Rajendra Prakash Maurya1, Virendra Pratap Singh2, Syeed Mehbub Ul Kadir3, Jayant Kumar Das4, Sanjay Kumar Bosak2, Manish Kumar Prajapat5, Meghna Roy2, Brijesh Kumar Kushwaha2, Anil Kumar6, Abdullah Al-Mujaini7. 1. Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India. mauryarp_bhu@yahoo.com. 2. Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India. 3. Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalgonj, Bangladesh. 4. The Retina Center, An Advance Eye Hospital, Guwahati, Assam, India. 5. Mahamaya Rajkiya Allopathic Medical College, Ambedkar Nagar, UP, India. 6. Department of Statistics, Faculty of Science and Technology, Mahatma Gandhi Kashi Vidyapeeth, Varanasi, Uttar Pradesh, India. 7. Department of Ophthalmology, College of Medicine and Health Sciences, Sultan Qaboos University, Alkoudh, P.O. Box 35, 123, Muscat, Oman. abdullah.almujaini@gmail.com.
Abstract
PURPOSE: This study is aimed to determine the frequency, sociodemographic profile, clinical presentation, patterns of injury, treatment and outcomes of cases of simultaneous bilateral ocular trauma treated in a teaching hospital of Northern India. METHODS: This retrospective study was conducted from May 2015 to April 2019. The medical records of patients presenting with bilateral ocular injuries were reviewed. RESULTS: Among the 402 patients presenting with ocular injuries, 34 (8.5%) had simultaneous bilateral ocular trauma. The majority were male (70.6%), and the mean age was 26.82 ± 15.86 years (range: 2-70 years). The most frequently affected age group has been 16-25 years (35.3%). Most injuries occurred away from home (64.7%), mainly on roads (32.4%) or playgrounds (14.7%), and the vast majority (91.2%) were non-occupational in nature. Mechanical injuries were most frequent (47.1%), followed by cracker (17.7%), chemical (17.7%) and thermal (11.8%) injuries. Most cases occurred due to assault (26.5%), road traffic injury (20.6%) or sports/recreational activities (17.7%). The majority of victims were not using protective devices at the time of injury (82.4%) and had associated polytrauma (58.8%). Closed and open globe injuries accounted for 29.4% and 14.7% of cases, respectively, mostly involving zones I (55.0%) and II (40.0%). Orbital fractures occurred in 27.9% of eyes. Category I and II ocular trauma scores were noted in 5.9% and 7.4% of eyes, respectively. Overall, 13.2% were blinded as a result of the trauma. CONCLUSION: Simultaneous bilateral ocular trauma is rare and occurs mostly following road traffic accidents, assault or recreational activities. In particular, young-adult males are more prone to bilateral ocular injuries, the majority of which are severe and associated with poor outcomes. The study also highlights that poor initial visual acuity, multiple ocular structure involvement, large open globe injury, presence of intraocular hemorrhage, posterior segment injury, multiple orbital fractures and lower OTS were the poor prognostic factors.
PURPOSE: This study is aimed to determine the frequency, sociodemographic profile, clinical presentation, patterns of injury, treatment and outcomes of cases of simultaneous bilateral ocular trauma treated in a teaching hospital of Northern India. METHODS: This retrospective study was conducted from May 2015 to April 2019. The medical records of patients presenting with bilateral ocular injuries were reviewed. RESULTS: Among the 402 patients presenting with ocular injuries, 34 (8.5%) had simultaneous bilateral ocular trauma. The majority were male (70.6%), and the mean age was 26.82 ± 15.86 years (range: 2-70 years). The most frequently affected age group has been 16-25 years (35.3%). Most injuries occurred away from home (64.7%), mainly on roads (32.4%) or playgrounds (14.7%), and the vast majority (91.2%) were non-occupational in nature. Mechanical injuries were most frequent (47.1%), followed by cracker (17.7%), chemical (17.7%) and thermal (11.8%) injuries. Most cases occurred due to assault (26.5%), road traffic injury (20.6%) or sports/recreational activities (17.7%). The majority of victims were not using protective devices at the time of injury (82.4%) and had associated polytrauma (58.8%). Closed and open globe injuries accounted for 29.4% and 14.7% of cases, respectively, mostly involving zones I (55.0%) and II (40.0%). Orbital fractures occurred in 27.9% of eyes. Category I and II ocular trauma scores were noted in 5.9% and 7.4% of eyes, respectively. Overall, 13.2% were blinded as a result of the trauma. CONCLUSION: Simultaneous bilateral ocular trauma is rare and occurs mostly following road traffic accidents, assault or recreational activities. In particular, young-adult males are more prone to bilateral ocular injuries, the majority of which are severe and associated with poor outcomes. The study also highlights that poor initial visual acuity, multiple ocular structure involvement, large open globe injury, presence of intraocular hemorrhage, posterior segment injury, multiple orbital fractures and lower OTS were the poor prognostic factors.
Authors: L B Brilliant; R P Pokhrel; N C Grasset; J M Lepkowski; A Kolstad; W Hawks; R Pararajasegaram; G E Brilliant; S Gilbert; S R Shrestha Journal: Bull World Health Organ Date: 1985 Impact factor: 9.408
Authors: Tariq Farooq Babar; Mohammad Naeem Khan; Sana Ullah Jan; Shafqat Ali Shah; Mir Zaman; Mohammad Daud Khan Journal: J Coll Physicians Surg Pak Date: 2007-11 Impact factor: 0.711
Authors: Laila T Ababneh; Hasan Mohidat; Heba Abdelnabi; Mohammed F Kana'an; Nour A Tashtush; Omar S El-Mulki; Abdelwahab J Aleshawi Journal: Clin Ophthalmol Date: 2019-10-31