Volume 6 Issue 2 (February, 2018)

Original Articles

A Clinical Study of Anterior Segment Ocular Manifestations in Blunt Trauma to the Eye
Milind Sabnis, Kanishk Joshi

Background: Blunt trauma forms a chief part of ocular trauma. Cricket balls, Road traffic accidents, Assault, elastic luggage straps, falls and animal tail or horn are the most common causes of blunt ocular trauma. Aim of the study: To study the anterior segment ocular manifestations in blunt trauma to the eye its relationship with age and sex and clinical profile of the patients in Kolhapur region of Maharashtra. Materials and methods: The study was conducted in the Department of Ophthalmology of D.Y. Patil Medical College, Hospital and research institute, Kolhapur. It was a two year prospective observational study from July 2015-July 2017.In the study, we included a total of 100 ocular blunt trauma patients attending our OPD or casualty in which only anterior segment was involved.All ocular blunt trauma patients in which only anterior segment is involved are eligible, each case was examined on emergency basis and underwent, Torch light examination – for external examination of cornea, foreign body, sub-conjunctival haemorrhage and conjunctival and scleral tear. Results: Males were more commonly affected than female (81 males compare to 19 females). Occupational hazards were most common cause in 39 cases, followed by road traffic accident in 26 cases, followed by sports (12), domestic (11), fall (6) assault (4) and blast (2). Right eye affected more commonly then left eye (right eye 64 and left eye 36). Out of 100 patients 38 patients had <6/60 vision on day of presentation out of which 18 improved, 17 remain static and 2 have worsened their vision. Conclusion: Several human and environmental risk factors were found to be associated with increased risk of occupational trauma e.g. not following proper working guidelines, not having safety equipment’s on, especially safety googles improved machinery and helmet, unawareness among people regarding job safety. Key words: Ocular manifestations, anterior segment, ocular blunt trauma.

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