Online ISSN: 2515-8260

Keywords : ocular trauma


Open globe injury: Presentation and predicting factors

Dr. Prabha, Dr. Rajesh Kumar Saini, Dr. Shashidhar Harvyasi, Dr. Charita Meena

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1222-1227

Aim: To identify the prognostic factors in open globe injuries and its presentation.
Materials and Methods: Retrospective study at Government medical College, Bharatpur,
JLN Medical College Ajmer, GMC Churu, GMC Dungarpur, Rajasthan, India in year 2021,
patients presented to casualty department of eye and undergone intervention with follow-up
of 1 to 3 months or till better recovery.
Results: Total 62 patients, 44 (71%) were males and 18 (21%) were females. Mean age was
24 years (with range: 2.5-62 years). Factors affecting final outcomes in ocular trauma are
nature and mechanism of injury, presenting conditions initial visual acuity, timing of
presentation and timing of intervention, segmental involvement as anterior or posterior
segment and zone of injury.
Conclusion: These predicting factors helps in counseling and explaining the prognosis and
also the deciding the line of treatment

Pediatric ocular trauma and its outcomes:Rajasthan,India

Dr.Prabha, Dr. Priyanka Aggarwal,Dr. Himanshu Goyal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 237-242

Aim:To identify the trend of ocular trauma in pediatric age-group and evaluate final visual
outcome.
Materials and Methods: Prospective interventional study at Government medical College,
Bharatpur from November 2019 toOctober 2020,patients up to age 16 years attended the
casualty department of eye and undergone intervention with follow-up period of 1to3months
or till better recovery.
Results: Total 118 eyes of 115 patients were enrolled. The age-group more affected was
above 5 years (67.80%, i.e.,80 eyes)and below 5years (32.20%, i.e.,38eyes). Boys (62.71%)
were affected more than girls (37.29%). Most of the children reported to casualty within
24hours(80.50%eyes),remaining patients reported later within 2days to 1 week (19.50%eyes).
Most of the ocular injuries occurred by household objects (22.3%), blunt objects(13.56%),
playground/sports (13.56%),accidental fall(11.02%), projectile(7.63%)and others. Best
corrected visual acuity(VA)of more than 6/18 achieved in 61.02%eyes, 6/18-6/60
in18.64%eyes,<6/60-counting finger close face(CFCF)in5.93%eyes, projection of
light(PL)+perception of rays(PR)in5.93%eyes,and noPLin8.47%eyes.
Conclusion: Pediatric ocular trauma is still higher in Rajasthan. It requires early presentation
and intervention so that prognosis can be enhanced and impact of trauma can be reduced as
much aspossible.

Pediatric ocular trauma and its outcomes:Rajasthan,India.

Dr.Prabha,Dr. Priyanka Aggarwal,Dr. Himanshu Goyal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 637-642

Aim:To identify the trend of ocular trauma in pediatric age-group and evaluate final visual
outcome.
Materials and Methods: Prospective interventional study at Government medical College,
Bharatpur from November 2019 toOctober 2020,patients up to age 16 years attended the
casualty department of eye and undergone intervention with follow-up period of 1to3months
or till better recovery.
Results: Total 118 eyes of 115 patients were enrolled. The age-group more affected was
above 5 years (67.80%, i.e.,80 eyes)and below 5years (32.20%, i.e.,38eyes). Boys (62.71%)
were affected more than girls (37.29%). Most of the children reported to casualty within
24hours(80.50%eyes),remaining patients reported later within 2days to 1 week (19.50%eyes).
Most of the ocular injuries occurred by household objects (22.3%), blunt objects(13.56%),
playground/sports (13.56%),accidental fall(11.02%), projectile(7.63%)and others. Best
corrected visual acuity(VA)of more than 6/18 achieved in 61.02%eyes, 6/18-6/60
in18.64%eyes,<6/60-counting finger close face(CFCF)in5.93%eyes, projection of
light(PL)+perception of rays(PR)in5.93%eyes,and noPLin8.47%eyes.
Conclusion: Pediatric ocular trauma is still higher in Rajasthan. It requires early presentation
and intervention so that prognosis can be enhanced and impact of trauma can be reduced as
much aspossible.

A STUDY TO DETERMINE THE ROLE OF DIFFERENT TYPES OF INTRAOCULAR LENSES IN THE MANAGEMENT OF TRAUMATIC CATARACT IN A TERTIARY HEALTHCARE CENTRE.

DR. CHRISANN SALDANHA; DR. SACHIN DAIGAVANE

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2027-2034

Background: Cataract is the leading cause of blindness worldwide. Out of them traumatic cataract is a common variant occurring in the spectrum of ocular trauma. It is a significant prerequisite of monocular blindness worldwide. Timely management and early intervention are essential in view of traumatic cataract. Different types of lenses such as anterior chamber intraocular lens and posterior chamber intraocular lens, scleral fixated intraocular lens can be used in the management of traumatic cataract. This study will be conducted to find out the correlation between different types of intraocular lenses used in cataract surgery and their potential role in the visual outcome of the patient and meanwhile considering factors such as type of trauma, amount of time interval between trauma and surgery, preoperative and postoperative complications etc. 
Objectives:
1.To know modes of presentation and different injuries causing traumatic cataract.
2.To assess the visual outcome of the patients post traumatic cataract surgery using different types of intraocular lenses.
3. To study the complications occurring in patients undergoing traumatic cataract surgery.
Methods: This study will be conducted in Acharya Vinoba Bhave Hospital, Sawangi (Meghe) associated to Datta Meghe institute of Medical sciences, Wardha, it will be a hospital based Interventional Cross sectional study with a sample size of 40 patients. Clinical history will be taken and Comprehensive ophthalmic examination, including best corrected visual acuity (Snellens chart), slit lamp, IOP measurement (applanation tonometer) and fundoscopy (slit lamp biomicroscopy with 90 D, indirect and direct ophthalmoscopy) and B- scan, IOL power calculation by SRK-T formula will be performed. Following which the patients will under undergo cataract extraction with intraocular lens implantation. Final visual outcome will be assessed by the end of 6 weeks. 3 follow ups will be there after first day, first week and sixth week.
Expected Results: The main objective of this study will be to assess the improvement in visual outcome of each of the 40 patients suffering from traumatic cataract by the use of different types of intraocular lenses depending upon the situation they present in. Studies conducted in the past have shown a considerable improvement in the visual outcome of the patients with the use of different types of intraocular lenses.