CLINICAL PROFILE OF MEDICOLEGAL CASES IN TERTIARY EYE CARE CENTRE

Maridi Aparna

Abstract


AIM:To study clinical profile of medicolegal cases(MLC) in tertiary eye care centre

METHODS:In cross sectional study,61cases were grouped as per Ocular Trauma Classification Group based on Birmingham Eye Trauma Terminology

RESULTS: Out of 61MLCs,53(87%)were male,8(13%)were female. Mechanical trauma present in 55(90%) patients with injury to globe in 36(55%) patients and injury to adnexa sparing globe in 19(35%) patients.Closed globe injury(CGI)in 26pts&open globe injury(OGI)in 10pts.Most common type of injury ,zone , pupil ,grade  of injury in CGI were Type A-contusion(79%),Zone I(72%),Pupil B(no RAPD)in 95%,GradeA[visual acuity (VA)≥20/40]in 68% of the eyes .most common type of injury , zone, pupil, grade of injury in OGI were Type B-penetrating(48%),Zone II(38%), Pupil B(59%),Grade D(VA 4/200‑PL)(42%).Chemical injury in 6(3%)pts

CONCLUSION: Commonest form and mode of ocular injury in MLC were CGI and fist respectively. Commonest type of injury in CGI and OGI were contusion and penetrating injury


Keywords


BIRMINGHAM EYE TRAUMA TERMINOLOGY, CLOSED GLOBE INJURY

Full Text:

PDF

References


Lyon IB, Dogra TD, Rudra A. Lyon’s Medical Jurisprudence and Toxicology. 11th ed. Delhi: Delhi Law House; 2005. p. 367.

Wasfy IA, Wasfy EI, Aly TA, Abd‑Elsayed AA. Ophthalmic medicolegal cases in Upper Egypt. Int Arch Med 2009;2:1.

Pieramici DJ, Sternberg P Jr., Aaberg TM Sr., Bridges WZ Jr.,Capone A Jr., Cardillo JA, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol 1997;123:820‑31.

Dua HS, King AJ, Joseph A. A new classification of ocular surfaceburns. Br J Ophthalmol 2001;85:1379‑83.

Reddy KS. The Essentials of Forensic Medicine and Toxicology.33rd ed. Delhi: Jaypee Brothers; 2014.

Katz J, Tielsch JM. Lifetime prevalence of ocular injuries from theBaltimore Eye Survey. Arch Ophthalmo l 1993;111:1564‑8.

Liggett PE, Pince KJ, Barlow W, Ragen M, Ryan SJ. Ocular traumain an urban population. Review of 1132 cases. Ophthalmology 1990;97:581‑4.

Kuhn F, Mester V, Mann L, Witherspoon CD, Morris R, Maisiak R, et al. Eye injury epidemiology and prevention of ophthalmic injuries. In: Kuhn F, Pieramici DJ, editors. Ocular Trauma: Principles and Practice. Ch. 4. New York: Thieme; 2002. p. 14-21

Results of the Endophthalmitis Vitrectomy Study. A randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Endophthalmitis Vitrectomy Study Group. Arch Ophthalmol 1995;113:1479-96.

Iinuma T, Hirota Y, Ishio K. Orbital wall fractures. Conventional views and CT. Rhinology 1994;32:81-3. Back to cited text no. 10

Kubal WS. Imaging of orbital trauma. Radiographics 2008;28:1729-39.


Refbacks

  • There are currently no refbacks.