Trends Of Ocular Trauma At A Tertiary Care Hospital In Northern India.

1. Anusha Venkataraman
2. Jyoti Gupta
3. Vinit Shah
4. Rajvardhan Azad
5. Yograj Sharma1

Dr.R.P.Centre for Ophthalmic Sciences, A.I.I.M.S., New Delhi, India

Purpose: To study the trends of ocular trauma at a tertiary level institute in Northern India.

Methods: 500 eyes of 500 patients attending our trauma clinic at Dr.R.P.Centre, AIIMS from June 2009 to Dec 2009 were studied. The age, sex, nature, duration, type, zone and grade of injury were noted. Data was analysed for most common mode of injury, risk factors predisposing to endophthalmitis and visual outcomes.

Results: The average age was 18 years. Male: female ratio was 6:1. Wooden stick injury in children and hammer chisel injury in adults were most common. Late primary repair (> 72 hours), uveal prolapse and vitreous prolapse in 82%, 78% and 72% of patients respectively emerged as risk factors for endophthalmitis. Wooden stick injury was associated with poorest visual outcomes.

Conclusions: Endophthalmitis prophylaxis at primary repair may be considered in injuries associated with uveal and vitreous prolapse and delayed repair.