scholarly journals CLINICAL PATTERN AND VISUAL OUTCOME IN OCULAR INJURIES AT 6 MONTHS FOLLOWING ROAD TRAFFIC ACCIDENTS- A PROSPECTIVE FOLLOW UP STUDY

2017 ◽  
Vol 4 (22) ◽  
pp. 1276-1282
Author(s):  
Anitha S ◽  
Anulekshmy C.G
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Visual Outcome ◽  
Road Traffic Accidents ◽  
Clinical Pattern ◽  
Follow Up Study ◽  
Ocular Injuries

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

scholarly journals A study on ocular injuries following road traffic accidents

2017 ◽  
Vol 5 (2) ◽  
pp. 627
Author(s):  
B. S. Puzari ◽  
R. K. Das ◽  
Indira Pegu
Keyword(s):  
Risk Factors ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Care Hospital ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Public Health Importance ◽  
Ocular Injuries

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.

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 ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Case Series ◽  
Road Traffic Accidents ◽  
Case Series Study ◽  
Ocular Injuries ◽  
Series Study

scholarly journals EMDR for Childhood PTSD After Road Traffic Accidents: Attentional, Memory, and Attributional Processes

2010 ◽  
Vol 4 (4) ◽  
pp. 138-147 ◽  
Author(s):  
Tracy Ribchester ◽  
William Yule ◽  
Adam Duncan
Keyword(s):  
Traffic Accidents ◽  
Stress Disorder ◽  
Road Traffic ◽  
Standardized Assessments ◽  
Anxiety And Depression ◽  
Road Traffic Accidents ◽  
Modified Stroop ◽  
Childhood Ptsd ◽  
Attributional Processes

Eye movement desensitization and reprocessing (EMDR) was used with 11 children who developed posttraumatic stress disorder (PTSD) after road traffic accidents. All improved such that none met criteria for PTSD on standardized assessments after an average of only 2.4 sessions. Significant improvements in PTSD, anxiety, and depression were found both immediately after treatment and at follow-up. Attentional, memory, and attributional processes associated with PTSD were assessed and their relationship to therapeutic change examined. Treatment was associated with a significant trauma-specific reduction in attentional bias on the modified Stroop task, with results apparent both immediately after therapy and at follow-up.

Factors Affecting Implant Failure in Fracture of the Shaft of Femur

2003 ◽  
Vol 42 (148) ◽  
Author(s):  
S Lakhey ◽  
J Maheshwari ◽  
R Malhotra
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Femur Fracture ◽  
Implant Failure ◽  
Road Traffic Accidents ◽  
Factors Affecting ◽  
Technical Errors ◽  
Anatomic Reduction ◽  
Initial Injury

17 cases of implant failure of fracture of shaft of femur were studied. All cases were young adults less than40 years of age. 15 were males. 16 of 17 cases sustained their initial injury in road - traffic accidents. Platefailures were detected earlier than those of nails as nails kept on providing splintage to an otherwise ununitedfracture. 10 of 17 cases were treated by interlocking nailing during the resurgery. Cortico-cancellous bonegrafting was done in 9 of 17 cases as per merit of each case. Follow-up ranged from 6 months to 2 years. 15of 17 cases went on to sound union after the second operation.The wrong choice of implant, implants improperly applied and bone grafting not done as recommended(i.e. technical errors) is the major cause of implant failure. Nails with diameter more than 10 mm should beused as far as possible. Early detection and resurgery for K-nail failure should be done to prevent greateramount of shortening. Wherever plating is done, instead of attempting anatomic reduction and devascularisingthe bone, biological method of fixation should be used.Key Words: Implant Failure, Shaft of Femur, Fracture.

scholarly journals Ocular morbidity following road traffic acccidents: a retrospective analysis

2017 ◽  
Vol 4 (4) ◽  
pp. 968
Author(s):  
Shubhra Das ◽  
Dipak Bhuyan ◽  
Sujit Addya
Keyword(s):  
Emergency Department ◽  
Visual Impairment ◽  
Retrospective Analysis ◽  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Visual Outcome ◽  
Road Traffic Accidents ◽  
Traffic Rules ◽  
Final Visual Outcome

Background: Ocular trauma is a well-known cause of blindness and visual impairment and in industrialised nations it has become the reason for extended hospitalization of ophthalmologic patients. Anually, there are in excess of 2 million cases of ocular trauma, with more than 40,000 individuals sustaining significant visual impairment on a permanent basis. The aim of the present study was to study the pattern of ocular involvement in variety of road traffic accidents, attending the emergency department of Gauhati Medical College and Hospitals; analyse and correlate various factors playing roles in etiology and evaluate the final visual outcome. Methods: The study was conducted at a tertiary care centre in which retrospective analysis of 500 cases, who sustained injury involving any part of eye due to road traffic accidents attending emergency department from 1st January 2014 to 31st December 2016, was performed. Results: The predominant age group was between 21-30 years of age with males (75.2%) dominating over female (24.8%). Lid injury in the form of abrasions, lacerations, oedema to full thickness tear, is the commonest presentation in majority of the studies. RTA is more common in rainy and winter months and during the daytime. Two (2) wheelers is the common type of vehicle involved. Final visual outcome in the present study is good and comparable to other studies. Conclusions: Driving under the influence of alcohol is an important etiology in Northeast India. A significant section of the patients were driving two-wheelers and not following the safety precautions as advised, which calls for rigorous implementation of traffic rules. Last but not the least, it is often said that the prevention is the best way to minimise such unwanted events. Public sensitisation, strict adherence to traffic rules and improved roads are some of the few steps that can go a long way to reduce such events. 

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