Abstract
Introduction – Ocular morbidities are frequently associated with closed head injury. These injuries are often ignored or treatment is delayed resulting in permanent visual loss. Aim- This study aimed to nd out the various Ophthalmic manifestation in patients of closed head injury and nd out an association between them. Method- A Prospective observational study was conducted with a total of 120 closed head injury patients in a tertiary care hospital for a period of 4 months. The initial ophthalmic examination was done within 12 hrs of admission and was reviewed daily. GCS was applied to grade the head injury and analysis was done to nd out the association. Results- Out of 120 enrolled patients, 88 cases were male and 32 were female patients in age group of 6 to70 years. Most common cause of sustaining head injury was road trafc accident followed by assault. Periorbital edema and ecchymosis was most common manifestation. RAPD was encountered as most common neuro-ophthalmic manifestation followed by disc edema and extraocular muscle restriction. Poor GCS is associated with frequent pupillary involvement. Conclusion – Young adult males are more vulnerable in sustaining ocular injury associated with head injury followed by road trafc accident. Poor GCS frequently involves pupil abnormality
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