CHILDHOOD OCULAR TRAUMA- AN EPIDEMIOLOGICAL STUDY IN A TERTIARY CARE HOSPITAL OF EASTERN INDIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 33
Abstract
BACKGROUND Childhood ocular trauma is an important cause of disabling ocular morbidity. One third of the ocular trauma causing loss of vision is limited in the first decade of life. Children are more commonly affected because of their underdeveloped motor skills and high curiosity. Visual prognosis of severe ocular trauma is really challenging in paediatric age group. We wanted to study the causes and types of paediatric ocular injuries clinically. We also wanted to study the causes and types of ocular injuries in different ages, sexes, with an urban-rural distribution. METHODS A study was conducted at R. G. Kar Medical College and Hospital, Kolkata, India during the period between April 2018 to March 2019 among two hundred (n=200) number of patients up to 15 years of age. A detailed clinical and ophthalmological examinations were done in every patient. RESULTS Fall from a height (40%) and fingernail (19%) trauma were the most common causes of ocular injuries, followed by blouse hook (17%) injuries during breastfeeding, pencil and pen related trauma (11%) and fall on the rocks (13%). Other findings were corneal abrasion (28%), eyelid swelling (23%) and bruise (21%). Fracture of orbital wall (7.5%), sub conjunctival haemorrhage (19%), corneal perforation (6%), hyphema (4%), iris injury (6%), intraocular foreign body (10%) and globe rupture (3%). Posterior segment involvement was rare. CONCLUSIONS Children should be away from the traumatic agents as much as possible. Parents should be trained properly for early management before coming to the hospital. Creation of more referral centers for ocular emergency should be far from the urban areas for giving early management to the traumatized children to avoid visual morbidity as much as possible.
Authors and Affiliations
Santanu Sinha Babu, Prasenjit Maiti, Md. Nazarul Islam
Keywords
Related Articles
- EP ID EP670475
- DOI 10.18410/jebmh/2019/458
- Views 92
- Downloads 0
A COMPARISON OF THREE SUPRAGLOTTIC AIRWAY DEVICES: THE LMA CLASSIC, THE AMBU AURA40 LARYNGEAL MASK AND THE i-gel IN SPONTANEOUSLY BREATHING ANAESTHETISED PATIENTS
BACKGROUND To test and compare LMA Classic, Ambu Aura40 and i-gel in terms of ease of insertion, efficacy and complications. MATERIALS AND METHODS 90 patients between 18-70 years of age of ASA I and II scheduled for shor...
MULTILOCULAR THYMIC CYST FROM ECTOPIC SUPERIOR MEDIASTINAL THYMIC TISSUES: A RARE CASE REPORT
The incidence of thymic cystic lesion is rare and its occurrence from ectopic thymic tissue is rarer. We report a case of multilocular thymic cyst from an ectopic superior mediastinal thymic tissue. This 24 years young m...
A COMPARATIVE STUDY OF MIFEPRISTONE AND MISOPROSTOL VERSUS MISOPROSTOL ALONE IN MID TRIMESTER TERMINATION OF PREGNANCY
BACKGROUND Termination of pregnancy in second trimester continues to be a challenge in developing countries especially in rural areas. There is an exponential rise in complications of abortion along with advancing gestat...
CLINICAL STUDY OF PAEDIATRIC TUBERCULOSIS WITH REFERENCE TO ADENOSINE DEAMINASE LEVEL IN COMPARISON WITH DNA PCR FOR DIAGNOSIS OF MYCOBACTERIUM TUBERCULOSIS
BACKGROUND To study the clinical profile of paediatric tuberculosis with reference to adenosine deaminase level in comparison with DNA PCR for diagnosis of mycobacterium tuberculosis. Tuberculosis is still a leading caus...
ROLE OF FIBEROPTIC BRONCHOSCOPY IN PATIENTS WITH SPUTUM SMEAR NEGATIVE FOR ACID FAST BACILLI AND CHEST XRAY SUGGESTIVE OF PULMONARY TUBERCULOSIS
AIMS: To study the role of fiberoptic bronchoscopy in patients with sputum smear negative for AFB and chest X-ray suggestive of pulmonary tuberculosis. SETTINGS AND DESIGN: After informed consent, 60 adult patients with...