Pattern of Occurrence of Ocular Injuries and their Forensic Aspects

Timsinha, Sidarth; Kar, Suvarna Manjari; Ranjeetkar, Malshree

doi:10.3126/bjhs.v4i2.25437

Cited by 2 publications

(7 citation statements)

References 9 publications

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“…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 . Globally male gender is reported to be more vulnerable for ocular injuries.…”

Section: Discussionmentioning

confidence: 87%

“…Amjad at al had reported that 32.5% of their patients were between 21 to 30 years of age8. Study published in Nepal had reported that 26.30% patients were between 21-30 years of age 13 . In our study, 57.6% patients were between 18-25 years of age.…”

Section: Discussionmentioning

confidence: 96%

“…Young age individuals are more prone to mishaps at work places and road traffic accidents due to their social and adventurous activities. However, ocular injuries in this young age group cause great economic loss as it is the most productive age group economically 13 .…”

Section: Discussionmentioning

confidence: 99%

“…This is explained by increase outdoor, occupational and sports activities of males along with risky adventure seeking behaviour. All of these factors carry a high risk of injuries in men 13 . In a study by Baig R et al, majority of males had experienced facial and ocular trauma in road traffic accidents in Karachi 14 .…”

Section: Discussionmentioning

confidence: 99%

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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

ashkmdc

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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: 87%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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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

ashkmdc

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“…Timsinha et al in their study reported that cornea was affected most commonly in 47.81% trauma cases while 31.87% cases had abnormal findings in conjunctiva 21. Open globe injuries were related to worse BCVA at presentation in comparison with closed globe injuries (p=0.001).…”

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confidence: 89%

Clinical profile of ocular trauma in a tertiary care hospital of Southern Rajasthan

et al. 2021

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Background: Ocular trauma is a major cause of preventable visual impairment and blindness leading to permanent loss of vision and deterioration of quality of life. 90% of the injuries are preventable. Aim of the current study was to study the clinical profile of patients with ocular trauma at a tertiary care hospital in Southern Rajasthan. Current study was a cross- sectional, observational study was conducted at Geetanjali medical college and hospital, Udaipur.Methods: After taking a well-informed consent a generalized detailed history of 108 cases (123 injured eyes) was obtained. Assessment of best corrected visual acuity, near vision, intraocular pressure, slit-lamp evaluation and dilated fundus examination was carried out. Then injury was classified as per BETTS classification. Patients with corneal foreign bodies and chemical injuries were recorded separately. Imaging modalities like ultrasound B-scan, CT-scan and MRI were employed wherever required. Results: Number of males (98) was much higher than females (9) in our study. Male: female ratio was found to be 10.8:1. The most commonly affected age group was 21-30 years, this highlights the alarmingly high incidence of ocular injuries in economically active young males. Farming is the primary occupation across India, hence it deserves a special mention. 22% of injury cases in our study were farm- work related injuries. Farmers need to be educated and provided eye protective equipment during high-risk activities. Laws regarding agricultural code of practice should be implemented and followed.Conclusions: In our study, not a single case out of 108 had used eye protection at the time of injury. Every effort should be made to create awareness regarding use of safety measures during driving and engaging in high-risk occupations. This will help prevent sight-threatening complications of ocular trauma and the deleterious impact on quality of life.

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Pattern of Occurrence of Ocular Injuries and their Forensic Aspects

Cited by 2 publications

References 9 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

Clinical profile of ocular trauma in a tertiary care hospital of Southern Rajasthan

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