The Clinic-epidemiological Assessment of Ocular Trauma Associated with Closed-Globe Injuries: A Cohort Study
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 2511-2517
AbstractAim: To study on the epidemiology of ocular trauma associated with closed-globe injuries.
Methods: This was a prospective observational study conducted in the Department of Ophthalmology Darbhanga Medical College and hospital, Laheriasarai, Darbhanga, Bihar, India for 1 year. Children with ocular injury in either of the eye who presented, diagnosed and managed were included in the study. Patients who consented to participate and not presented with any other serious body injury were included. We divided all participants in closed globe injuries according to the BETTS and studied them. We obtained a comprehensive history, including the details of injury and information on the treatment and surgery performed to manage the past ocular trauma.
Results: Our cohort consisted of 500 patients with mechanical ocular trauma. Closed globe injuries were reported in 350 patients which include 238 males (68%) and 112 females (32%). The mean age of patients was 11.2 ± 4.7 years. Of all closed globe injuries, 236 (67.5%) were closed globe contusion and 113 (32.3%) were lamellar laceration. In addition, 23% of patients were under 5 years of age. Conjunctiva was the most commonly affected tissue in closed globe injury, which was found in 52%, followed by the cornea 48%. In terms of outcome, 234 eyes (66.8%) regained >6/24 visual acuity, whereas 116 eyes (32.2%) did not regain more than 1/60. We found the involvement of 1-6 tissues in all cases. In addition, we found a significant difference in visual outcome with respect to the number of tissues involved (P = 0001).
Conclusion: The 234 eyes (66.8%) regained >6/24 visual acuity, whereas 116 eyes (32.2%) did not regain more than 1/60.
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