OCULAR MANIFESTATIONS IN HEAD INJURY- A PROSPECTIVE OBSERVATIONAL STUDY

Dr. Akash Patel; Dr. Manjushree Sundi

Volume : IX, Issue : I, January - 2020

OCULAR MANIFESTATIONS IN HEAD INJURY- A PROSPECTIVE OBSERVATIONAL STUDY

Dr. Akash Patel, Dr. Manjushree Sundi

Abstract :

Aims- To study the demographic profile, extent and severity of ocular involvement in head injury patients and to assess its correlation with Glasgow Coma Scale. Design- A prospective observational study. Methods- This study included 200 patients of head injury aged between 18-60 years who attended casualty or referred cases to ophthalmology department from Oct 2016 to Mar 2018. Detailed ocular examination including visual acuity, intraocular pressure, visual field analysis with all intra and extraocular findings were recorded in prescribed proforma. Ancillary investigations, emergency interventions, radiological and hematological tests were performed. Patients were followed-up till being discharged and further on outpatient basis. Results- Most common affected age group was 18-30 years with 70(35%) patients with Road Traffic Accidents (RTA) being the cause in majority. Most patients, n=109(54.5%) had GCS between 13 to 15 at the time of admission. Injury to the lid was the most common finding with echhymosis in 88(44.0%) and lid laceration observed in 34(17.0%) patients. Among signs of neurological significance pupillary abnormalities were most common(n=35). There was a strong association between presence of neurodeficit, along with ocular signs and mortality of the patients(p<0.001). Conclusion- This study aims at pointing out the importance of prompt recognition of ocular involvement and early intervention in cases especially with signs of neurological significance to reduce the ocular morbidity and to ensure a better scope for rehabilitation