Blunt non-perforating ocular trauma patterns of ocular damage and final visual outcome

ABSTRACT

To study the causes of blunt ocular trauma in a closed-globe, its various clinical signs on presentation and final visual outcome. A prospective analytic study of one hundred cases of the blunt ocular trauma conducted in the Department of Ophthalmology, Ayub Teaching Hospital, Abbottabad. In one hundred cases. Seventy-nine [79%] were males and twenty-one [21%] were females. Hyphacma occurred in sixty-two cases [93.9%], mydriasis in twenty-nine cases [43.9%], traumatic iritis/uveitis fifty three [80.3%], and seventeen [25.8%] patients developed traumatic cataract. Traumatic Glaucoma occurred in 3% cases. Vitreous haemorrhage occurred in nineteen [63.3%] and seventeen [56.7%] cases were with retinal heamorrhages, commotio retinae was seen in ten [33.3%] post-traumatic optic atrophy occurred in eight [26.7%] and retinal detachment in six cases. Anterior segment involvement have better visual prognoses 89.4%, compared to posterior segment trauma which is 26.7%. A high percentage of youth and children suffered eye injuries, home setting and sports-related injuries were more common. Hyphaemas and lens injuries have relative little affect on the final visual outcome as compared to the posterior segments injuries