Mumtaz Hussain, Muhammad Moin, Nazir Ahmed Aasi.
Epidemiology of penetrating Ocular Trauma.
Ann King Edward Med Uni Jan ;9(2):163-6.

The objective of this study is to evaluate the epidemiology of penetrating eye trauma and to determine the prognostic value of several clinical parameters. This was a retrospective chart review of 201 patients admitted in our eye unit with open globe trauma from January 2000 to July 2003. The setting was a tertiary referral, teaching hospital. Seven cases of penetrating eye injuries, on average, were seen per month. Seventy eight percent of the injuries occurred in males, and the average age was 18 years. Final visual outcome after one month was No Perception of Light (NLP)/ Faulty Projection in 44 patients (21.9%), Projection of light (PR) to <6/60 in 54 patients (26.9%), 6/60 to 6/36 in 60 patients (29.8%), 6/24 to 6/6 in 27 patients (13.4%) and could not be assessed in 16 children less than 4 years of age (8%). Major injuries were task related 58.21% followed by recreational or child related, 26.37%. There were 32 (16%) intraocular foreign bodies out of which 8 developed severe infection. Eyes were lost due to endophthalmitis in 17 (8.5%) cases. Cataract developed in 130 cases (65%), hyphema in 40 cases (20%), vitreous hemorrhage in 57 cases (28.4%) and endophthalmitis in 17 cases (8%). Penetrating eye injuries are relatively common, occur predominantly in young males and often result in poor visual outcome in the affected eye. Fireworks and firearm injuries are associated with more severe injuries.

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