Patterns of ocular trauma.
OBJECTIVE
To describe the patterns of ocular trauma, cause of injury and its effects on eye.


METHODS
A retrospective case series.


METHODS
Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar, from January 1999 to June 2004.


METHODS
Medical records of 1105 patients admitted with ocular trauma were reviewed. The details of patients regarding age, gender, literacy, cause of injury and its effects on eye were entered into specially-designed performa. Sample selection consisted of all patients with history of ocular trauma and who were admitted to hospital. Population details consisted patients who were referred to the hospital from all parts of N.W.F.P. Thus, the frequency of trauma in the hospital admissions was analysed.


RESULTS
Ophthalmic trauma comprised 6.78% of the hospital admission. One thousand one hundred and five patients presented with eye injuries. Out of them, 21 patients suffered from trauma to both eyes. Almost 80% patients were male and 69% patients were below 30 years of age. Delayed presentation was more common and 63.61% patients presented after one week. Open globe injuries were more common [520 eyes (46.18%)] than closed globe injuries [484 eyes (42.98%)]. 23.26% of open globe injuries were associated with intraocular and intra-orbital foreign bodies. Superficial non-perforating, eyelid and adnexal and burns were seen in 122 eyes (10.83%). Among the complications, lens damage and hyphema was seen in more than 50% of the patients, 16.60% eyes were infected at the time of admission and 4.88% of eyes needed enucleation or evisceration. The common causes of injury were violence in 37.37%, occupational in 24.43% and domestic accidents in 19.18%.


CONCLUSIONS
Ophthalmic trauma is a major public health problem. Majority of the involved are male and under 30 years of age. Delayed presentation is more common. Open globe injuries are more frequent. Violence and occupational injuries are the major causes.
Babar
Tariq Farooq
TF
Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar. tariqbabar1@hotmail.com
Khan
Muhammad Tariq
MT
Marwat
Mir Zaman
MZ
Shah
Shafqat Ali
SA
Murad
Yasir
Y
Khan
Mohammad Daud
MD
D000293:Adolescent; D000328:Adult; D005131:Eye Injuries / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D010154:Pakistan / Q000453:epidemiology