Abstract

To study the various prognostic factors affecting the visual outcome in patients with ocular injuries at a tertiary referral eye care center. This study was undertaken at the Regional Eye Hospital, Kurnool, from December 2020 to November 2022. Methodology: This study is a prospective analytical study with 100 patients who attended the outpatient department with anterior segment injuries were included in the current study. Patients fulfilling the inclusion criteria were included and patients with exclusion criteria were excluded. Detailed history regarding age, gender, occupation, source of injury, duration of injury, signs and symptoms following the injury were taken. A thorough general examination and ocular examination were done. A detailed torch light examination followed by a Slit lamp examination was done in most cases. The vision of all patients was recorded at the time of presentation by means of snellen’s test type charts. OTS scoring was given for all cases. All cases were treated accordingly and followed up for 6 weeks. Final visual outcome and various prognostic factors were assessed. The data collected were entered into an MS excel sheet and appropriate statistical analysis was done. Results: In the present study, the most common age group affected was 21-30 years of age (30%). Males were most commonly affected (84%). Preponderance of right eye involvement (50%) was seen. Most common source of injury was Occupational injuries (41%). Most of the patients were presented within 24 hours of injury. Most common injuries were seen are chemical injuries (22%). RAPD was present in 14% of the cases. Vision at presentation for majority of the patients (44%) was in the range of 20/200 – 20/50. OTS score at presentation for majority of the patients (40%) was 4. 56% of the cases were managed conservatively and 44% of the cases required surgical intervention. By the end of 6 weeks, the final visual acuity was ≥ 20/40 in 29% of the cases. By the end of 6 weeks, 62% of the cases were achieved OTS score of 4 or 5. Significant difference was seen betweenVA at presentation and VA at 6 weeks. Delayed presentation and final VA. Presence of RAPD and final VA. Associated ocular damage and final VA. Patient’s age, immune status and final VA. Drug compliance and final VA. Conclusion: This study makes it evident that different eye injuries are linked to variable degrees of visual loss, reduced earning potential, and socioeconomic implications.

Description