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Category: Volume 05 Issue 08 August 2017
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Title: Childhood Ocular Trauma –Epidemiology and the Visual Outcome in A Tertiary Care Centre in Eastern India

Authors: Minj A MS, Satapathy J DNB, Gupta N MD, Das D A MS

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.182

Abstract

In children eye injuries are an important cause of ocular morbidity.

Purpose: The purpose of this study was to identify the risk factors, different modalities of management and suggest preventive measures in children below 16 years of age.

Materials and Methods: A total of 290 children below 16 years of age with history of ocular injury were included in our study. A detailed history and complete ocular examination including Slit lamp examination, indirect ophthalmoscopy as well as special investigations like B-scan, X-ray were done wherever required and appropriate timely medical and surgical intervention was done.

Results: We observed the incidence of ocular trauma in this age group was 8.7%, male female ratio 2.5:1. Most of the injury occurred during outdoor activity and pointed objects mainly stick were the common cause of injury. Among all cases 75.2% were close globe injury, 16.6% cases were open globe injury and in 8.2% only ocular adnexa was involved. Most cases (76%) required conservative management only. At 6 months follow up 91.8% had BCVA ≥ 6/60, 3.9% had <6/60, 4.3% had no perception of light.

Conclusion: In children ocular injuries are an important cause of unilateral & some time bilateral blindness. Such injuries could not be always preventable but by identifying the risk factors, most effective methods of management, parents’ awareness and by reducing exposure to dangerous objects can prevent the morbidity to some extent.

Keywords: Mechanical injury, Close globe injury, open globe injury, Ocular adnexa injury, Ocular injury.

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Corresponding Author

Dr Jasmita Satapathy

Assistant Professor, Dept of Ophthalmology, Institute of Medical Sciences & SUM Hospital

(Sikhya O Anusandhan University, Bhubaneswar)