Study of epidemiology, clinical profile, visual outcome and prognostic factors of blunt ocular trauma in a teaching hospital

To describe the epidemiology, patterns of ocular trauma, clinical presentation, visual outcome and prognostic factors blunt trauma. A teaching hospital based prospective observational study was conducted over a period 4 years from March 2012 to Feb 2016. 226 patients all age group fulfilling various inclusion exclusion criteria were included in study. All underwent detailed protocol workup including comprehensive examination along with relevant radiological tests. Data regarding demographic profile, etiology, circumstances injury, traumatic agents, mode mechanism extent severity features, management analyzed trauma score evaluated. Out 402 total cases caused by objects this 181 (80.1%) male rest 45(19.9%) female. The mean 42.6 ± 18.8 years. Blunt more prevalent 16-25yrs (24.3%) followed 26-35 (23.9%). Majority (68.6%) victims belonged rural background. Most sustained at road /street (30.5%) home (27.9%). most common cause traffic accident (26.5%) sports related injury (22.6%) physical assault (21.7%). frequent agent wooden object (26.0%) stone / brick (25.2%) metallic (23.1%). Only 32.3% had isolated injuries, associated polytrauma. 93.3% unilateral injury. Left eye (52.3%) predominantly involved. injured eyes than 3 structure involvement. 241 14.0% only globe while 61.4% simultaneous adnexal injuries. 55.6% closed 19.9% rupture. 20.7% purely posterior segment 23.2% both anterior finding corneal abrasion (45.6% eyes) hyphema (44.0% eyes), mydriasis (35.7%), vitreous hemorrhage (33.2%) retinal detachment (20.3%), lens dislocation (22.8%) cataract (17.4%). At time initial presentation 33.2% impairment 35.7% blindness. 14.5% 5.0% open zone III Ocular Category I 14.9% category II 7.1% eyes. After 6 months right 24.2% left showed blinding outcome. is commonest Young adult males are vulnerable. Intraocular hemorrhage, involvement low poor factors.