A STUDY ON OCULAR MANIFESTATIONS OF HEAD INJURY

Chaudhari Sagar V, Patil Ashutosh, Waghmare Rohini

Abstract


Purpose : To study various ophthalmic Manifestations in head injury cases .

 

Material and Methods :   The Study was conducted on patients attending the casualty, surgery OPD   and Ophthalmology OPD .  A total of  fifty patients were included in the study and detailed ophthalmic check-up wad done, observations were made and documented accordingly.

 

Resualts :  The age variation in the study was 3 to 70 years. The maximum patients were in the 21-30 years . The ratio of Male : Female was 3:1 . Vehicular accidents accounted for 80 % followed by  fall from height (14%). Frontal region was affected in 58% cases.  Anterior segment findings were black eyes 48%  sub conjunctival hemorrhage 36%, lacerated eyelids 12% .  The only pathology noted in the posterior segment was papilloedema 23% . Isolated medial orbital wall fracture 32% .

Conclusions :  The incidence of patients with ophthalmic manifestations in head injury was 58% . Males are affected more than females.  The commonest age group affected was 21-30 years. Vehicular accidents found to be major single cause of head injury followed by fall from height. Commonest  site of injury was frontal region next to temporoparietal region.  The most common anterior segment  finding was black eyes followed by sub conjunctival hemorrhage. Optimum time required to developed black eyes was 4 hours after injury. Occurance of isolated medial wall fracture was maximum. Visual acuity was tested in 76 % of patient only. In rest it was impossible due to various reasons.

Keywords :  Head Injury, Ocular Manifestations


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