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Category: Volume 06 Issue 01 January 2018
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Title: Clinical Profile of Ocular Injuries at Pravara Rural Hospital (PRH)

Authors: Divyangi Sarvankar, Dr Shobhana Jorvekar, Shubhangi Nigvekar, Rahul Kunkulol

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.178

Abstract

Ocular trauma is a major cause of preventable blindness and visual impairment in the world.

Objectives: Our study is aimed at determining the clinical profile of ocular injuries in Pravara Rural Hospital. We have also studied the time interval between the injury and treatment intervention and visual outcome.

Methods and Material: A one year retrospective and prospective study was conducted on patient of ocular trauma in Department of Ophthalmology, Pravara Rural Hospital, Loni from May 2013 to May 2014.Patients of all the age group and either sex were included .A proforma was designed and the data was collected from the clinical records using this proforma. Total 30,000 medical records were screened.160 patients out of 30,000 were treated for ocular injury.

Results: Occurrence of ocular trauma was 0.53%.Males predominated (63.75%) irrespective of the age. Incidence peaked in second decade of life(31.25%) and 152 patients(95%) lived in villages. Agricultural activities accounted for maximum number of cases (32.5%).Main cause of ocular injury was foreign body (25%.) Most common diagnosis in surgically treated patient was iris prolapse (13.75%) and corneal tear(13.75%)Maximum patients (56.25%)reported in hospital within 6 hours. Close globe injuries were seen in more number of patients(58.75%).Most of the injuries were mechanical(87.5%).Presenting visual acuity of FC<3mtrs was noted in 30 patients(18.75%).The final visual acuity was 6/6 in 44 cases(27.5%) followed by 6/9 in 33 cases(20.62%).

Conclusion: Delay in presentation was associated with complications. Public awareness and preventive strategies can help to reduce occurrence of ocular injury.

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Corresponding Author

Dr Shobhana Jorvekar

Assistant Professor Department of Opthalmology, Rural Medical College, PIMS-DU, Loni, Maharashtra