenting with ocular trauma in the outpatient department or admitted through an emergency in the department of Ophthalmology. The exclusion criterion was patients suffering from all extraocular injuries. Patients were followed up for a period of 6 months. Statistical analysis was done through SPSS version 20.0Results: There were 99 patients, with a mean age of 31.6 ± 18.5 SD years. Males were 74.7% and 82 (82.2 %) were unskilled. Closed globe injury was seen in 54 (54.5%) and the open globe in 45 (45.5%). Nine percent of the patients were assault cases and 90.9% cases were accidental. The corneal injury was seen in 43 (71.6%) and scleral injury in 5 (8.3%) of the patients. At the time of trauma 39.4% of patients presented with 6/60 visual acuity, in the early post-op period 50.5% were 6/6, whereas at six-month follow-up 90.9% patients were with 6/6 visual acuity. Wilcoxon Signed Ranks Test showed P-value less than 0.01.Conclusion: It was concluded that the major outcome of ocular trauma was impaired visual acuity, which improved significantly on regular follow-ups. Medicolegal interpretation of ocular trauma is imperative and should be accounted for properly. It should be exercised by the medicolegal officer, to not give the final report before at least 6 months of follow-up in case of poor visual outcome. Moreover, educate the person to demand compensation during this period.

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Section: Discussionmentioning

confidence: 62%

“…They presents at varying time interval of the trauma, which may be weeks or days. It is the duty of a designated doctor to ascertain realistic and actual assessment of injuries by a careful history and thorough examination 8 .…”

Section: Introductionmentioning

confidence: 99%

Visual Outcome of Ocular Trauma and its Medicolegal Interpretation in a Tertiary Care Hospital, Karachi

Rasool¹,

Shahid

Ehsan³

et al. 2020

ashkmdc

View full text Add to dashboard Cite

show abstract

“…It becomes the liability of the reporting doctor to make realistic and accurate assessment of injuries by careful history and thorough examination. [ 7 ] In circumstance of COVID era, restriction of public transport and fear of getting infected with serious illness are possible factors of presenting late for medicolegal implication. Accurate description, interpretation, and documentation of injuries are most important function of attending doctor to ensure patient gets every opportunity to maximize legal and health-care outcome.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 ] Patients with medicolegal implications come to an ophthalmologist for examination at varying time intervals of trauma infliction. [ 7 ] This requires a careful history and thorough examination to ascertain the actual and realistic estimation of injuries. [ 8 ] These patients may feign injuries to deliberately mislead the doctor to make a wrong diagnosis for compensation purposes.…”

Section: Introductionmentioning

confidence: 99%

An unusual rise in cases of assault in ophthalmic practice during COVID-19 lockdown in a tertiary care hospital

Shahid

Fasih

Taqi

et al. 2022

Oman Journal of Ophthalmology

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OBJECTIVE: The objective of the study is to report an unusual rise in cases of assault with ocular injury and their medicolegal implications presenting in an eye department of a tertiary care hospital during COVID-19 lockdown. MATERIALS AND METHODS: A retrospective, observational case series was conducted in the Department of Ophthalmology, Abbasi Shaheed Hospital, Karachi. Data were retrieved from the medicolegal records of the patients from April 1, 2019, to July 31, 2019, and similar months in 2020. We included all the patients of assault with ocular injury as alleged, registered as medicolegal cases. Patients with accidental injuries were excluded from the study. RESULTS: There was 34.3% increase in cases of assault with ocular injury as alleged with 72.35% reduction in the outpatient department patients. The ratio of cases of assault in 2019 and 2020 is 1:4.62. The mean age of the patients in the lockdown year was 33.74 ± 11.9 standard deviation (SD) and in preCOVID year 2019 was 39.74 ± 15.9 SD. Blunt trauma was experienced by 57 (66.3%) and penetrating injury in 2 (2.3%) patients. Sixteen (18.6%) patients had no ocular involvement. Home was the place of assault in 32 (37.2%) and street in 27 (31.4%) individuals. Fist was the source of assault in 46 (53.3%) and rod or stick in 15 (17.4%) individuals. CONCLUSION: There is a fourfold increase in patients of assault during 4 months of COVID-19 lockdown in 2020 as compared to the same time period in 2019. Most of these patients were young age, male gender, and uneducated. The most common place of incident was home, and fist was the most common source of infliction. Most of the injuries were superficial and had minimum effect on visual acuity.

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Etiology of Ophthalmic Medicolegal Cases Presenting to Tertiary Care Hospital.

Cited by 2 publications

References 19 publications

Visual Outcome of Ocular Trauma and its Medicolegal Interpretation in a Tertiary Care Hospital, Karachi

Visual Outcome of Ocular Trauma and its Medicolegal Interpretation in a Tertiary Care Hospital, Karachi

An unusual rise in cases of assault in ophthalmic practice during COVID-19 lockdown in a tertiary care hospital

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