scholarly journals Ocular injuries following road traffic accidents: A hospital based case series study

2020 ◽  
Vol 6 (2) ◽  
pp. 266-269
Author(s):  
Jayashree M Padmaraj ◽  
◽  
Anupama C Shetgar ◽  
Darshini L Mallkarjunaswamy ◽  
Divya Ramanna ◽  
...  
1970 ◽  
Vol 8 (2) ◽  
pp. 110-113
Author(s):  
R Bhandari ◽  
IP Mahato ◽  
M Paudel ◽  
R Giri

Background: Head injury is a common presentation in emergency rooms. Management often is decided by time of trauma, clinical presentations and availability of facilities. Objective: To outline the general characteristics of head injury patients presenting to emergency. Methods: This is an observational (case series) study done in BPKIHS emergency room over a period of six months. All the acute head trauma cases presenting to the department of emergency, BPKIHS, were evaluated based on the semi closed clinical performa including major clinical indicators of intracranial trauma. Results: Among 255 head injury patients, males were more common. Fall was the commonest mode of injury resulting in 71.42% in those under ten years where as road traffic accidents was commonest in twenty to fifty years age group.23% reached the hospital after 12 hours of injury. Loss of consciousness and vomiting were the commonest history. 9.4% had consumed alcohol at presentation. Mild head injury was commonest (76.5%). 23% were discharged from emergency within 12 hours. 14.9% underwent neurosurgical intervention. 187 of 255 underwent CT scan, 132 were abnormal. Contusions were commonest. For the normal CT scan the mean GCS score was 13.65 and for abnormal CT scans the mean GCS was 12.48 with SD of 2.8 and 3.4 respectively, p=0.025. Keywords: head injury; clinical features; emergency; classification; Glasgow coma score; CT scan. DOI: 10.3126/hren.v8i2.4422 Health Renaissance, May-Aug 2010; Vol 8 (No.2):11--113


2021 ◽  
Vol 8 (03) ◽  
pp. 141-145
Author(s):  
Vinay Kumar Dawson ◽  
Manasvi Dawson

BACKGROUND Ocular injuries due to road traffic accidents (RTA) is one of the important causes of ophthalmological morbidity and cause of unilateral blindness. Some of the injuries also result in cosmetic disfigurement. Increased usage of vehicles for transport in recent times has increased the incidence of cases. The primary objective of this study was to understand the epidemiology and pattern of ocular trauma in RTA cases and their visual outcome. METHODS A total of 75 cases was included in the study following the inclusion and exclusion criteria. A detailed history was taken which included information regarding time, location, type and mechanism of injury, use of spectacles, car safety belts, and helmets. The time interval between injury and reporting was recorded. Test of visual acuity was done, ophthalmic examination included the examination of all patients with the slit lamp, 90 D examination, and indirect ophthalmoscopy were done. Ultrasound B scan was done in cases where unclear media prevented fundus examination. RESULTS Ecchymosis of the lids was the commonest type of ocular injury. Out of 15 eyelid laceration cases, 10 cases were with mild partial-thickness tears present and 5 had severe lid tears which required suturing. Most of the patients recovered with good vision in 6 months post-treatment and a few fair results. Analysis of variance (ANOVA) comparison between conservative management and surgical management at the end of 4 months post treatment was done. The P-values were > 0.05 hence, not significant. It indicated that the outcomes were independent of the method of management adopted. CONCLUSIONS The incidence of RTAs is increasing due to an increase in the number of vehicles used by the public. Ocular injuries are more often seen in young men especially those driving two-wheelers without safety devices like helmets. Open globe injuries and cases with previous ocular problems have poor outcomes. KEYWORDS Ocular Trauma, Road Traffic Accidents [RTA], Visual Outcome


Author(s):  
B. S. Puzari ◽  
R. K. Das ◽  
Indira Pegu

Background: Ocular injuries in road traffic accidents (RTA) constitute a major but preventable cause of visual morbidity worldwide and so it is of public health importance. Aim of the study was to assess the visual outcome in patients attending tertiary care hospital with ocular injuries following RTA and compare various associated risk factors.Methods: A prospective study was done with 60 cases of ocular injuries following road traffic accidents in Assam Medical College and Hospital to find out the visual outcome and compare various risk factors .Detailed history and clinical evaluation was done with follow up at 1st and 3rd week.Results: Maximum cases were seen in the age group of 30-40 years, more in males (76.66%); with 78.33% in two wheelers. Out of the 60 cases, 38.33% occurred at night, 21.66% was under the influence of alcohol. 15.27% of patients presented with diminished vision, out of which 15% cases reported with severe ocular morbidity like vitreous haemorrhage, lens dislocation, sclera-corneal tear etc.Conclusions: Younger age group was mostly affected with male preponderance, alcohol and two wheelers being quite important risk factors. Early treatment of ocular injuries and use of protective wear result in better visual outcomes.


2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Karim Bakhsh ◽  
Faridullah Khan Zimri ◽  
Eid Mohammad ◽  
Atiq -Ur-Rehman ◽  
Muhammad Saaiq

Objectives: To document the presentation of infected non-unions of femur in pediatric and adolescent population and evaluate the outcome of segmental bone transport with the Ilizarov method. Methods: This prospective case series study was carried out over a period of five years, from January 01, 2015 to December 31, 2019. The study included all children and adolescent patients who presented with femoral infected non unions. The study excluded patients above the age of 16 years and those who had pathological fractures secondary to bone pathologies such as cysts, tumors or metabolic bone diseases. Results: Out of 31 patients, 27(87.09%) were males and 4(12.90%) were females. The mean age was 13.48±1.98 years. The underlying mechanisms that lead to the causation of fractures included road traffic accidents (n=23;74.19%), fall from height (n=7;22.58%) and firearm injuries (n=1;3.22%). The bone gaps ranged from 3-5 cm with a mean of 4.00± 0.856 cm. Bone union was achieved among 28(90.32%) patients. Infection was eradicated among 27(87.09%) patients whereas the remaining patients continued to suffer persistent infection. The most common complications included pin tract inflammation/ infection among (n=31;100%) patients and stiffness of knee joint among (n=19;61.29%) patients. Conclusion: Majority of the patients were males, aged 9-16 years. Road traffic accidents were the commonest cause of the fractures. The Ilizarov method of segmental bone transport was effective in treating the majority of infected non-unions. doi: https://doi.org/10.12669/pjms.37.1.3354 How to cite this:Bakhsh K, Zimri FK, Mohammad E, Atiq-Ur-Rehman, Saaiq M. Presentation and outcome of femoral infected non-unions in children and adolescents. Pak J Med Sci. 2021;37(1):201-205. doi: https://doi.org/10.12669/pjms.37.1.3354 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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