1. VISUAL OUTCOME AND PROGNOSTIC FACTORS IN MECHANICAL INJURY OF ANTERIOR SEGMENT OF EYE.
- Author
-
K., Divija and Hanumanthappa, B. O.
- Abstract
INTRODUCTION Trauma can result in wide spectrum of eye injury of the globe, optic nerve and adnexa ranging from superficial to vision threatening complication Timely intervention and surgical repair of anterior segment injury and subsequent visual rehabilitation with long term impact is a topic of great significance and challenges to the practicing ophthalmologists. Even though with the advent of new modalities and improved technology, the management of penetrating ocular injuries has changed. We need to prognosticate any patient with ocular trauma before and even after the repair of ocular injury. OBJECTIVES 1. To assess the various factors affecting the final visual outcome in patients with mechanical ocular injury 2. To assess the severity of ocular trauma at the time of presentation METHOD This prospective study was conducted on minimum of 72 patients fulfilling the inclusion criteria in the department of Ophthalmology, R. L. Jalappa Hospital and Research centre, Kolar from August 2022 to December 2023, after obtaining ethical clearance from Institutional Ethical Committee of Sri Devaraj Urs Medical College and written informed consent from the subjects. All cases of mechanical ocular injuries involving the anterior segment of eye age more than 5 years were assessed by a detailed history regarding Time of onset an mode of injury, Mode of injury Clinical examination including Visual acuity, Color Vision, Slit lamp examination, fundus examination, X-ray orbit, B-Scan CT and MRI orbit if needed. RESULTS Among 72 eyes studied, patients' average age (years) was 31.82, and most were 11-30. Around 60% were males. The left eye was implicated among 45.8%, and 9.7% had bilateral eye involvement. Around one-fourth had trauma by RTA, followed by wooden pieces. At the presentation time, 44.4% had Cf 1-meter to Cf 5-meter vision, and 30.6% had 6/60 to 6/24 visual acuity. At one week follow-up, 54.2% had a VA 6/60 to 6/24, 26.4% had 6/18 to 6/6, and 19.4% had Cf 1 meter to Cf 5 meter. At one month follow-up, 25% had a VA 6/60 to 6/24, 73.6% had 6/18 to 6/6, and 1.4% had Cf 1 meter to Cf 5 meter Corneal foreign body with epi defects was the most common complication, followed by Traumatic cataract (9.7%), IOP was high among 13.9% of the patients.11.1% of the patients had wounds involving the pupillary axis. 16.7% of the patients were immunocompromised. Most patients presented within 24 hours (75%), while 16.7% and 8.3% presented within 24-48 hours and >48 hours, respectively. CONCLUSION This study concluded, most had ocular injury by RTA, Corneal foreign body with epi defects is the common complications observed upon the presentation Three-fourths of those with ocular injury had good vision by follow-up. A significant association was found between visual acuity and wounds involving the pupillary axis, the immunocompromised status of the patients. [ABSTRACT FROM AUTHOR]
- Published
- 2024