Abstract
PurposeTo assess the pattern, presentation and risk factors of ocular trauma among patients treated at Hawassa University, Referral Hospital, Ophthalmology Department, South Ethiopia, 2014MethodsThe medical records of all patients treated for ocular trauma at Hawassa University, Referral Hospital, Ophthalmology Department, during the period January 01, 2012 to July 31, 2014, were retrospectively reviewed. Trained optometrists, ophthalmic nurses and ophthalmic officer collected the data using a pretested data abstraction form. The descriptive and analytic statistics was carried out.ResultsA total of 773 patients (549 males and 224 females) were included in the study. Closed globe injury was more common in males (P = 0.019) and open globe injury was significantly common in children (P < 0.001). Corneal tear was the most frequently observed finding (39.33%). Surgery, secondary to trauma, was common in open globe injury (P < 0.001). About 98% of the patients presented after 6 hours post trauma. Among 84.61% patients whose visual acuity (VA) was recorded at presentation, 12.23% had VA of 6/6 and 65.90% had VA of <3/60.ConclusionOcular trauma was more common in males and children. Majority of patients (98%) presented after 6 hours post trauma. Cornea was the most commonly affected ocular structure by trauma.
Highlights
The eye represents only 0.27% of the total body surface area and 4% of the facial area, but it is the third most common organ affected by trauma after hands and feet [1].Ocular trauma is a significant public health problem and preventable cause of visual morbidity [1,2,3,4,5]
Closed globe injury was more common in males (P = 0.019) and open globe injury was significantly common in children (P < 0.001)
According to estimates of world health organization (WHO), the global annual incidence of ocular trauma is around 55 million [3, 6, 10, 11] and worldwide blindness in 1.6 million people is due to ocular trauma [1, 7, 11,12]
Summary
Ocular trauma is a significant public health problem and preventable cause of visual morbidity [1,2,3,4,5] It is common in developing countries and may lead to permanent visual impairment [1, 2, 4, 6, 7]. It may occur at any age in either sex [1, 4], especially among pediatric and elderly population [1]. According to estimates of world health organization (WHO), the global annual incidence of ocular trauma is around 55 million [3, 6, 10, 11] and worldwide blindness in 1.6 million people is due to ocular trauma [1, 7, 11,12]
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