Abstract:Purpose: The aim of the study is to document the epidemiology, pattern, presentation, management and outcome of ocular and orbital trauma among cases.
Methods: A prospective epidemiological and clinical study conducted on 1468 eyes of 1462 cases with ocular or adnexal trauma at department of Ophthalmology in Tanta University.
Hospitals as a tertiary eye care unit in Delta region in Egypt in the period from May 2021 to May 2023.
Results: 1468 eyes of 1462 patients were enrolled in this study Out of them (79.56%) patients were male and more than 30% (452 eyes) of injuries was among young children less than 10 years of age. A large number of the cases who suffered from ocular trauma were either students or laborers. Out of 1468 patients, 710 (48.37%) had open globe injuries, whereas 504 (34.33%) had closed globe injuries with 272 cases adnexal injuries and burns. Intraocular foreign bodies were linked to 19.15% of open globe damage. 653 eyes (44.48%) had an injury with sharp object. (14.03%) had roadside accidents (RSA), Assaults were responsible for 14.03% of injuries. Delayed presentation was noticed in 2 patients who presented after more than one year, while 1302 patients (88.69%) presented within 24 hours, Out of 1468 patients, 650 cases had injury in the right eye, 812 cases had injury in the left eye while in only 6 cases, there was a bilateral injury, The fellow eye showed previous history of ocular trauma in 1.02% of cases (15 case). The final VA was 6/12 or better in 47.82% (702) of eyes, and less than (3/60) in 14.58% (214) of eyes, among them there were 16 of eyes that had no perception of light either due to evisceration/enucleation or atrophia bulbi after vitreo-retinal surgery in children.
A surgical procedure was necessary for 1,356 eyes, however only 112 eyes needed medical therapy alone.
Conclusion: Ophthalmic trauma is a significant public health issue. The majority of the participants are male and under the age of 20. Open globe damage is more prevalent. Occupational injuries and violence are significant contributors.
