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Category: Volume 08 Issue 02 February 2020
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Title: Ocular Injuries in a Tertiary Hospital

Authors: Nkiruka N.M Okoloagu, MBBS, FWACS, Anthony J Edeh, MBBS, FWACS, Ezekiel N Ekweremadu, MBBS, FMCOph, Chijioke C Anekpo, MBBS, FWACS,  Stella N Onwubiko, MBBS, FWACS, FMCOph, Obinna C Arinze, MBBS, FWACS, FMCOph

 DOI: https://dx.doi.org/10.18535/jmscr/v8i2.83

Abstract

   

Background: Ocular injury is the commonest cause of uniocular visual loss and blindness which affects all ages.

Objective: To evaluate the mechanism, pattern and prevalence of ocular trauma at the eye clinic of ESUT Teaching Hospital.

Methodology: A two-year retrospective study of all the patients who presented with eye injury at the eye clinic from January, 2016 to December 2017. Information retrieved from the hospital records included patients’ demography, causes of eye injury, pattern of ocular damage, affected eye and place of injury. Data was analyzed using SPSS version 21. A p < 0.05 was considered statistically significant.

Results: A total of 216 patients were reviewed, comprising of 55.1% males and 44.9% females (1.2:1). The subjects comprised of 29.6% of children (1 to 16 years) and 70.4% of adults (above 16 years) with a mean age of 28.7+ 1.25SD years. Subjects within age group of 21 to 40 years (39.8%) were mostly affected. The commoner mechanism of injury was assault related (64.8%). Most of the injuries occurred at home (50.9%) and were domestic related. Majority of the ocular damage were restricted to the anterior segment (86.6%). Unilateral ocular involvement was the vastly predominant form of injury (98.1%) and the left eye (52.4%) was more affected than the right (47.6%). The hospital prevalence of ocular injury in our centre within the period of review was 1.0% in males, 0.5% in females and 0.7% in all subjects with a p-value of 0.000.

Conclusion: Most of the ocular injuries were assault related, with anterior segment involvement, occurred at home and are seen in subjects within the age group of 20 to 40 years.

Keywords: ocular, injury, mechanism, pattern and prevalence.

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Corresponding Author

Nkiruka N.M Okoloagu

Department of Ophthalmology Enugu State University of Science and Technology (ESUT) Teaching Hospital, Enugu, Nigeria