Delhi Journal of Ophthalmology

Patterns of Ocular Trauma Presenting to the Tertiary Eye Care Centre in the Islands of Andaman and Nicobar

Sujit Das1Manika Rana2
1Department of Ophthalmology, JNU Medical College & Research Centre, Jaipur, Rajasthan, India 
2ANIIMS, Port Blair, Andaman & Nicobar Islands, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Sujit Das (MS)
Department of Ophthalmology
JNU Medical College & Research Centre, Jaipur, Rajasthan-302017, India
Email id: imdrsujitdas@gmail.com


Received: 25-FEB-2019 Accepted: 04-DEC-2019 Published Online: 21-JUN-2020
DOI: https://dx.doi.org/10.7869/djo.540

Abstract
Objective: The purpose of this study is to identify the patterns of ocular trauma, determine the groups at risk, types of injuries, visual and post traumatic anatomical outcomes in patients presenting to our hospital – ANIIMS, Port Blair, Andaman & Nicobar Islands 
Method: It is a prospective hospital based observational study done over a period of two years on ocular trauma cases presenting to the emergency or referred to the ophthalmology department from June 2016 to June 2018. A questionnaire was made and data was collected on the patient’s age, gender, affected eye, aetiology, location of trauma, visual acuity, intra-ocular pressure (IOP) and subsequent gonioscopy, hospital admission, maximum stay in the hospital and primary and secondary surgical intervention done.
Results: The study included 77 eyes of 70 patients. Males were affected in 84% of cases. The highest incidence of trauma was seen in the age group of 21-30 years (34%). Children below 10 years were found in 14% cases. Blunt ocular trauma was found in 38 patients (25.7%) whereas penetrating injuries were found in six eyes (8.6%). Road traffic accident was found as the most common cause of trauma (25.7%). Hospitalization was done in 30 patients (42.85%) and the maximum stay in the hospital was three days. Primary surgical interventions were required in 25 patients (35.71%).
Conclusions: Road traffic accident is one of the major cases related to blunt ocular trauma and early intervention can prevent ocular morbidity. Children are at a higher risk for accidental ocular injuries especially with sharp objects. Safety is the key in preventing ocular injuries and thereby can reduce the burden on the individual as well as on the socioeconomic and health resources of any nation.

Keywords :Blunt trauma, eye injuries, ocular trauma, penetrating eye injuries, hyphema

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