scholarly journals Ocular trauma in an urban Spanish population: epidemiology and visual outcome

2021 ◽  
Vol 14 (9) ◽  
pp. 1327-1333
Author(s):  
Marta Belmonte-Grau ◽  
◽  
Paula Marticorena-Álvarez ◽  
Keyword(s):  
Urban Areas ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Occupational Accidents ◽  
Trauma Patients ◽  
Prevention Measures ◽  
Urgent Surgery ◽  
Eye Trauma ◽  
Open Globe ◽  
Epidemiological Characteristics

AIM: To describe epidemiological aspects, clinical findings, and visual results in eye trauma patients requiring urgent surgery at a tertiary hospital. METHODS: Retrospective review of adult patients requiring urgent surgery for trauma to the eyeball from January 2010 and April 2020. Data was collected relative to age, gender, mechanism of the injury, type of wound, initial and final visual acuity, number and type of surgeries carried out. Injuries were classed according to the Birmingham Eye Trauma Terminology (BETT) and the Ocular Trauma Score (OTS) categories. RESULTS: The survey included 92 eyes. Mean age was 54.76±22.18y. The most frequent cause was domestic accidents (44.6%), followed by aggression (22.80%) and occupational accidents (17.4%). Trauma from aggression was more frequent in men (P=0.006) and accidents in the home more common in women (P=0.011). Patients over 65y presented an odds ratio (OR) of 10.71 for suffering a domestic accident. Patients between 15-45 and 46-65y were at higher risk of trauma from aggression (OR=17.52 and OR=10.94, respectively). As for the type of injury, 63.04% were open-globe lesions, Zone II being the most frequently affected (27.2%). In Logistic regression analysis, old age (P=0.05) and retinal involvement (P=0.001) were found to be associated with higher rate of unfavourable visual outcome. CONCLUSION: The epidemiological aspects of eye trauma are highly dependent on the area of population studied. Domestic accidents are more relevant than workplace accidents in older urban areas with high socio-economic status. A better knowledge of the epidemiological characteristics is useful for implementing specific prevention measures and appropriate treatment strategies.

scholarly journals To Study the Pattern of Ocular Trauma and Predict-ing the Final Visual Outcome in Paediatric Ocular Trauma Cases in a Tertiary Eye Care Centre of Eastern India

2020 ◽  
pp. 29-33
Author(s):  
Rahul Prasad ◽  
Deepti Tiwari ◽  
Bibha Kumari ◽  
Antabha Bandyopadhyay
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Trauma Patients ◽  
Care Centre ◽  
Eastern India ◽  
Eye Care ◽  
Counting Finger ◽  
Open Globe ◽  
Common Causes

Aim: The study was done to identify causes, demographic and clinical profile and to evaluate factors influencing visual outcome in paediatric ocular trauma patients (up to 15 years). Study Design: It was a prospective interventional study Place and Duration of the Study: The study was done in a tertiary eye care centre of eastern India between January 2019 to February 2020. Materials and Methods: The study was done from January 2019 to February 2020 on children between 1 year to 15 years of either sex with ocular trauma. Demographic details, cause of injury, presenting visual acuity were noted. Follow up was done till 2 months after carrying out appropriate intervention. Results: A total 106 eyes of 106 patients were evaluated and it was observed that children who were of 7 yrs and above were more affected (67%) than below (33%). Male children (59%) were more affected than female (41%).  Injuries to Adnexa were found in 52% eyes, 40% injury cases were due to closed injury while open globe injuries comprised 8% of total cases. Common causes of injury were found to be mainly blunt objects and projectile objects. Maximum correction in visual acuity (VA) of more than 6/18 was achieved in 66% eyes, 6/18-6/60 in 11% eyes, <6/60-counting finger at 1 meter in 10% eyes.  Conclusion: Late reporting, poor initial visual acuity, involvement of posterior segment, and no immediate primary intervention at time of injury adversely affect visual outcome. Early intervention and globe salvaging repair should be done in all eyes of trauma.

scholarly journals Profile of Ocular Trauma Patients presenting to the National Eye Referral Hospital, Asmara, Eritrea

2021 ◽  
Author(s):  
Oluwafemi Adekunmi Ibrahim ◽  
Danait Michael ◽  
Hermela Misghna ◽  
Amir Ibrahim ◽  
Rut Russom
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Referral Hospital ◽  
Ocular Injury ◽  
Trauma Patients ◽  
Open Globe Injury ◽  
Eye Injuries ◽  
Cross Sectional ◽  
Open Globe ◽  
At Home

Abstract Background Ocular trauma is a significant disabling health problem and a leading cause of visual impairment and loss worldwide. These injuries have many diverse costs including human suffering, long term disabilities, loss of productivity and economic hardship. Therefore, assessing the profile of ocular trauma, the etiology and its outcome is critical to the prevention of ocular injuries Methods This cross-sectional study was conducted on ocular trauma patients presenting to Berhan Ayni National Eye Referral Hospital from August – November, 2018. Data on demography, presenting visual acuity, type of injury and visual outcome were collected using a standardized questionnaire. The types of injuries were classified according to Birmingham Eye Trauma Terminology System. Pearson Chi-Square test (χ2)/or Fisher’s exact test in the Crosstab procedure was used to evaluate the relationship between specific variables. Logistic regression models were constructed to assess risk factors associated with blindness. Result 280 patients were seen with ocular trauma in the hospital during the study period. Males were 198 (70.7%) and peak age was 18–40 years. Ocular injury commonly occurred at home (31.8%), street and high way (31.4%) and workplace (28.9%). 24.7% of the injury was work-related. Common causes of injury were blunt objects (37.5%), sharp objects (31.1%) and fall (12.5%). 27.8% had open globe injury (OGI). Blindness was associated with rural residence (p < 0.0001), presentation greater than 24 hours (p = 0.04), non-use of eye protection goggles (p = 0.007), open globe injury (p = 0.018), posterior segment involvement (p < 0.0001) and hospitalization (p < 0.0001). Conclusion Immediate and comprehensive medical care is mandatory for ocular trauma patients. Educating the public especially at home and workplace is essential to prevent eye injuries.

scholarly journals An Uncommon Meridional Globe Rupture due to Blunt Eye Trauma

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Krishan Kumar ◽  
Rick Figurasin ◽  
Swati Kumar ◽  
Muhammad Waseem
Keyword(s):  
Ocular Trauma ◽  
Severe Form ◽  
Open Globe Injury ◽  
Unique Case ◽  
Pertinent Literature ◽  
Eye Trauma ◽  
Globe Rupture ◽  
Open Globe ◽  
Blunt Eye Trauma ◽  
Blunt Ocular Trauma

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Most often, rupture is equatorial. We present a unique case of open globe injury due to blunt ocular trauma from a thrown rock that resulted in a meridional rupture of the eye. The pertinent literature is reviewed.

scholarly journals Visual Outcome of Ocular Trauma Presenting in a Tertiary Care Hospital in Sahiwal

2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Ahmad Zeeshan Jamil ◽  
Muhammad Luqman Ali Bahoo
Keyword(s):  
Visual Acuity ◽  
Ocular Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Visual Outcome ◽  
P Value ◽  
Care Hospital ◽  
Open Globe ◽  
Patient Reported

Purpose: To find the visual outcome of ocular trauma presenting in a tertiary care hospital in Sahiwal. Study Design: Descriptive observational study. Place and Duration of Study: This study was conducted at District Headquarter Teaching Hospital affiliated with Sahiwal Medical College, Sahiwal from January 2016 to June 2019. Material and Methods:  Four hundred and thirty five patients were included in the study by convenient sampling technique. Patient’s age, gender, occupation, activity at the time of injury, nature of object causing trauma, duration of trauma, visual acuity at the time when patient reported to hospital, the time delay before coming to the hospital were recorded. Ocular injuries were classified according to Birmingham ocular trauma terminology. Detailed ocular examination was performed. Patients were managed and post-management visual acuity at three months was recorded. Results: Mean age of patients was 29.07 ± 12.53 years. There were 219 (50.3%) closed globe and 216 (49.7%) open globe injuries. In 59 (13.6%) cases, cause of injury was metal object. In 146 (33.6%) cases injury was classified as contusion. In 164 (37.7%) cases cornea was involved. Majority of the patients were male. Eighty-seven patients presented within 1 day after trauma. In 154 (35.4%) patients, visual acuity at the time of presentation was 6/12 or better while in 171 (39.3%) cases it was less than 6/60. Chi-square test was used to calculate the difference between pre and post-management visual acuity. This difference was statistically significant with p-value less than 0.05 Conclusion:  Ocular trauma cases, if properly and timely managed, have a statistically significant increase in visual acuity.

scholarly journals Visual Outcome in Open Globe Injury

2013 ◽  
Vol 11 (2) ◽  
pp. 40-43
Author(s):  
Sagar Rajkarnikar ◽  
Ramesh Raj Bist ◽  
Anu Gurung ◽  
Ram Shrestha
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Ocular Injury ◽  
Open Globe Injury ◽  
Poor Vision ◽  
Work Related ◽  
Open Globe ◽  
History Of ◽  
Visually Handicapped ◽  
Type Of Injury

Introduction: Ocular trauma is a major cause of monocular blindness and visual impairment throughout the world. It is estimated that more than 2 million people suffer from ocular trauma annually and 40,000 become visually handicapped permanently. The aim of this study was to evaluate the visual outcome in open globe injury patients. Methods: This study was conducted in Nepal Eye Hospital. All the cases of admitted open globe injuries were examined and managed in the hospital were included in this study. The detail history of trauma and visual acuity was recorded. Clinical diagnosis was made after detail examination of anterior and posterior segment.  Patient was treated according to the type of injury. Visual recovery and the cause of poor vision at the time of discharge was also noted. Data was analyzed using the SPSS 11 program. Results: Out of the 100 cases enrolled in the study work related injury was the most frequent injury, metal was the most common causative agent. Males of 20-50 years of age are more vulnerable to open globe injury. Vision improved in 48%, same vision in 39% and deteriorated vision in 13% cases was recorded. Conclusions: Present study reveals that open globe injury can present in varying severity and though the overall prognosis is grave, prompt surgical intervention can result in better visual outcome. The visual outcome in mild to moderate ocular injury was satisfactory but poor in severe injuries.Medical Journal of Shree Birendra Hospital; July-December 2012/vol.11/Issue2/40-43 DOI: http://dx.doi.org/10.3126/mjsbh.v11i2.7909  

scholarly journals Erratum: The role of computerised tomography in predicting visual outcome in ocular trauma patients

Eye ◽  
2015 ◽  
Vol 29 (7) ◽  
pp. 986-986
Author(s):  
R Chaudhary ◽  
M Upendran ◽  
N Campion ◽  
A Yeung ◽  
R Blanch ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Trauma Patients ◽  
Computerised Tomography

scholarly journals Identification of Ocular Trauma Pattern with Risk and Prognostic Factors in the North Bund Area of Shanghai

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Prognostic Factors ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Cross Sectional Study ◽  
Trauma Patients ◽  
Eye Injury ◽  
Sectional Study ◽  
Cross Sectional ◽  
The North ◽  
Treatment Objective

Background: Ocular trauma is a leading cause of blindness. Identification of ocular trauma pattern is necessary for better ocular trauma prevention and treatment. Objective: The aim of this study is to identify ocular trauma pattern in the North Bund area of Shanghai. Methods: A retrospective cross-sectional study was conducted with 206 ocular trauma patients at Shanghai General Hospital. Results: A gender related ocular trauma pattern was identified that consists of several risk and prognostic factors. Of 206 ocular trauma patients, 182 patients were males (88.35%) and only 24 patients were females (11.65%). Males had significantly higher percentage of penetrating/intraocular foreign body injuries compared to females, which is associated with age and occupation. A significantly higher average monthly percentage of ocular trauma is observed in summer, suggesting that season change alters the risk of eye injury. Although proper treatments of complications are beneficial for patients, the visual outcome is determined by the location and size of injuries. Conclusion: We identified a gender related ocular trauma pattern with several risk and prognostic factors in the North Bund area of Shanghai.

A Clinical Study of the Pattern of Ocular Trauma and Its Visual Outcome among Road Traffic Accident Cases in a Tertiary Care Teaching Institute

2021 ◽  
Vol 8 (03) ◽  
pp. 141-145
Author(s):  
Vinay Kumar Dawson ◽  
Manasvi Dawson
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Visual Outcome ◽  
Post Treatment ◽  
Time Interval ◽  
Ocular Injury ◽  
Road Traffic Accidents ◽  
Open Globe ◽  
Ocular Injuries

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

Profile of Occupational Ocular Injury in a Tertiary Health Care Centre of Western Odisha - A Prospective Study

2021 ◽  
Vol 8 (15) ◽  
pp. 972-976
Author(s):  
Jayashree Dora ◽  
Sasmita Sahu ◽  
Madhumita Naik ◽  
Deepak Jyot Mohanty ◽  
Rupasri Sethi
Keyword(s):  
Prospective Study ◽  
Ocular Trauma ◽  
Health Concern ◽  
Ocular Injury ◽  
Ophthalmological Examination ◽  
Protective Devices ◽  
Eye Trauma ◽  
Open Globe ◽  
Ocular Injuries ◽  
A Prospective Study

BACKGROUND Occupational ocular injuries are very common in industrial and agricultural workers. These are important and preventable causes of ocular morbidity. Objective of the study was to profile occupational ocular trauma clinicoepidemiologically. METHODS A prospective study was done by collecting data from a standardised questionnaire and complete ophthalmological examination of patients with occupational eye trauma attending VSSIMSAR, Burla, between January 2019 and October 2020. RESULTS Out of 128 cases of work related injuries, males were 85 %. 48 % of the cases were between 21 - 40 years. Out of all cases 66 % injuries were related to industrial work followed by 29 % in agricultural sector and farming. 3 % of cases were due to blast injury. Also there were 3 % cases of chemical conjunctivitis. Most injuries were closed globe (85 %), mostly involving zone 1 (91 %). Open globe injuries were 15 %, majority of them involved zone 2 (47 %). Ocular superficial foreign bodies were the most common clinical entity (60 %), majority of them being metallic in nature (37.5 %). In 4 % cases IOFBs were found. Cornea was the most common ocular structure to get injured (69 %). Out of all cases, 50 % had ocular trauma score (OTS) of 4, and 4 % cases had OTS 2. 48 % of patients presented within 6 hours of injury. 42 % patients were not aware of any eye protective gear at work and 30 % patients were aware but did not use any eye protection. CONCLUSIONS Eye trauma in workplace is an important public health concern in economically productive population. Significant proportion of these injuries is avoidable by using standardised eye protective devices. Attention need to be given for instruction, enforcement of protective eye wear use, and frequent prevention campaigns. KEYWORDS Ocular Trauma, Occupational Ocular Injuries, Eye Protective Devices, Western Odisha

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