Ocular trauma

Abstract

Background: According to the WHO, ocular injury results in 19 million people to become unilateral blind and 1.6 million to become bilateral blind. Ocular trauma constitutes a major part of preventable blindness. The following study was done to identify the demographic profile of the patients and nature of ocular trauma for developing acceptable methods for better management and early visual rehabilitation of patients. Aim: The aim was to study various demographic patterns and manifestations of ocular injuries. Methods: This hospital-based prospective study was carried out in the Department of Ophthalmology. One hundred cases of ocular trauma were included, and written consents were obtained. A detailed history specific to age, occupation, time of injury, type of object causing injury, and socioeconomic status of the patient was obtained through prestructured pretested pro forma. A detailed ocular examination along with a systemic examination was carried out. Results: In the present study, 24% of the cases were in the age group of 40–50 years. Sixty-five percent of the population was male. Thirty-one percent of the population presented within 24 h of trauma, 61% within 3 days, and 25% presented after 7 days. Ninety-five percent of the patients had unilateral trauma and 5% had bilateral trauma. Sixty-two percent of the patients had suffered from road traffic accidents, 25% had work-related trauma, whereas, in 13% of cases, trauma was at home. Blunt objects, foreign bodies, and sharp objects were the top three causes of trauma, accounting for 26%, 23%, and 15% of trauma cases, respectively; it was found that the anterior segment was involved in 74% of cases, the posterior segment in 4% of cases, and combined injury was in 22% of the cases. Conclusion: Most of the eye injuries can be prevented by educating people on various modes of ocular trauma, the need for early treatment, and importance of wearing safety eye gear. This study highlights on the epidemiology of ocular trauma as well as various preventive strategies.

The Epidemiology of Types of Ocular Trauma in A Tertiary Center in North of Iran

“…of trauma, this was due to the fact that protective eyewear is less common among people especially those working at home. (9,12,13) To sum up, in this hospital based study, Closed globe injury was the most common types of injuries occurred between the age of 30-40 and male were most commonly susceptible. Most of the injuries are preventable which re ect the importance of using protective equipment and better awareness to lesson ocular traumas.…”

“…Pawaiya S et al reported 72 (43.6%) patients were affected in the right eye 84 (50.9%) in the left eye, and only nine patients had bilateral trauma. Wanpeng Wang also showed that (48.5%) of patients had trauma in their right eye and (49.4%) in the left eye, bilateral trauma was almost (2.1%) (9,14). Dr. Kalpana Singh et al, found that open and closed globe injuries were the most prevalent types of traumas at 48% and 49% respectively, Ekta Syal also reported that 60.5% of traumas were Closed globe injuries in consistent with our results in which conjunctiva foreign body was the common types of traumas at about 36.7%.…”