VISUAL OUTCOME IN MECHANICAL OCULAR TRAUMA
Abstract
Aim- Ocular trauma has many challenges. This study evaluates visual outcome and probable predictors of visual
prognosis.
Material and method- A retrospective study of 43 cases underwent meticulous evaluation for etiology, type of trauma, associated ocular comorbidities,
surgical intervention, and nal visual outcome. Cases were grouped as per BETTS classication and managed accordingly with
follow up of 6 months. Probable predictors for visual prognosis were assessed and compare with nal visual outcome.
Result: Open globe injury was observed more than closed globe. In mode of injury iron rod and wooden chip were most common. Corneal tear
was commonest associated co-morbidity and played an essential role in nal visual outcome.
Conclusion: Categorizing cases as per associated co-morbidity and managing them according to BETT’S played a key role in knowing probable
predictors pre-operatively, which helped in assessing visual gain and explain realistic expectation to the patient
Keywords
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Schein OD, Hibberd PL, Shingleton BJ, Kunzweiler T, Frambach DA, Seddon JM, et al. The spectrum and burden of ocular injury. Ophthalmology 1988;95:300-5.
Katz J, Tielsch JM. Lifetime prevalence of ocular injuries from the Baltimore eye survey. Arch Ophthalmol 1993;111:1564-8.
M.A. Shah, S.M. Shah, A. Applewar, C. Patel, S. Shah, U. Patel.” Ocular Trauma Score: A Useful Predictor of Visual Outcome at Six Weeks in Patients with Traumatic Cataract” American Academy of Ophthalmology. 2012;119:1336 –1341.
Yu Meng, Hua Yan. Prognostic factors for open globe injuries and correlation of ocular trauma score in Tianjin, China.journal of ophthalmology.2015.
F. Kuhn, “Traumatic cataract: what, when, how,”Graefe’s Archive for Clinical and Experimental Ophthalmology, vol. 248, no. 9, pp. 1221–1223, 2010.
Shah MA, Shah SM, Shah SB, Patel UA. Effect of interval between time of injury and timing of intervention on final visual outcome in cases of traumatic cataract. Eur J Ophthalmol 2011;21:760–5.
Kuhn F, Morris R, Witherspoon CD, Mester V,. The Birmingham Eye Trauma Terminology system (BETTS) .J Fr Ophthalmol.2004;27(2):206-10.
Kuhn F, Maisiak R, Mann L, mester V, Morris R, witherspoon CD. The ocular trauma score(OTS) Ophthalmol Clin North Am. 2002;15:163-5.
Kanskii JJ . Clinical Ophthalmology: A Systematic Approach. 1989:257-58.
A.Sharma , A.N.Aslami , J. P. Srivastava , J. Iqbal.” Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study” Journal of Clinical and Diagnostic Research. 2016 ; 10(1); 05-08.
M.A.Shah,S.M.Shah,S.B.Shah,C.G.Patel,andU.A.Patel, “Morphology of traumatic cataract: does it play a role in final visual outcome?” BMJ Open, vol. 1, no. 1, Article ID e000060, 2011. .
Srivastava U, Lalramhluri R, Rawat P, Bhaisare V. Clinical evaluation of post traumatic cataract in tertiary care hospital. International Journal of Scientific & Research Publications. 2014;4:1–6.
Smith D, Wrenn K, Stack LB. The epidemiology and diagnosis of penetrating eye injuries. Acad Emerg Med. 2002;9:209–13.
Gogate P, Sahasrabudhe M, Shah M, Patil S, Kulkarni A. Causes, epidemiology, and long-term outcome of traumatic cataracts in children in rural India. Indian J Ophthalmol 2012;60:481-6
Rizwan A. Cheema , Andew D. Lukaris. Visual recovery in unilateral traumatic paediatric cataract treated with posterior chamber lens and anterior vitrectomy in Pakistan . international ophthalmology 1999;23:85-89.
Gupta RC, Vyas TN, Singh MP , Bihari V . Traumatic cataract: P/C IOLs after curette- aspiration or lensectomy. In: Indian Ophthalmology today. Proceedings 51st annual conference 1993. Aravali publishers,pp: 235-237.
Shukla B, Agarwal R, Shukla D, Seen S. Systemic analysis of ocular trauma score by a new proposed ocular trauma classification . Indian J Ophthalmology 2017;65:719-22.
Manoj M. Thakkar, Subhransu Ray. Vision – limiting complication in open globe injuries. Can J ophthalmology 2006;41:86-92
Craig Greven, Andrew S. Collins. Visual results, prognostic indicators and posterior segment finding following surgery for cataract/ lens subluxation – dislocation secondary to ocular contusion injuries Retina 2002;22:575-580.
Pieramici DJ, Au Eong K, Sternberg PJ, Marsh MJ. Prognostic significance of a system for classifying mechanical injury of the eye in open globe injury. J Trauma 2003;54: 790-4.
leonardo D, Ghanem VC. Prognostic factors in open globe injuries. Ophthalmologica 2003;217:431-5.
Munndada R, Shinde S, Pathan MS, Khaled M, Badaam Observational study of Ocular Damage and Visual Loss Associated with Traumatic Cataract Patients at Tertiary Care Hospital in Aurangabad Maharashtra. International Medical Journal. 2014;1:35–36.
Ying Qi, Yan F. Zhang, Yu Zhu, Ming G. Wan, Shan S. Du, and Zhen Z. Yue. Prognostic Factors for Visual Outcome in Traumatic Cataract Patients. J of Ophthalmol. 2016, Article ID 1748583, 1-6.
Shah M, Shah S, Khandekar R. ocular injury and visual status before and after their management in the tribal areas of western India : A historical cohort study. Graefes Arch Clin Exp Ophthalmol. 2008;246:191-7.
Shah MA, Shah SM, Applewar A, Patel C, Shah S, Patel U. Ocular Trauma Score: a useful predictor of visual outcome at six weeks in patients with traumatic cataract. Ophthalmology 2012; 119:1336–1341.
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