Aarti, S (2020) An Observational study to Assess the Visual Outcome following the Management of Hyphaema in Patients with Blunt Ocular Injury. Masters thesis, Madurai Medical College, Madurai.
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Abstract
In our study, a total of 50 patients in the age group 10 to 50 years with hyphaema due to blunt ocular injury were enrolled and evaluated. The age group of 10 to 20 yrs formed the majority of the patients accounting for about 46% of the total population. The next majority of the patients affected with blunt ocular injury were greater than 40 yrs contributing to about 20% of the total population. Males (86%) were more commonly affected than females (14%). The ratio was 6.1:1. All mode of injury except assault are significantly higher in Males. The p value was < 0.016 significant. Both the eyes were equally affected. In our study we found that the major mode of injury was due to sports equipments, injury by hand, cracker burst, assault and stationaries accounting to atotal of 52% altogether. Stationaries, Games items, RTA are significantly higher in Males. In our study majority of the patients presented with a vision between 6/9 to 6/36 (82%). Very few patients presented with poorer vision like 6/60 or worser (18%). Majority of the patients had an IOP between 10 to 20 mm of Hg(54%). Few patients presented with tension less than 10 mm of Hg (28%) and increased IOP above 20 mm of Hg (18%). Most of them presented with hyphaema of Grades 1 to 3 accounting for about 94%. Very few patients presented with Grade 4 (6%). 44 patients (88%) did not have any associated traumatic mydriasis or sphincter tear. 6 patients had it associated with hyphaema (2%). Majority of the patients stayed in the hospital for less than 10 days (92%) and few patients stayed for more than 10 days (8%). Most of the patients improved to 6/6 (50%) vision during follow up. About 42% of the patients had a follow up vision between 6/9 to 6/24. Very few patients had a follow up vision of 6/36 (8%). P value was < 0.001 significant. CONCLUSION: From the above study we come to a conclusion that most of the patients presenting with Hyphaema due to blunt ocular ocular injury affecting the anterior segment of the eye, if treated promptly and in time can regain better or normal vision. Protective measures should be taken to prevent blunt trauma to eye.We also found that patients presenting with mild grade of hyphaema had a good visual prognosis. Such patients were treated medically with topical drugs. They improved to a better vision if they did not have any associated conditions like traumatic mydriasis or sphincter tear. Hence precaution measures should be taken while playing and also at work site.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221713101 |
| Uncontrolled Keywords: | Visual Outcome, Management, Hyphaema, Blunt Ocular Injury. |
| Subjects: | MEDICAL > Ophthalmology |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Feb 2021 08:41 |
| Last Modified: | 14 Feb 2021 08:41 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14172 |
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