Volume : IX, Issue : V, May - 2020

PENETRATING OCULAR TRAUMA -A CLINICAL STUDY

Dr. Nishit Kumar Jha, Dr. M. M. Zamal, Dr. Debarshi Jana

Abstract :

Background and objectives : Injury as a cause of blindness constitutes 1.5% off all cases of blindness. Ocular trauma is the principle cause of unilateral blindness. Most of the patients are young, so timely intervention is of prime importance to improve the visual outcome. Objectives: To study the causation and management of penetrating ocular injury, and to evaluate the final visual outcome and sequalae of penetrating ocular trauma. Methods: A study of 30 cases of penetrating ocular trauma was conducted in Department of Ophthalmology, MGMMCH, Jamshedpur, Jharkhand. Detailed history was taken from the patient, and a thorough and detailed ocular and systemic examination was done. All patients were given oad spectrum antibiotics and tetanus prophylaxis. Wherever required, primary repair of the wound was done by different surgeons, and the patients were followed up for 3 months. Results: 80% of cases were males. 66.66% of cases were between 10 – 30 years of age. In 20 cases (66.67%) the left eye was involved while right eye was involved only in 10 cases (33.33%). Zone I injuries were seen in 90% cases. Most injuries occurred when engaged in agricultural activities (43.33%) while thorn was implicated as the object of injury in 30% cases. The lens was involved in 22 cases (73.33%) and the iris in 16 cases (53%). 80% of patients had only light perception in the injured eye at the time of presentation. While after four weeks of management 17 patients (56.67%) had vision better than 6/18 in the injured eye. Visually significant corneal opacity and post–traumatic iridocyclitis were the commonest complications seen. Interpretation and conclusion: It can be concluded from this study that most cases of penetrating ocular injuries are seen in males, with most of them being younger than 30 years of age. All the cases were unilateral. Agricultural activity being associated with most cases of penetrating injury, with thorn being the commonest agent causing the injury. Following treatment most patients had satisfactory vision. The cases with infection and Zone II injuries had poor visual outcome.

Keywords :

Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

PENETRATING OCULAR TRAUMA -A CLINICAL STUDY, Dr. Nishit Kumar Jha, Dr. M. M. Zamal, Dr. Debarshi Jana INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-5 | May-2020

Number of Downloads : 238

References :