Assessment of Risk Factors, Etiological Factors and Visual Outcomes of Infected Globe Injuries among Paediatrics and Adults – A Prospective Study
Year: 2019
Type: article
Study design: Observational Study
Abstract: Introduction: Ocular trauma is the major cause of monocular visual impairment and blindness in the world.The aim of the present study was to assess the infected globe injury with reference to demography, etiology, clinical features and visual outcomes among paediatric and adult patients. Material and Methods:The present study was a prospective study which was done among 92 patients.All patients who presented to ophthalmology department with mechanical globe injuries leading to ocular infection (see methodology for definition of ocular infection) were included in the study.Visual status assessment was done with a Snellen chart for all age groups except for children below 5 years of age where age appropriate tests will be used for VA assessment.Results: The total number of patients in the study was 92 patients.Majority of which 77 were found to be males (83.7%) and females were 15 (16.3%).Majority of the patients were less than 20 years (39.5%).At 6 months follow up after management, we found that there was a significant improvement in BCVA level (P <0.001) and there was also significant relationship of increase in the OTS score with better VA in our study.The factors such as Cornea infiltrate (OR = 7.37, 95%CI (1.13 -47.96), p-=0.037),Fundus good glow (OR = 0.02, 95%CI (0.001 -0.23), p=0.002) and Dull glow (OR = 0.16, 95% CI (0.03 -0.99), p =0.049) were found to be significant after multivariate analysis.Conclusion: Corneal infiltrate was identified as the single most independent risk factor for poor outcome in our study.Children were the mostly affected group with males outnumbering females.Wooden sticks were the commonest insulting agent.Despite the late presentation and predominant zone I injury, eye could be salvaged in majority with visual recovery of 6/12 and better in 41 cases (44.6%).
Institution: Aravind Eye Hospital
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3016862403