Frequency and determinants of ocular trauma in the Kimpese Rural Health Zone, Kongo Central, Democratic Republic of Congo

Context and objective. Ocular trauma is very common and its etiological factors vary by region and age group. This study aims to describe the magnitude and determinants of ocular trauma complications in rural areas. Methods. We conducted a retrospective study of patients admitted for ocular trauma at Kimpese Hospital between January 2014 and December 2016. Univariate logistic regression was used to assess the determinants of ocular trauma complications. The statistical significance level is p˂ 0.05. Results. A total of 223 patients were included. The majority of participants were men (69.5%), over 18 years of age (70%), with poor visual acuity (57.8%) and bilateral ocular involvement (51.1%). Plant objects (44.8%) and metal objects (15.2%) were the most common traumatic agents. After treatment, an improvement in visual acuity was observed in 64.3% of patients with previously poor visual acuity (p < 0.001). The delay of care > 7 days [aOR: 2.286 (95% CI: 1.302-4.012), p=0.004] and the poor visual acuity on admission [aOR: 5.906 (95% CI: 3.231-10.796), p< 0.0001] emerged as determinants of the onset of complications. Conclusion. Awareness-raising efforts for early consultation after ocular trauma and integration of eye care at the primary level should be promoted for efficiency in care

Frequency and causes of ocular trauma among children attending Mulago Hospital Eye Department

Background: Ocular trauma is a frequent and avoidable cause of visual impairment. Injuries range from a small corneal epithelial abrasion to pen­etrating and globe rupture leading to blindness or poor vision. Hospital based studies of eye trauma indicate that about two thirds of those affected are male, predominantly children and young adults with injuries by sticks, stones, and metallic objects being the most.Objective: To examine the frequency, pattern and causes of ocular trauma among children at Mulago hospital using a hospital based descriptive cross- sectional study. Results: Of the 161 children seen with ocular trauma, 45.9% were aged 0-5 years, 32.3% were aged >5-12 years and 21.8% were aged >12-17years; the male to female ratio was 2.1. Sticks were the commonest agent of injury. The most common places of trauma was in the home and school, and the commonest activity at occurrence of injuries was playing and fighting. Only 2.5% of cases presented to the hospital within 24 hours. About a quarter presented with immediate visual acuity better than 6/18, while 19.2% presented with visual acuity worse than 6/18-6/60, and 44% presented with visual acuity worse than 6/60-NPL.Conclusion: The frequency of ocular trauma amongst children attending Mulago Hospital is high, one in every five children seen at the eye clinics had ocular trauma

Pattern of ocular trauma in Benghazi eye hospital, Benghazi, Libya

Background: This study was conducted to determine the pattern of ocular trauma in Benghazi- Libya Methods: All cases of ocular trauma admitted to Benghazi eye hospital from January 2011 to August 2012 were retrospectively reviewed for open- or closed-globe injury (OGI or CGI). Data extracted included age, sex, residence, initial and final visual acuity (VA), cause and treatment of injury. The injuries were classified by Ocular Trauma Classification System.Results: Out of the 805 patients, there were 540 patients (67.0%) with Closed Globe Injury and 254 patients (31.5%) with Open Globe Injury and 11 patients (1.3%) with mixed trauma. Conclusion: This analysis shows a pattern of eye injury largely similar to reports from other parts of the world. Eye injury affected mainly younger age groups and road traffic accidents were the most common cause

Patterns of Ocular Trauma at the Main Referral Hospital in Rwanda: Kigali University Teaching Hospital

Background: Eye injuries are the most common cause of referral to the Ophthalmology department; KUTH. No research data is available on ocular trauma in Rwanda. To understand the impact of eye injuries in KUTH and to plan for preventive strategies; it is important to understand the magnitude of this problem. Aim: The aim of this study was to identify the patterns of ocular trauma at Kigali University Teaching Hospital. Methods: In this retrospective study; 352 reviewed patients were referred to KUTH; from January 1st; 2007 to January 1st; 2013. Patient's ocular trauma details were recorded and analyzed. Patients' demographic data; medical history; diagnosis; treatment and possible complication were retrieved from files in archive and recorded on a questionnaire for further analysis. Results: Out of the 352 patient's files; 72.7 were males and 27.3 were females. The male to female ratio was 2.7. Majority of patients were of age group between 11 and 40 years. Among files reviewed; 75.2 sustained blunt ocular injuries whereas 22.1 sustained penetrating injuries. Main risk factors for those injured patients were work place injuries (37); road traffic accident (21) and assault (15). Most frequent offending agents were pieces of wood (21.5); foreign bodies (16.4) and vehicle crush (16.1). However; metal objects; motorbike and stone missile represented important causes of ocular trauma at KUTH respectively 13.9; 13.06 and 11.07. A big number of patients were found to have corneo-limbal perforation (29.2); corneal abrasions (18.4); corneal abrasions (18.4); sub-conjunctival hemorrhage (17.8) and peri-orbital injuries (17.6). The common visual acuity observed on the affected eye on admission was (6/60-3/60) (38) and below 3/60 (30). The main post-traumatic complication at KUTH was corneal scaring (42.04). Conclusion: Males and young patients were more affected by ocular injuries because of their involvement in high risk activities in their daily life. Blunt and penetrating ocular injuries were two main types of ocular trauma recorded. Work place ocular injuries; road traffic accident and assaults were the main risk factors of ocular trauma at KUTH. Piece of wood; ocular foreign bodies and vehicle crush were the main offending agents causing ocular injuries. Main diagnoses in ocular trauma were corneo-limbal perforation; corneal abrasion and sub-conjunctival hemorrhage. On admission; most of injured patients had visual acuity (6/60-3/60) and below 3/60. Management of ocular trauma mainly described at KUTH was antibiotherapy and steroid therapy; however surgery was performed for penetrating trauma and conservative treatment for few cases. The most common complication due to ocular trauma at KUTH was corneal scaring

Corps etrangers intra-oculaires sur plaies perforantes : a propos de 13 cas

Cette etude rapporte 13 cas de plaies perforantes (P.P.) de l'oeil avec corps etrangers intra-oculaires (C.E.I.O.). Une situation relativement rare; 13 cas sur 414 cas de P.P. (0;3 pour cent). La moyenne d'age est de 25 ans avec 12 hommes pour 1 femme. Les corps metalliques sont les plus frequents 10 (76 pour cent) et l'explosion est le mecanisme etiologique le plus incrimine; 7 cas (61 pour cent). Malgre 6 extractions (48 pour cent); seulement 2 patients ont recupere une vision superieure a 1/10. Les resultats sont compares a la litterature des pays en voie de developpement

Retrospective study of ocular injuries at University Teaching Hospital - Jan to Dec (1988)

An outline of a retrospective survey of patients with ocular trauma at UTH in 1988. Paper discuses corneal erosion as a major cause of ocular trauma in Zambia