DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20215043

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

Lipa Mohanty, Janki Bhayani, Abhishek Shah, Nishant Patel, Aval Patel

Abstract


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.


Keywords


Ocular trauma, Betts classification, Open globe injury, Closed globe injury, Chemical injury

Full Text:

PDF

References


Charles OO, Ericson OO, Olakunle TO, Bukola OO, Chidi OI, Olumuyiwa AA. Pattern of ocular injuries in Owo, Nigeria. J Ophthalmic Vis. 2011;6(2):114-8.

Vats S, Murthy GV, Chandra M, Gupta SK, Vashist P, Gogoi M. Epidemiological study of ocular trauma in an urban slum population in Delhi, India. Indian J Ophthalmol. 2008;56(4):313.

Cao H, Li L, Zhang M. Epidemiology of patients hospitalized for ocular trauma in the Chaoshan region of China, 2001-2010. PloS One. 2012;7(10):e48377.

Thylefors B. Epidemiological patterns of ocular trauma. Aus J Ophthalmol. 1992;20(2):95-8.

Négrel AD, Thylefors B. The global impact of eye injuries. Ophthal Epidemiol. 1998;5(3):143-69.

May DR, Kuhn FP, Morris RE, Witherspoon CD, Danis RP, Matthews GP, Mann L. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Arch Clin Exp Ophthalmol. 2000; 238(2):153-7.

El-Sebaity DM, Soliman W, Soliman AM, Fathalla AM. Pediatric eye injuries in upper Egypt. Clin Ophthalmol. 2011;5:1417.

Dhasmana R, Bahadur H, Jain K. Profile of ocular trauma in Uttarakhand, A hospital based study. Indian J Commu Health. 2012;24(4):297-303.

Alem KD, Arega DD, Weldegiorgis ST, Agaje BG, Tigneh EG. Profile of ocular trauma in patients presenting to the department of ophthalmology at Hawassa University: Retrospective study. PloS One. 2019;14(3):e0213893.

Alemayehu W, Shahin S. Epidemiology of ocular injuries. JOECSA. 2015;18(1):1599.

Jahangir T, Butt NH, Hamza U, Tayyab H, Jahangir S. Pattern of presentation and factors leading to ocular trauma. Pak J Ophthalmol. 2011;27(2):53-9.

Desai T, Vyas C, Desai S, Malli S. Pattern of ocular injuries in paediatric population in western India. NHL J Med Sci. 2013;2:37-40.

Babar T, Khan M, Marwat M, Shah S, Murad Y, Khan M. Patterns of ocular trauma. J Coll Physi Surg Pak. 2007;17(3):148-53.

Lee CH, Su W, Lee L, Yang M. Pediatric ocular trauma in Taiwan. Chang Gung Med J. 2008;31(1): 59.

Tesfaye A, Bejiga A. Ocular injuries in a rural Ethiopian community. East Afr Med J. 2008;85(12): 593-6.

Khan S, Maqbool A, Abdullah N, Keng MQ. Pattern of ocular injuries in stone pelters in Kashmir valley. Saudi J Ophthalmol. 2012;26(3):327-30.

Soliman MM, Macky TA. Pattern of ocular trauma in Egypt. Arch Clin Exp Ophthalmol. 2008;246(2):205-12.

Addisu Z. Pattern of ocular trauma seen in grarbet hospital, butajira, central ethiopia. Ethiopian J Health Develop. 2011;25(2):150-5.

Titiyal GS, Prakash C, Gupta S, Joshi V. Pattern of ocular trauma in tertiary care hospital of Kumaon Region, Uttarakhand. J Indian Acad Forensic Med. 2013;35(2):116-9.

Kuhn F, Morris R, Witherspoon CD, Mester V. The Birmingham eye trauma terminology system (BETT). J Françaisd' Ophtalmol. 2004;27(2):206-10.

Timsinha S, Kar SM, Ranjeetkar M. Pattern of Occurrence of ocular injuries and their forensic aspects. Birat J Health Sci. 2019;4(2):692-6.