Causes and Visual outcome of Childhood eye injuries A clinical study

Mirza Mohammed Mohiuddin Baig; Mohammed Ather; Shadan Taskeen; Samra Wahaaj Fatima

Volume : VIII, Issue : IV, April - 2018

Causes and Visual outcome of Childhood eye injuries A clinical study

Mirza Mohammed Mohiuddin Baig, Mohammed Ather, Shadan Taskeen, Samra Wahaaj Fatima

Abstract :

Aim: To study the causes and Visual outcome of Childhood Eye injuries

Materials and Methods: This is a prospective interventional study conducted at Department of Trauma of Sarojinidevi eye hospital between March 2012 to Feuary 2013. 60 patients of Ocular Trauma aged between 0–15 years were included in the study. Patients with poly trauma and injury to other parts of body were excluded from study. Patients who lost the follow up were also excluded from study. Informed consent was obtained from Parents and legal guardians of all patients included in the study. Through examination was done using torch and loupe. Examination under general anaesthesia was performed in special cases. Visual acuity was recorded by best possible methods. Patients were treated according to the type of injury.

Results: Of 60 cases included in the study 41 were males and 19 were females. In 38 cases right eye was involved in 19 LE was involved. In 3 cases both eyes was injured. 37 had open globe injury. 15 had blunt trauma. 1 case had chemical injury, 2 had thermal trauma to eyes. 5 had lid laceration.

Conclusions: Recovery of vision was good in blunt trauma, chemical injury and thermal injury. Patient who had lid laceration maintained same visual acuity at the time of discharge as at the time of admission. Patients with open globe injury involving zone II had good recovery of vision with single intervention. Open globe injury patients with involvement of zone I had to undergo more than one intervention before they had good visual acuity. Those with zone III injury with expulsion of contents of globe did’nt recover the vision.