Profile of ocular trauma patients attending a tertiary care centre in Assam and its relationship with ocular trauma score
Dr. Chandana Kakati
, Dr. Sagarika Das
Key words – ocular trauma , OTS system
Abstract Introduction – Ocular trauma cases presenting to emergency department are gradually increasing along with rising incidents of road traffic accidents. Most of times treating such cases and explaining prognosis to relatives and patients becomes a challenging situation in these cases as the final outcome in these cases are fairly unpredictable. Ocular trauma score (OTS )described by Kuhn et al 1 is one of most commonly used methods that helps to predict outcome in these cases .In this study we are trying to study socio demographic and clinical profile of patients with ocular trauma and compare OTS score and final visual outcome in these cases. Study design—Hospital based retrospective non randomized study Material and methods--- Case records of ocular trauma patients attending outpatient and emergency department are evaluated and analysed. However cases with pre-existing ocular disease or patients treated previously elsewhere, cases lost to follow up are excluded .Cases are evaluated for socio demographic and Clinical profile. Raw score calculation and OTS categorization done for each patient . Treatment received by all patients, any complication, any need for special procedure etc noted .All these cases followed up at least up to 1 year . Final visual outcome of each cases at end of one year noted and compared with OTS of that particular patient in each OTS category. Result—Total 120 cases are included , male predominant with male female ratio 5: 1.the commonest cause of ocular trauma road traffic accident 63.3 % , followed by physical assault 13.3 % , animal attack 10 % , cracker burn 6.66 % , household injury 6.66 %.According to OTS classification , in OTS 1 there were 8 cases , OTS 2 had 60 cases , OTS 3 had 36 cases , OTS 4 had 8 cases , OTS 5 had 8 cases. Category wise , final visual acuity improvement was seen as , in OTS 1 , 1000 % cases had no perception of light , in OTS 2 ,46.6 % had at least perception of light / hand movement , in OTS 4 55 .5 % had vision 1/60-5/60 ,in OTS 4 50 % had vision 6/60-6/15 and in OTS 5 100 % had vision ≥ 6/12. Conclusion—In our study it was observed that higher the raw score and OTS category of the patient , better is the final visual acuity in the patients of ocular trauma .Hence ocular trauma score at time of presentation can give fairly good idea regarding prognosis in these patients and thus system can be can be a very important tool in counselling patients and relatives of patients with ocular trauma . Key words – ocular trauma , OTS system
"Profile of ocular trauma patients attending a tertiary care centre in Assam and its relationship with ocular trauma score", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.6, Issue 9, page no.47 - 51, September-2021, Available :https://ijsdr.org/papers/IJSDR2109008.pdf
Volume 6
Issue 9,
September-2021
Pages : 47 - 51
Paper Reg. ID: IJSDR_193637
Published Paper Id: IJSDR2109008
Downloads: 000347263
Research Area: Biological Science
Country: Guwahati, Assam, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
