The study of simultaneous bilateral ocular trauma in Northern India: clinical presentation, epidemiology and patterns of injury.

Autor: Maurya RP; Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India. mauryarp_bhu@yahoo.com., Singh VP; Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India., Kadir SMU; Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalgonj, Bangladesh., Das JK; The Retina Center, An Advance Eye Hospital, Guwahati, Assam, India., Bosak SK; Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India., Prajapat MK; Mahamaya Rajkiya Allopathic Medical College, Ambedkar Nagar, UP, India., Roy M; Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India., Kushwaha BK; Regional Institute of Ophthalmology, Institute of Medical Sciences, SS Hospital, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India., Kumar A; Department of Statistics, Faculty of Science and Technology, Mahatma Gandhi Kashi Vidyapeeth, Varanasi, Uttar Pradesh, India., Al-Mujaini A; Department of Ophthalmology, College of Medicine and Health Sciences, Sultan Qaboos University, Alkoudh, P.O. Box 35, 123, Muscat, Oman. abdullah.almujaini@gmail.com.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2022 Apr; Vol. 42 (4), pp. 1193-1203. Date of Electronic Publication: 2021 Nov 19.
DOI: 10.1007/s10792-021-02104-5
Abstrakt: Purpose: This study is aimed to determine the frequency, sociodemographic profile, clinical presentation, patterns of injury, treatment and outcomes of cases of simultaneous bilateral ocular trauma treated in a teaching hospital of Northern India.
Methods: This retrospective study was conducted from May 2015 to April 2019. The medical records of patients presenting with bilateral ocular injuries were reviewed.
Results: Among the 402 patients presenting with ocular injuries, 34 (8.5%) had simultaneous bilateral ocular trauma. The majority were male (70.6%), and the mean age was 26.82 ± 15.86 years (range: 2-70 years). The most frequently affected age group has been 16-25 years (35.3%). Most injuries occurred away from home (64.7%), mainly on roads (32.4%) or playgrounds (14.7%), and the vast majority (91.2%) were non-occupational in nature. Mechanical injuries were most frequent (47.1%), followed by cracker (17.7%), chemical (17.7%) and thermal (11.8%) injuries. Most cases occurred due to assault (26.5%), road traffic injury (20.6%) or sports/recreational activities (17.7%). The majority of victims were not using protective devices at the time of injury (82.4%) and had associated polytrauma (58.8%). Closed and open globe injuries accounted for 29.4% and 14.7% of cases, respectively, mostly involving zones I (55.0%) and II (40.0%). Orbital fractures occurred in 27.9% of eyes. Category I and II ocular trauma scores were noted in 5.9% and 7.4% of eyes, respectively. Overall, 13.2% were blinded as a result of the trauma.
Conclusion: Simultaneous bilateral ocular trauma is rare and occurs mostly following road traffic accidents, assault or recreational activities. In particular, young-adult males are more prone to bilateral ocular injuries, the majority of which are severe and associated with poor outcomes. The study also highlights that poor initial visual acuity, multiple ocular structure involvement, large open globe injury, presence of intraocular hemorrhage, posterior segment injury, multiple orbital fractures and lower OTS were the poor prognostic factors.
(© 2021. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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