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The Official Scientific Journal of Delhi Ophthalmological Society
Clinical Profile and Factors Determining the Final Visual Outcome of Patients Presenting with Ocular Trauma
Poonam Lavaju, Badri Prasad Badhu, Sangeeta Shah
Department of Ophthalmology, BP Koirala Institute of Health Sciences, Dharan, Nepal

Corresponding Author:
Poonam Lavaju 
Department of Ophthalmology, 
BP Koirala Institute of Health Sciences, 
Dharan, Nepal, India 
Email id: drpoonamlavaju@yahoo.com
Published Online: 30-JUL-2018
DOI: http://dx.doi.org/10.7869/djo.370
Purpose:- To determine the clinical profile and the factors affecting the visual outcome of patients with ocular trauma.
Materials & Methods:- A retrospective review of medical records of patients with ocular trauma presenting at a tertiary referral centre, Eastern Nepal, from January 2015 to December 2015. Different pre-operative variables were reviewed and analyzed with the final visual acuity (VA). 
Results:- The cohort consisted of 136 patients (138 eyes). The mean age was 16.09±15.89 years 
(3 months - 72 years) with male : female ratio of 3:1. Children < 15 years of age were predominantly affected (65%). Ninety nine (71.1%) sustained open globe injury (OGI) and 39 (28.3%) closed globe injury (CGI). Fifty one percent sustained injury while playing; wooden stick being the most common agent (36%). In this study, ocular injury was classified according to the Birmingham Eye Trauma Terminology and Ocular Trauma Classification System. Among OGI, zone I was more frequent (71.7%) followed by zone II (19 %) and zone III (9.09%). Contusion was the most common CGI (55.26%). On multivariate analysis using binary logistic regression, the factors affecting the final outcome were initial VA (p=0.004, OR 0.063, CI: 0.010-0.380), lens status (p=0.037, OR: 2.54, CI 1.05-6.148) secondary glaucoma (p=0.035, OR 6.44, CI: 1.13-36.44), group (OGI vs CGI, p=0.001) and hyphaema (p=0.020).
Conclusions:- Children less than fifteen years and male patients were predominantly affected. Traumatic cataract, initial visual acuity, secondary glaucoma, group of injury and hyphaema adversely affected the final visual outcome. 
Keywords : ocular trauma, open globe injury, close globe injury, visual outcome
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