Epidemiology, types and clinical features of cases of ocular injuries attending a tertiary care teaching hospital of Eastern India
DOI:
https://doi.org/10.18203/2349-2902.isj20180833Keywords:
Blindness, Eye injury, Ocular trauma, Open globe and closed globe, Visual deficitAbstract
Background: Ocular trauma is one of the main causes of severe ocular morbidity. The goals of this study were to describe epidemiology, causations, clinical features of ocular trauma, to analyse visual outcomes of ocular trauma.
Methods: The patient was enquired about the time of occurrence of the injury, place, types of injury inflicted, any prior trauma or surgery, any treatment received before attending to the hospital. Visual acuity of each eye was recorded by using Snellen’s chart. In patients with poor vision gross assessment was done by counting fingers at specific distance, hand movements, perception of light present or not, projection of rays- accurate or not. Ocular motility testing was done in all patients.
Results: Patients suffering from ocular injuries in one or both eyes, were examined clinically at the eye department of R G Kar Medical College and Hospitals, Kolkata, from December 2011 through August 2012. Approximate 757 persons had injury in one eye and 100 had injuries in both eyes (totalling 957 eyes with injuries in 857 patients). Males, 640 (74.7%) had more number of injuries than females 217 (25.3%) and injury was more common between 21 and 50 years of age groups in both sexes.
Conclusions: A significant burden of ocular trauma in the community requires that its prevention and early management be a public health priority.
References
Sorsby A. Modern Ophthalmology, injury. 2nd Edition. London, Butterworth; 1972:429.
McGwin G Jr, Hall TA, Xie A, Owsley C. Trends in eye injury in the United States, 1992-2001. Invest Ophthalmol Vis Sci. 2006;47(2):521-7.
Desai P, MacEwen CJ, Baines P, Minassian DC. Epidemiology and implications of ocular trauma admitted to hospital in Scotland. J Epidemiol Community Health. 1996;50(4):436-41.
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):313-6.
Jethani J, Vijayalakshmi P. Child: Eye Injuries/causes/prevention and control, Public Health, Health Education, India. Community Eye Health J Indian Supplement. 2005;18(53):58-60.
Ranjan A, Islam MN, Saha M. Causes and Clinical Profile of Cases of Ocular Trauma Attending a Tertiary Medical Center. Int J Sci Stud. 2017;5(3):134-8.
Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. A standardized classification of ocular trauma. Ophthalmol.1996;103(2):240-3.
Loon SC, Tay WT, Saw SM, Wang JJ, Wong TY. Prevalence and risk factors of ocular trauma in an urban South-East Asian population: The Singapore Malay Eye Study. Clin Exp Ophthalmol. 2009;37:362-7.
Nirmalan PK, Katz J, Tielsch JM, Robin AL, Thulasiraj RD, Krishnadas R, et al. Ocular trauma in a rural South Indian population. The Aravind Comprehensive eye survey. Ophthalmol. 2004;111:1771-81.
Krishnaiah S, Nirmalan PK, Shamanna BR, Srinivas M, Rao GN, Thomas R. Ocular trauma in a rural population of southern India: the Andhra Pradesh Eye Disease Study. Ophthalmol. 2006;113(7):1159-64.
Wong TY, Tielsch JM. A population-based study on the incidence of severe ocular trauma in Singapore. AM J Ophthalmol. 1999;128:345-51.
Chua D, Wong W, Lamoureux EL, Aung T, Saw SM, Wong TY. The prevalence and risk factors of ocular trauma: the Singapore Indian eye study. Ophthalmic Epidemiol. 2011;18(6):281-7.
Srinivasan M, Mathen MM, Prajna NV. Risk factors, agents involved and visual outcome of penetrating injuries of the eye. All India Ophthalmological Society Conference proceedings. 2001;426-7.
Arya SK, Malhotra S, Dhir SP, Sood S. Ocular Fireworks Injuries: Clinical Features and Visual Outcome. Indian J Ophthalmol. 2001;49:189-90.
Liggett PE, Pince KJ, Barlow W, Ragen M, Ryan SJ. Ocular trauma in an urban population. Review of 1132 cases. Ophthalmol. 1990;97(5):581-84.
Mukherjee AK, Saini JS, Dabral SM. A profile of penetrating eye injuries. Indian J Ophthalmol. 1984;32:269-71.
Rapoport I, Romem M, Kinek M, Koval R, Teller J, Belkin M, et al. Eye injuries in children in Israel, A national collaborative study. Arch Ophthalmol. 1990;l108:376-9.
Serrano JC, Chalela, Arias JD. Epidemiology of Childhood Ocular Trauma in a North Eastern Colombian Region. Arch Ophthalmol. 2003;121(10):1439-45.
Saxena R, Sinha R, Purohit A, Dada T, Vajpayee RB, Azad RV. Pattern of ocular trauma in India. Indian J Pediatr. 2002;69(10):863-7.
Jaison SG. A review of childhood admission with perforating ocular injuries in a hospital in North West India. Ind. J Ophthal. 1994;42:199-201.
Jalali S, Das T, Majji AB. Hyprodermic needles: a new source or penetrating ocular trauma in Indian children. Retina.1999;19 (3):213-7.
Vasu U, Vansik A, Battu RR, Kurian M, George S. Occupational open globe injury. Indian J Ophthalmol. 2001;49(1):43-7.
McGwin G Jr. Owsley C. Incidence of emergency department-treated eye injury in the United states. Arch Ophthalmol. 2005;123(5):662-6.
Zhang Y, Zhang M, Jiang C, Qiu HY. IOFB in China in 1421 Eyes. Am J Ophthalmol. 2011;152:66-73.
Robert JC, James WC, Henry NS. Four-year review of open eye injuries at the Royal Adelaide Hospital. Clinical and experimental Ophthalmol. 2002;30:15-8.
Rao SK, Greenberg PB, Filippopoulos T, Scott IU, Katsoulakis NP, Enzer YR. Potential impact of seatbelt use on the spectrum of ocular injuries and visual acuity outcomes after motor vehicle accidents with airbag deployment. Ophthalmol. 2008;115:573-5.
Hossain MM, Mohiuddin AA, Akhanda AH, Hossain MI, Islam MF, Akonjee AR, et al. Pattern of ocular trauma. Mymensingh Med J. 2011;20:377-80.
