scholarly journals Profile of ocular trauma in patients presenting to the department of ophthalmology at Hawassa University: Retrospective study

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213893 ◽  
Author(s):  
Kindie Desta Alem ◽  
Demoze Delelegn Arega ◽  
Samson Tesfaye Weldegiorgis ◽  
Bekalu Getahun Agaje ◽  
Emebet Girma Tigneh
Keyword(s):  
Retrospective Study ◽  
Ocular Trauma ◽  
Department Of Ophthalmology ◽  
Hawassa University

scholarly journals A 5 year retrospective study on epidemiological pattern of ocular trauma

2019 ◽  
Vol 7 (7) ◽  
pp. 2785
Author(s):  
Angli Manhas ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas ◽  
Rishabh Sharma ◽  
Dinesh Gupta
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Trauma Patients ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Common Cause ◽  
Department Of Ophthalmology ◽  
Epidemiological Pattern

Background: One of the delicate structure in the human body is eye and trauma to the eye is essentially a very grave matter. Major cause of preventable monocular blindness and visual impairment in the world is ocular trauma. So any injury to the eye must be deemed to be an ocular emergency and should be handled with utmost care. Despite its public health importance, there is relatively less population based data on the magnitude and risk factors for ocular trauma specially from developing countries. The objective of the study was to find out the epidemiological pattern of ocular trauma.Methods: The present study was 5 year retrospective study of all the patients who reported directly with ocular injury or referred from the casualty to the department of ophthalmology from January 2013 to January 2018. Various parameters like age, sex, mode of injury, type of injury etc. of all patients seen during this period were analyzed.Results: Total of 4192 ocular trauma patients were seen during study period. Maximum number of ocular trauma patients i.e. 1146 were seen in age group of 21-30 years. Males i.e. 3490 outnumbered females in the present study. Road traffic accidents were the most common cause of ocular trauma and accounts for 1760 cases. Most common reported ocular trauma was periorbital oedema/ecchymosis followed by laceration. Surgical intervention was done in 1660 cases whereas 2532 were managed medically.Conclusions: From present study, we may conclude that the maximum number of ocular trauma patients were seen in the age group of 21-30 years with more preponderance in males. Road traffic accidents were the most common cause of ocular trauma. The fact that the lifetime prevalence of ocular trauma is higher than that of eye diseases, which can be decreased by implementing the traffic rules with strict force and imposing heavy fine and license cancellation for drunken driving.

scholarly journals Clinical Review of Ocular Traumas Resulting in Enucleation or Evisceration in a Tertiary Eye Care Center in Hungary

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Gábor Tóth ◽  
Milán Tamás Pluzsik ◽  
Béla Csákány ◽  
Gábor László Sándor ◽  
Olga Lukáts ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Care Center ◽  
Clinical Indication ◽  
Time Interval ◽  
Eye Care ◽  
Primary Indication ◽  
Phthisis Bulbi ◽  
Open Globe ◽  
Department Of Ophthalmology ◽  
The Mean

Purpose. To analyse the demographic and clinical characteristics of ocular traumas resulting in enucleation/evisceration in a large tertiary referral center in a developed country (Hungary) over a period of 15 years. Patients and Methods. A retrospective review of enucleated/eviscerated eyes that underwent surgery between 2006 and 2020 at the Department of Ophthalmology of Semmelweis University, Budapest, Hungary, due to ocular trauma as the primary indication for enucleation/evisceration. For each subject, clinical history, B-scan ultrasound report, and histopathology results were reviewed. Results. There were 124 enucleated/eviscerated eyes from 124 patients (91 males (73.4%)). The mean age at the time of trauma was 37.3 ± 26.0 years while the mean age at the time of enucleation/evisceration was 46.9 ± 20.3 years. The main clinical diagnoses after ocular trauma were open globe injury (n = 96; 77.4%), ocular burns (n = 6; 4.8%), traumatic optic neuropathy (n = 4; 3.2%), bulbar avulsion (n = 3; 2.4%), traumatic cataract (n = 2; 1.6%), retinal ablation (n = 1; 0.8%), and traumatic carotid-cavernous fistula (n = 1; 0.8%). Among the 124 patients, 98 (79.0%) underwent enucleation and 26 (21.0%) evisceration. Patients who underwent primary enucleation/evisceration (n = 24 19.4%) were significantly older at the time of the injury (57.7 ± 22.7 years) than people who underwent secondary eye removal (32.4 ± 24.4 years) ( p < 0.0001 ). The mean time interval between trauma and enucleation/evisceration was 114.9 ± 163.5 months. The main clinical indications for anophthalmic surgery were atrophia/phthisis bulbi (n = 56, 45.2%), acute trauma (n = 25, 20.2%), painful blind eye due to glaucoma (n = 17, 13.7%), endophthalmitis (n = 10, 8.1%), and cosmetic reasons (n = 7, 5.6%). One patient (0.8%) had sympathetic ophthalmia. Conclusions. Primary enucleation/evisceration was performed in one-fifth of all ocular trauma-related anophthalmic surgeries in our tertiary eye care center with enucleation being the most common procedure. Atrophia/phthisis bulbi was the most frequent immediate clinical indication for enucleation/evisceration.

scholarly journals Indications for ocular evisceration and orbital implant related complications in a tertiary eye hospital in Hungary over an 11-year period

2020 ◽  
Author(s):  
G. Tóth ◽  
N. Szentmáry ◽  
G.L. Sándor ◽  
B. Csákány ◽  
Z. Antus ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Wound Dehiscence ◽  
Clinical Indication ◽  
Systemic Diseases ◽  
Acute Trauma ◽  
Orbital Implant ◽  
Phthisis Bulbi ◽  
Department Of Ophthalmology ◽  
Silicon Based

AbstractPurposeOur aims were to evaluate the primary and clinical evisceration indications and to analyse orbital implant related complications.Materials/methodsWe included in our retrospective review all eviscerations between 2006 and 2016 at the Department of Ophthalmology of Semmelweis University, Budapest, Hungary. Primary evisceration indications were classified into six groups: trauma, surgical diseases, infections or inflammations, systemic diseases, tumours and unclassifiable diseases. Clinical immediate evisceration indications were also classified into six groups: painful blind eye due to glaucoma, atrophia/phthisis bulbi, endophthalmitis, cosmetic reasons, acute trauma and expulsive bleeding.ResultsEvisceration was performed in 46 eyes of 46 patients (54.3% males, age 43.0 ± 18.6 years). The most common primary evisceration indications were trauma (37%), surgical diseases (34.8%), infection or inflammation (10.9%), systemic diseases (6.5%), tumours (8.7%) and unclassifiable diseases (2.2%). Painful blind eye due to glaucoma (34.8%) was the most common clinical indication for evisceration, followed by atrophia/phthisis bulbi (26.1%), endophthalmitis (17.4%), cosmetic reasons (13.0%), acute trauma (6.5%) and expulsive bleeding (2.2%). After evisceration, 91.3% of the patients received orbital implant and during 26.8±28.9 months follow-up implant related complications were found in 14.3% of the cases, including implant extrusion (4.8%), partial wound dehiscence (4.8%), implant exposure (2.4%) and orbital inflammation (2.4%).ConclusionPainful blind eye and atrophia/phthisis bulbi due to ocular trauma and surgical diseases represent the most common indications for ocular evisceration. If malignant intraocular tumours can be excluded, evisceration surgery combined with a silicon-based orbital implant is a safe and effective procedure.

scholarly journals Firework-inflicted ocular trauma in children and adults in an urban German setting

2020 ◽  
pp. 112067212090203
Author(s):  
Matthias A Lenglinger ◽  
Malte Zorn ◽  
Daniel Pilger ◽  
Christoph von Sonnleithner ◽  
Mirjam Rossel ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Demographic Data ◽  
Retrospective Chart Review ◽  
Severe Trauma ◽  
Light Perception ◽  
Severe Injuries ◽  
Younger Patients ◽  
Department Of Ophthalmology ◽  
New Year’S Eve

Purpose: To assess firework-inflicted ocular trauma in the German capital during the week around New Year’s Eve with regards to patient characteristics and age, severity of injuries, and their management and outcome. Methods: A retrospective chart review of all patients presenting to the department of ophthalmology of Charité—University Medicine Berlin during a 7-day period around New Year’s Eve in the years 2014–2017 was performed. Patients with ocular complaints and injuries caused by fireworks were included. We recorded demographic data, active role, visual acuity at presentation and at last follow-up, the most pertinent clinical findings, management and outcome with regards to visual acuity, and integrity of the eye. Results: A total of 146 patients with 165 injured eyes were included. Median age at presentation was 23 (4–58) years, and 71.2% were male. Fifty-one patients (34.9%) were less than 18 years old. Ninty-seven patients (66.4%) sustained minor, 34 (23.3%) sustained moderate, and 15 (10.3%) sustained severe injuries. Severe trauma was seen in younger patients (median age: 12, range: 4–58 years) than mild and moderate trauma (median age: 23, range: 4–45 years) and resulted in loss of light perception in two eyes and in a visual acuity of only light perception in three eyes. One eye was enucleated. Conclusion: Ocular trauma inflicted by fireworks can have serious consequences for ocular morbidity and visual acuity, especially in severe trauma which affected younger patients. To significantly reduce firework-inflicted trauma, a ban of private fireworks in densely populated areas and in the vicinity of children should be considered.

scholarly journals Empty Bullet-Related Ocular Injuries During Military Shooting Training: A 20-Year Review

2019 ◽  
Vol 185 (5-6) ◽  
pp. e799-e803 ◽  
Author(s):  
Soner Guven ◽  
Ali Hakan Durukan
Keyword(s):  
Ocular Trauma ◽  
Ocular Injury ◽  
Medicine Department ◽  
Patient Demographics ◽  
School Of Medicine ◽  
Open Globe ◽  
Department Of Ophthalmology ◽  
Protective Eyewear ◽  
Ocular Injuries ◽  
Trauma Scores

Abstract Introduction Empty bullet-related ocular injuries (EBOI) are rare and may result in unfavorable visual outcomes due to both open globe and closed globe injuries. To our knowledge, no reports of such injuries in terms of outcomes have been previously described in the literature. The aim of this study was to describe the treatment performed and ocular outcomes of such injuries. Materials and Methods EBOI of 23 cases were reviewed who were referred to Gulhane School of Medicine Department of Ophthalmology between January 1998 and January 2018. Patient demographics, ocular signs (initial and final), injury types, type and number of interventions, and ocular trauma scores were recorded. Results In total, 23 eyes of the 23 patients with an average age of 22.3 ± 4.54 years (range, 20–41 years) were included in the study. All of the patients were male, and all injuries were due to empty bullets during shooting training. None had ocular protection at the time of ocular injury. Fourteen patients (60.9%) were open globe injuries, whereas nine (39.1%) of them were closed globe injuries. Mean ocular trauma scores category of the cases was 2.52 ± 1.03. The baseline and final visual acuity was 20/200 or better in 21.7% and 69.5% of eyes, respectively. Nineteen eyes (82.7%) had undergone a total of 31 surgeries with a 1.34 ± 0.88 surgery average. Conclusions The prognosis of EBOI is unpredictable and is dependent on the severity of ocular damage. The best treatment option is prevention of EBOI with protective eyewear.

scholarly journals Pattern of Occurrence of Ocular Injuries and their Forensic Aspects

2019 ◽  
Vol 4 (2) ◽  
pp. 692-696
Author(s):  
Sidarth Timsinha ◽  
Suvarna Manjari Kar ◽  
Malshree Ranjeetkar
Keyword(s):  
Ocular Trauma ◽  
Relevant Information ◽  
Cross Sectional Study ◽  
Ocular Injury ◽  
Cross Sectional ◽  
Legal Cases ◽  
Department Of Ophthalmology ◽  
Ocular Injuries ◽  
Forensic Implications ◽  
Trauma Sequelae

Introduction: All penetrating or non-penetrating intentional ocular trauma causing loss of an organ or part of an organ and which have as a consequence the facial disfigurement or post trauma sequelae formation have forensic implications. Objectives: To study the pattern of ocular injuries its forensic implications and meticulous documentation in ocular medicolegal cases. Methodology: This hospital based cross sectional study was carried out by Forensic medicine personnel in Department of Ophthalmology and Emergency Department of Manipal Teaching Hospital Pokhara, Nepal. A total of 251 cases of ocular injury constituted the sample size. Cases were analyzed according to age, sex, type of trauma, causative agent, and manner of injury and ocular injuries having any medicolegal value. All data was evaluated and relevant information were extracted and entered into a database. Results: Male subjects 174 (69.32%) were more susceptible to ocular injuries and age group 21-30 years 66 (26.3%) were more predisposed to ocular injuries. The commonest cause of ocular trauma was due to fall on blunt objects 42(16.73%). The most common site of injury was cornea 120(47.81%) and corneal abrasion 65(54.16) was the most common ocular finding. Accidental manner of injury was observed in majority of the cases 230 (91.60%). Ocular injuries sustained were all simple in nature 251(100%) as a result no fatality was observed following ocular injury. Conclusion: Proper history taking and methodical documentation of injuries not only assist in diagnosis and management of the patient but also holds an evidentiary value in medico legal cases.

scholarly journals A Retrospective Study of Herpetic Keratitis in Patients with Keratoconus after Crosslinking Surgery

2021 ◽  
Vol 10 (12) ◽  
pp. 2684
Author(s):  
Ewa Wróblewska-Czajka ◽  
Anna Nowińska ◽  
Dariusz Dobrowolski ◽  
Dominika Szkodny ◽  
Edward Wylęgała
Keyword(s):  
Retrospective Study ◽  
Topical Administration ◽  
Healing Time ◽  
Herpetic Keratitis ◽  
Cross Linking ◽  
Department Of Ophthalmology ◽  
History Of ◽  
The Mean ◽  
Medical University

Background: The aim of this study was to perform a retrospective analysis of patients who underwent cross-linking for keratoconus, in the Department of Ophthalmology of the Medical University of Silesia in Katowice, between 2011 and 2020, regarding the occurrence of herpetic keratitis after the procedure. Methods: We analyzed the medical history of 543 patients who underwent cross-linking surgery. Results: In the analyzed group, there were nine cases of herpetic keratitis (six men and three women), aged from 16 to 40 years (mean 26.2 years). The mean follow-up period was 49.3 months (16–82 months). The average time from surgery to the manifestation of the first symptoms of keratitis was 4.3 days (2–6 days). In two cases, iritis was observed, and in one of them, iritis was the first symptom. After systemic and topical administration of acyclovir, ulceration healed in all patients. Corneal healing time ranged from 10 days to 3 weeks (average 13.7 days). In one patient, a recurrence of the inflammation was observed after 8 months. Conclusion: Patients should be carefully observed in the early post-CXL period. Herpetic keratitis could be induced by CXL even in patients with no history of herpetic disease.

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