Profile of Ocular Trauma at Tertiary Eye Centr

ABSTRACT

This prospective study reveals the epidemiological profile of ocular trauma referred to a tertiary eye centre over one year. All consecutive patients referred to Vitreo-retina service during 1 year period were examined.Out of total 523 eyes registered large proportion was <25years of age (67%), males (88%) and literate (77%). Forty-four percent belonged to rural area and 38% were students. Most of the open globe injuries were Zone 1(50.8%). 75% presented >1 week after injury. The incidence of intraocular foreign body and retinal detachment was 17.4, and 11.3% respectively. Diagnosis of post traumatic endophthalmitis was made in 20.5% of open globe injuries. Development of endophthalmitis correlated with younger age, rural setting, illiteracy, presence of foreign body and lens disruption. Ocular trauma requiring tertiary care commonly affects young students, labourers and factory workers. Younger, rural and illiterate patients are more likely to develop infection especially if they have lens injury or intraocular foreign body.