scholarly journals A prospective study to evaluate the predictive value of ocular trauma score in cases of mechanical eye injuries in a tertiary care hospital

2021 ◽  
Vol 7 (3) ◽  
pp. 523-527
Author(s):  
Arvind Kumar ◽  
Rupali Verma ◽  
Abha Shukla

Ocular trauma score (OTS) was proposed to predict the visual outcome of patients after ocular trauma, which estimates visual function (visual acuity) after 6 months of ocular trauma. This OTS scale is useful for guiding the treatment and rehabilitation of the patients with eye injury and to provide the valuable information and advice. Aim of this study was to evaluate the predictive value of OTS in cases of mechanical ocular trauma. A prospective interventional study was carried out in a tertiary care centre over a period of 2 years; August 2017 to July 2019. Patients with mechanical eye trauma were included in the study. OTS score was calculated and recorded for each eye at the time of injury. Proper treatment given to each case and followed for six months. Results obtained were compared with standard OTS with respect to final VA. Out of 50 patients mean age was 28.46 years, with majority between 21 to 50 years of age. There were 78% males and 22% were females. Metallic objects were the common source of injury in 27 cases (54%) like iron rod and nail. In cases (fifty eyes) the distribution of OTS variables was; globe rupture 86% (43 eyes), retinal detachment 6% (3 eyes), relative afferent pupillary defect (RAPD) 6% and endophthalmitis 2% (1 eye) respectively. The final visual acuities in OTS categories in our study groups were similar to those in the OTS study group, except for some categories. OTS helps treating ophthalmic team to assess evidence based prognosis of a traumatized eye in advance. With the guidance of OTS the patient and their family can be counselled for further management.

Eye ◽  
2011 ◽  
Vol 25 (3) ◽  
pp. 370-374 ◽  
Author(s):  
U Acar ◽  
O Y Tok ◽  
D E Acar ◽  
A Burcu ◽  
F Ornek

2008 ◽  
Vol 92 (8) ◽  
pp. 1122-1124 ◽  
Author(s):  
Y B Unver ◽  
N Acar ◽  
Z Kapran ◽  
T Altan

Eye ◽  
2011 ◽  
Vol 25 (9) ◽  
pp. 1240-1240 ◽  
Author(s):  
H E Sharma ◽  
N Sharma ◽  
A Kipioti

Author(s):  
Romi Bansal ◽  
Priyanka Garg ◽  
Aastha Garg

Background: Bacterial vaginosis is an imbalance in the ecology of the normal vaginal flora which is characterized by depletion of lactobacilli, and proliferation of anaerobic bacteria. It most often manifests clinically as a vaginal pH of > 4.5, presence of thin whitish homogenous vaginal discharge, detection of “clue” cells and presence of an amine odour after the addition of 10 percent potassium hydroxide. These anaerobic bacteria through specific products stimulate the decidual tissue causing an increase of cytokine level, release of phospholipase A2 and prostaglandins leading to preterm labor, premature rupture of membranes, chorioamnionitis and development of PID following abortion. To compare Amsel Criteria and Nugent Criteria for diagnosis of bacterial vaginosis.Methods: A cross sectional study involving 260 patients with preterm and term labour was conducted at a tertiary care hospital in North India. BV was determined to be present or absent on the basis of Amsel’s criteria and Nugent’s criteria. Pearson’s chi-square test was used to demonstrate the difference between both groups with respect to various categorical data.Results: Amsel’s criteria and Nugent’s criteria were reliable diagnostic methods. As compared to Nugent scoring system, Amsel’s criteria had sensitivity of 75%, specificity of 95%, positive predictive value of 90% and negative predictive value of 86%.Conclusions: Although the Amsel’s criteria is a convenient and inexpensive method of diagnosing bacterial vaginosis, it is not always reliable. Nugent’s criteria is considered as a gold standard for the diagnosis of bacterial vaginosis but it requires an experienced slide reader and considerable time and skill. If lab equipment is not available as in many developing countries, the diagnosis of BV can be simplified by using a combination of any two Amsel’s criteria like vaginal pH and whiff test which had highest sensitivity and specificity (90.19% and 97.78%) respectively as seen in present study.


Injury ◽  
2015 ◽  
Vol 46 (9) ◽  
pp. 1828-1833 ◽  
Author(s):  
Lili Zhu ◽  
Zhencheng Wu ◽  
Feng Dong ◽  
Jia Feng ◽  
Dinghua Lou ◽  
...  

2021 ◽  
pp. 45-47
Author(s):  
Paruldeep Chakma ◽  
Phani Kumar Sarkar ◽  
Shivam Gupta

Background: Ocular injury is a major health problem in India, blunt trauma being one of the important causes of ocular morbidity and blindness. Eye injuries are avoidable, if prevention is quiet effective at work place, on the sports eld, and in home. Patients and ophthalmologist must be aware of activities that incur high of eye injury and must take advantage of a protective eye wear that is available, which varies with the need of the patient and when used in proper manner can reduce eye injuries in certain settings by as much as 90 percent. Methods:Ahospital based prospective observational study was conducted at AGMC& GBPHOSPITAL, including 200 patients within 2 years of duration. Patients with ocular injuries were included in this study. Patients who were not willing to participate and patients with pre-existing ocular diseases were excluded. Results: In our study, out of 200 patients 31(15.5%) eyes had lenticular involvement, 12(6%) had angle recession and 36(18%) cases of posterior segment involvement. Conclusion: It is clear from this study that ocular trauma is associated with varying degrees of loss of vision. We can infer that children and young adults are more prone to blunt ocular trauma, occupational injuries and road trafc accidents constitute the main bulk of injuries.


Sign in / Sign up

Export Citation Format

Share Document