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A CROSS SECTIONAL STUDY ON THE SPREAD OF PENETRATING OCULAR TRAUMA AND ITS CONTROL

Dr Zafar Iqbal, Dr Aswad Ahmed, Dr Sidra Zafar Iqbal

Purpose: The aim of this research work is to know about the spread and control of POT (Penetrating Ocular Trauma) at Al Shifa Eye Hospital, Sukkur. Methodology: This research work carried out on 300 patients at Al Shifa Eye Hospital, Sukkur. Majority of the patients of this research work got admission through the Emergency Department. We collected the elaborated background history with particular consideration to the total injury and the object as a reason of injury. We recorded the visual acuity with the utilization of the Snellen chart and examination contained documentation of tear size, visual axis’s involvement, and prolapse of iris, formation of cataract, IOFB (Intraocular Foreign Body) and detachment of retina. All the patients were present with the pre & post-operative B-Scan ultrasonography. We carried out the regular follow-up and recorded the final BCVA (Best Corrected Visual Acuity). Results: The average age of the patients was 16.22 years, with about 68.0% POT present in first twenty year of life. In the first ten year of life, male to female ratio was 1.58: 1.0 but it arouses to 8.0:1.0 after 1st decade of life. IOFB was present in 13.0% patients and prolapse of iris in 60.48% patients. In 23.0% patients, there was involvement of visual axis. There were 73% were corneal tears and 22% were corneoscleral tears. The rate of occurrence of the formation of cataract was 59.58%. The relation of 33.0% trauma was with the sharp objects and 16.0% trauma has relation with blunt objects. There was occurrence of retinal detachment in 7.79% patients. There was relation of Post-op visual acuity with the trauma severity. Conclusion: There was high occurrence of the trauma in the 25 years of life and this disease was much common in males as compared to the female patients. Sharp objects were the main reason behind the most of the trauma. There is a requirement of the awareness of this complication among public to decrease the rate of occurrence of blindness in the childhood stage. Keywords: POT, Severity, Trauma, IOFB, BCVA, Retina, Iris, Prolapse, Occurrence.

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