Overview of Ocular Injury in Southern Part of Bangladesh: A Hospital Based Study of 406 Cases

Abstract

Md Shafiqul Islam1, Md Nurul Islam, Md Shafiq Shahrier, Md Sajibur Rahman, Md Nasir Uddin and DB Paul

Background: Eye injury is a common ophthalmic problem. It is an important and preventable public health problem worldwide. Purpose: To assess the magnitude, pattern, extent, severity, causes and visual outcome of ocular injury in a tertiary hospital. Materials and Methods: This cross-sectional study was done at the Eye Department of Sher-E-Bangla Medical College Hospital, Barisal over a period of two years. All patients who admitted with eye injury through the outpatient or emergency routes were included in the study. They were examined to note the areas injured, type and extent of injury and impact on vision. Results: Ocular injuries were 18.5% of total admitted patient and 16.3% of all operative cases. Out of total 406 cases 74.3% were male and 25.6% were female. The average age was 26.3 years. Paediatric eye trauma constituted 29.8% of total cases which mostly occurred during playing. 71.4% cases arrived to our centre within 24 hour and 28.5% presented after 24 hours. Majority of the cases comprised of monocular trauma 93.8%. Blunt injuries constituted about 59.1% while 19.7% had sharp injuries. Open globe injuries were 23.8%. More than 1/3 of the patients had visual acuity worse than 3/60 at presentation and 5.4% cases were NPL. Conclusion: Ocular injuries are significant cause of morbidity in terms of visual loss or impairment and diminished quality of life. A preventive and educational strategy among the population is necessary to reduce eye injury burden.

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