Pattern of ocular injuries in stone pelters in Kashmir valley

ABSTRACT

To describe the pattern and types of ocular injuries in stone pelters in Kashmir valley during recent turmoil. Cross sectional study. Sixty patients with different types of eye injuries were assessed between June-September 2010 and initial visual acuity was recorded. The injuries were classified according to Systems for Classifying Ocular Injuries [OTCS] and Ocular Trauma Score [OTS] was calculated in order to estimate the probability of follow-up visual acuity range. Most of the victims [75%] were young boys between 16-26 years with a mean age of 20.95, 95% of cases were males. The main cause of injury was stones [48.3%] and pellets [30%] besides rubber bullets, sling shots and tear gas shells. Most of the open-globe injuries due to stones were of Type B and A, Grade E, Zone II and III with Afferent Pupillary Defect [APD] in 30% of the cases. Closed-globe injuries were mostly of Type A, Grade C and D and Zone II and III. Most of the open-globe injuries due to pellets were of Type D, Grade D, Zone II and APD in 33.3%. Pellets Intra Ocular Foreign Body [IOFB] was in 41.6%. Most of the closed-globe injuries were of Type A, Grade D and E and of Zone III. Overall OTS of 1 was calculated in 16.6% and 3 in 53.3% of the cases. In stone pelting demonstrations eye injuries can result in visually significant trauma. Injuries due to pellets are mostly perforating and pellet IOFB, and both tend to have a very poor prognosis. OTS can be used to estimate visual prognosis