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

Author(s):  
Angli Manhas ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas ◽  
Rishabh Sharma ◽  
Dinesh Gupta

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.

2022 ◽  
Vol 7 (4) ◽  
pp. 642-647
Author(s):  
Anubha Bhatti ◽  
Arushi Kakkar ◽  
Shakeen Singh

To study the epidemiology and clinical profile of ocular trauma patients presenting to tertiary care centre. Prospective study. All patients of ocular trauma in OPD/Emergency were assessed for detail between 1/1/17 to 31/6/18 and data on demographic profile was established as per guidelines of Ocular Trauma Society of India. Patients were categorized in different segments and assessed/followed for visual impairment in particular. A total of 246 cases were examined out of which 87% were males. The most common mode of ocular injury was Road Traffic Accidents. Pediatric eye trauma constituted 16.7% of the total cases. 26.8% cases arrived to our centre between 4-24 hours and 62.6% cases presented after 24 hours. Amongst 131 cases of Road Traffic Accidents, none of them were using protective measures like helmets or goggles. Of these, 17.1% were under the influence of alcohol. 28.5% were involved in medicolegal proceedings. Majority of the cases comprised of monocular trauma (78.1%). Closed globe injuries constituted 88.94% of the total cases of which most cases presented with lid edema and ecchymosis. Chemical injuries were reported in 4.5% cases. 9 patients lost vision completely and 71 cases had vision from light perception to 6/18. Ocular trauma is one of the common causes of ocular morbidity. It has been seen predominantly in male population. Public needs to be educated about safety measurements and education about prompt need to specialised care to reduce ocular trauma related visual morbidity.


Author(s):  
K. JYOTI PRASAD ◽  
B. VENKATESULU ◽  
M. ABDUL KHALID

Objectives: Death of an individual is a grave loss to the family and community at large. Death may be natural or unnatural. Analysis of unnatural deaths helps in understanding the causes, manner, and modes of deaths, thereby formulate and implement a proper policy to reduce incidence. Methods: This is a retrospective study of autopsies conducted over 3 years (2018–2020) in the mortuary of Sri Venkateshwara Medical College, Tirupati. During this period, 2579 autopsies were performed. Required data were collected from the requisitions of police, inquest reports, case sheets, medicolegal register, and postmortem reports in a preformed pro forma. Results: Out of the 2579 cases, majority were in the age group of 21–30 years (34.62%) followed by 41–50 years (18.06%). Male-to-female ratio was 2.5:1. Majority were Hindus (83.52%) and most of the subjects belonged to the rural areas (62.89%). Majority were married (78.40%). The most common cause of death was road traffic accident (48.04%) followed by poisoning (15.82%). Accidental deaths were the most common manner of death (60.56%) followed by suicides (33.96%). Conclusion: The present study reveals that the most cases were in 21–30 years age group. Males outnumbered females and the subjects were mostly married and were from rural areas. Road traffic accidents were common cause of death in males and poisoning was the common cause of death in females.


1970 ◽  
Vol 6 (1) ◽  
pp. 28-31 ◽  
Author(s):  
MZ Rahman ◽  
M Ahmad ◽  
FN Rahman ◽  
SMK Islam ◽  
KGM Rahman ◽  
...  

This retrospective study was conducted at the Dhaka Medical College (DMC) morgue during the period of Jan 2008 to Dec 2008. The objective of this study was to find out the abundance of Road Traffic Accidents (RTA) cases among medicolegal post mortem examinations performed at DMC morgue and in this relation to evaluate the present situation of RTA in our country. It has been observed that RTA cases are the most common cases among various types of medicolegal post mortems. A total of 2714 postmortems were conducted during the study period and out of which 813 (29.95%) cases were of RTA, among the victims 545 (67.03%) were male and 268 (32.96%) were female. Highest incidence (30.38 %) of RTA was observed among the age group 21 to 30 yrs. Most accidents occurred at daytime 282 (34.68%), followed by night 233 (28.66%). Greater number of accidents occurred during September 90 (11.07%), followed by January 85 (10.45%) and December 83 (10.20%). Commonest victims were pedestrians 564 (69.37%). Most accidents took place on highways 650 (79.95%) and buses were the most dangerous vehicle causing highest number of accidents 307 (37.76%), followed by truck 141 (17.34%). Among the cases 100% victims had multiple abrasion and bruise, laceration were present in 654 (80.44%), and intra cranial injury 527 (64.82 %). Key words: Road Traffic Accidents; Postmortem Examination DOI: 10.3329/fmcj.v6i1.7407 Faridpur Med. Coll. J. 2011;6(1): 28-31


2021 ◽  
Vol 3 (Number 2) ◽  
pp. 26-29
Author(s):  
Farzana Islam ◽  
Nashid Tabassum Khan ◽  
Sohel Mahmud ◽  
Farhana Shahid ◽  
Mahbub Alam Mondal ◽  
...  

Road traffic accidents (RTAs) has spiked over the past few years and has become a major public health concern in Bangladesh. Globally, RTA causes 1.35 million deaths annually. The consequences of road traffic accident not only affect the victim’s physical, psychological and financial hardship, but also has fatal impact on the functioning of the whole family. The objective of this study was to evaluate the present situation of RTA in Dhaka city, to find out the pattern of injuries, to identify the causes, frequency, socio- demographic characteristics of the victims and to identify the measures to minimize the incidence of RTAs. This retrospective study was conducted in the department of Forensic Medicine & Toxicology of Dhaka Medical College during January 2019 to December 2019. A total of 154 medico-legal cases of road traffic accidents were brought to the mortuary of Dhaka Medical College from 23 police stations and 1 railway Thana. Data was collected from inquest report, Challan and postmortem reports from the department of Forensic Medicine and Toxicology, Dhaka Medical College. This study shows that a total of 154 post mortems of RTA cases were conducted at DMC morgue during January 2019 to December 2019. Greater number of the accidents occurred during June 28 (18.18%) and August 25 (16.23%). Among the victims, 114 (74.03%) were male and 40 (25.97%)were female. Most of fatality was among the age group 22 to 27 years (48, 31.17%) followed by 28 to 33 years age group (32, 20.78%). By relidion, Muslims were 130 (84.41%), followed by Hindus (19, 12.34 %), and Christians (05, 3.25 %). Considering the injury patterns, all victims had multiple abrasion and bruise 154 (100%), fracture ribs 28 (18.18%), fracture hipbones 26(16.88 %), fracture skull bones 17 (11.04%), head injury 24 (15.58%) and intracranial haemorrhages 24 (15.58%). Road traffic accidents can be minimized by creating public awareness among all road users about traffic signals and traffic safety rules as far as private users of vehicles are concerned.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1399-1405
Author(s):  
Vivek Babu B ◽  
Herald J. Sherlin ◽  
Samuel Raj Srinivasan

Fracture is defined as a break in continuity in the bone. The most common affected bone in the facial region is the mandible. injuries present as one of the most important health problems worldwide. The aim of the present study is to evaluate the spectrum of mandibular and maxillary practice among patients visiting dental hospital. The study was a retrospective study done under hospital setting. The population considered in this study was 64 individuals with fractures. This is an institutional retrospective study and data was collected from 86000 patients visiting Saveetha Dental College And Hospital, during the time period of June 2019 to March 2020 were reviewed and collected data were statistically with the help of SPSS by IBM and tables and graphs well plotted. This retrospective clinical study with the population of 64 patients reveals the increased prevalence fracture in males and that is found to be 62.8% and the most commonly affected age group is a third decade (32.8%). The most common site of fracture is mandible and the prevalence of mandibular fracture was found to be 64.1 percentage. Out of many causes of fracture, the most common factor is due to road traffic accidents and the prevalence was found to be 48.4%. There is a high prevalence of fracture in the population under study and males were the most commonly affected age group in the third decade and common is road traffic accidents in Chennai city, India.


2020 ◽  
Vol 7 (11) ◽  
pp. 5063-5069
Author(s):  
Sandeep Jawade ◽  
Rahul Dagwar ◽  
Ravi Chauhan

Introduction: Ocular trauma is a major cause of visual morbidity and Visual impairment leading to injury of the globe, optic nerve and adnexa ranging from superficial to vision-threatening complications. Objective: To study the factors leading to blunt ocular trauma, its characteristics, presentation and Outcome. Methods: Hospital-based prospective study conducted at the tertiary care centre of central India. The patient was assessed and if required, admitted. They were followed up on 1st week,1st month,6th month and were assessed for visual outcome and complications. Results: Male constituted 66% and female 34% of all patients. This study had patients of age ranging from 3 to 90 years. Most of the patients were found in the age group of 31-40 years(20.3%). In our study which included 103 cases, there were 20% cases of RTA and 80% cases of non-RTA. 85(82.5%) had lid oedema with chemosis of conjunctiva.87(84.4%) patients had a sub-conjunctival haemorrhage.16 patients (15.5%) presented with a corneal abrasion.32 patients(31.06%) presented with traumatic hyphaema.2 patients(1.9%) had traumatic optic neuropathy.7 patients(6.7%) presented with Berlin’s oedema and 8(8.1%) presented with angle recession glaucoma. Final visual outcome of patients was,1 patient(0.97%)had no perception of light,4 patients(3.8%) had visual acuity of perception of light and projection of rays inaccurate. 7 patients(6.7%) had vision perception of light and projection of rays accurate.45(43.68%) patients regained visual acuity of 6/6 Conclusion: Blunt trauma was more common in males. Most common age group was 4th decade. Road traffic accidents constituted a large number of blunt injuries. Road traffic accidents had a high rate of visual loss due to optic nerve injury.                                                                                                            


2021 ◽  
Vol 12 (1) ◽  
pp. 15-19
Author(s):  
Kate Sheard

Thoracic trauma is common in small animals and can be caused by a variety of insults from penetrating wounds to blunt force trauma. Patients that have sustained any form of thoracic trauma require immediate attention and intensive nursing care in order to have a positive outcome for the patient. These cases can prove challenging as multiple organ systems can be affected and surgery is often required. However, combined with the appropriate medical care, the outcome can be successful.


2016 ◽  
Vol 85 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Praveen Athani ◽  
Basappa S Hugar ◽  
S Harish ◽  
YP Girishchandra

This study was conducted at the M. S. Ramaiah Medical College, Bangalore, between October 2007 and September 2009 to analyse the age and sex distribution of unnatural deaths in children, patterns and manner of death. Detailed information regarding the circumstances of death was sought from the relatives, friends and police. The scene of occurrence was visited, and photographs of the scene of occurrence were examined in relevant cases. Unnatural deaths in children constituted 6.62% of the total autopsies conducted. The majority of childhood deaths were in the age group of 15–18 years of both sexes constituting 46.88%. Males constituted 55.22% of cases. Suicide accounted for 40.63% of the cases. Most children committed suicide by hanging (82.05%). The main reason was academic failure and some of the cases were accidental (48.96%). Road traffic accidents accounted for 26.04% of the cases, where most children were pedestrians (56%). Drowning accounted for 15.63% of the cases. Most of the children drowned while playing near ponds (83.33%). Homicide accounted for 9.36% of the cases – either killed by their mother as part of a pedicide–suicide event or by the father, and in two cases the children were sexually abused before being killed.


2016 ◽  
Vol 3 (1) ◽  
pp. 32 ◽  
Author(s):  
Anishta Allock ◽  
Arun Kumar Agnihotri ◽  
Smita Sulakshana ◽  
Devi Goorah Goorah

2020 ◽  
Vol 7 (3) ◽  
pp. 710
Author(s):  
Vinod Bhandari ◽  
Mahak Bhandari

Background: Blunt injury abdomen is the leading cause of morbidity and mortality in all age groups. Blunt trauma differs from penetrating trauma as different organs are characteristically injured by compression from blunt straining. Focused assessment with sonography for trauma (FAST) and computed tomography (CT) abdomen are very beneficial to detect those patients with minimal and clinically undetectable signs of abdominal injury. Objective of the study was to evaluate the incidence of blunt injury abdomen, mode of injury, organs involved in patients.Methods: A retrospective study was done on blunt injury abdomen. 48 patients were enrolled in this study.Results: Out of 48, 35 (72.9%) male patients more commonly encountered blunt injury to the abdomen. 28 (58.3%) was the highest incidence for age group 21-40 years. The most common mode of injury was road traffic accidents 36 (75.0%). Grade III splenic injuries were encountered in majority 19 cases and 13 cases involved laceration of parenchyma >3 cm depth and 6 cases were subcapsular hematoma (>50%). Spleen was the most common injured organ accounting for 25 (52.0%) and second most common injury was Ileal perforation 6 (12.5%), liver injury 6 (12.5%) of the cases.Conclusions: Blunt injury abdomen mainly affected male and the younger population between the age group 21-40 years. The most common mode of injury is road traffic accidents. In this study the spleen was found to be the most common organ injured in blunt injury abdomen.


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