Pattern of Chemical Ocular Injury: A Clinical Study

Das, Subrata K.; Kabir, Md. Firoz; Das, Joyabrata; Hannan, Ahmed Abdul; Chowdhury, Md. Wazed; Anwar, Saiem Mohd Nurul; Mothey, Rajib

doi:10.3329/cmoshmcj.v13i1.19418

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Nevertheless, 3 eyes (8.8%) had visual acuities between 6/24 and 3/60, and one eye had visual acuity above this range<3/60. This was in agreement with the study of Subrata Das et al [7] At 3 months follow-up, Subrata Das et al [7] found that the majority of patients had best corrected visual acuity in the range of 6/12 -6/24 (56%). Most of the injuries were minor and so 20% of patients had visual acuity better than 6/9.…”

Section: Discussionsupporting

confidence: 91%

“…Males were more likely to sustain chemical injuries than females were, with a ratio of 3.90:1 found both in our study and by other investigators. [7,8,9] In the current study, As per the Roper Hall Classification, most of the eyes sustained grade II chemical injury at 36% (30 eyes); followed by grade IV at 26%: grade III was 20%, and grade I was 18%. In their study, Kuckelkorn et al [4]found that 42% of the cases were Grade I while Midelfart et al [10] found that 49% of chemical injuries were Grade I and 28% Grade II.…”

Section: Discussionmentioning

confidence: 52%

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Visual Outcomes & Associated Factors in Patients with Chemical Injury in a Tertiary Eye Care Hospital in Bangladesh

Rahman,

Shahid,

Alam

et al. 2023

J. Natl. Inst. Ophthalmol

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Purpose: To study the clinical profile & visual outcome of ocular chemical injuries. Methods: This observational retrospective study was performed on 50 patients with chemical injuries attending in cornea clinic from January 2022 to December 2022 in a tertiary Eye Institute & Hospital in Bangladesh. A detailed history of the patients and history of presenting complaints was taken. An ocular examination was performed. Visual acuity was recorded by using Snellen’s test-type Chart. A thorough examination was carried out on slit-lamp, direct & indirect ophthalmoscopes. Clinical grading was done by Roper Hall Classification. Other’s ocular investigations were done when required. Results: In the present study, 50 patients were included of which 60% (30) were male and 40% (20) were females. In the present study, 11-20 years of age patients are 18(36%) & 0-10 years of age are 12(24%).Most of the cases were day labor 16(32%), followed by students12( 24%) ,housewife 4(8%) & others are 18 (36%). As per the Roper Hall Classification, most of the eyes sustained grade II chemical injury at 36% (30 eyes); followed by grade IV at 26%: grade III was 20%, and grade I was 18%. The visual acuity at presentation, 17(34%) patients had visual acuity 6/12- 6/24. On the other hand, 14(28%) have a counting finger. Visual acuity at the final follow-up, 19(38%) patients had visual acuity 6/12- 6/24. On the other hand, 16(32%) had a counting finger. The management of chemical injury, AMG + BCL was done on 54% of patients & conservative management was done on 32% of patients. Conclusion: The incidence was more in the younger working population, with a majority of injuries occurring in less than 30 years of age. The severity of chemical burn belonging to grade II and grade IV injuries. Henceforth the visual outcome was better and complications were much less after immediate management. Saline wash & Amniotic membrane Grafting(AMG) with fresh amniotic membrane increases patient comfort and reduces inflammation. Public health initiatives are critical to prevent chemical injuries in mitigating the poor visual prognosis. J.Natl.Inst.Ophthalmol.2023;6(1): 27-31

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 52%

Visual Outcomes & Associated Factors in Patients with Chemical Injury in a Tertiary Eye Care Hospital in Bangladesh

Rahman,

Shahid,

Alam

et al. 2023

J. Natl. Inst. Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Still, 3 eyes (8.8%) had their visual acuity in the range of 6/24 -3/60 and one eye had visual acuity <3/60. This was in agreement with the study of Subrata Das et al 7. At 3 months follow up, Subrata Das et al found that majority of patients had best corrected visual acuity in the range of 6/12 -6/24 (56%).…”

Section: Discussionsupporting

confidence: 82%

Visual Outcome and Complications in Patients with Ocular Chemical Injuries

Mathew¹

2017

jmscr

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An evaluation of visual outcome of corneal injuries in a tertiary care hospital

Premchander¹,

Channabasappa²,

Balakrishna³

et al. 2019

Int J Clin Exp Ophthalmol

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Background: Corneal injuries are signifi cant contributors to blindness. Cornea being the most anterior structure of eye is exposed to various hazards like airborne debris and blunt trauma. By understanding different types of injuries to which cornea is exposed, the practitioner maybe more capable in managing injuries to minimise structural and visual sequelae. Objectives: To study various patterns of corneal injuries and its visual outcome among patients of ocular trauma in a tertiary care hospital. Methods: Study of 100 cases of corneal injuries wherein patients were treated according to injury type and followed up for 4 months. Results: Majority of patients belonged to working population between age groups 21-65 years. Most patients suffered from corneal abrasions while the least common were perforating and lacerating injuries. Alkali injuries were more common than acid injuries. Most patient presented within 24 hours and had only epithelial defects. Therefore, the number of patients receiving conservative management was higher than those receiving surgical intervention. Conclusion: Most common causes of blindness and low vision in our study was full thickness corneal laceration and corneal abrasions, foreign body injuries affecting the pupillary area and involving anterior or mid stroma causing nebular or macular grade opacities hampering vision.

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Pattern of Chemical Ocular Injury: A Clinical Study

Cited by 3 publications

References 8 publications

Visual Outcomes & Associated Factors in Patients with Chemical Injury in a Tertiary Eye Care Hospital in Bangladesh

Visual Outcomes & Associated Factors in Patients with Chemical Injury in a Tertiary Eye Care Hospital in Bangladesh

Visual Outcome and Complications in Patients with Ocular Chemical Injuries

An evaluation of visual outcome of corneal injuries in a tertiary care hospital

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