Table of Contents - WOC 2012

FP-TRA-MO 368 (8)
Prospective Study of Ocular Trauma in Road Traffic Accidents
bewteen April 2009 to March 2011.
Divakara Gubbi Venkatasubbaiah (1) , S.B. Shetty (1) , Gupta Rishika (1)
1. M.S.Ramaiah Medical College
Aims and Purpose: To study the incidence of ocular involvement in road traffic
accidents, to determine the pattern of ocular injuries, to evaluate the degree
of visual impairment.
Materials and Methods : Duration of study: 1st APRIL 20009 to 31st MARCH
2011 The Methodology followed were: All patients with polytrauma due to road
traffic accidents who came to hospital were referred to the ophthalmology
department for opinion. A Detailed Anterior and Posterior segment study was
done. Cases requiring immediate medical/surgical management were also
included.
Discussion: Most of the eye injuries encountered were as follows: Ecchymosis
(65%), Subconjunctival haemorrhage (58%), Orbital Fractures (34%), Lid
Tears (32%), Traumatic Mydriasis(8%), Corneal Tears (5%), Rupture of Globe
(6%), Traumatic optic neuropathy (3%), Traumatic cataract (2%), Retinal
haemorrhage(1%), Papilloedema(1%) and Iridodialysis(1%). Most cases with
Optic neuropathy had permanent visual impairment. 2 Cases of rupture of
globe went into phthisis bulbi.
Conclusion: 39% of RTAs had the ocular involvement with male preponderance
between 20-30 age group. Most of the patients were using two wheelers
.Ecchymosis and subconjunctival haemorrhage was the most commonly seen.
Visual impairment was seen in cases with corneal tears, traumatic cataract,
optic neuropathy and a ruptured globe.
FP-TRA-MO 368 (9)
Eye Trauma with Sparkling Wine Cork
Krasnovid Tatiana (1) , Aslanova Veronika (1) , Tychina Natalia (1)
1. Filatov Institute of Eye Diseases
Purpose: To analyze the character of injury, anatomic and functional results of
the eye trauma with sparkling wine cork.
Methods: Retrospective analysis of 67 patients (15- 71 y/o) with eye injury by
the cork of sparkling wine. Results: Closed globe eye injury was observed
in 64 cases (95,5 %), open globe injury in 3 cases (4,5 %). Left eye was
suffered in 64,2 %, right - in 35,8 %. The character of the injury was following:
corneal erosion - 7,5 %, corneal edema - 1,5 %, retinal edema - 14,9 %, eye
hypertension - 28,4 %, hyphema and vitreous hemorrhage - 40,3 %, vitreous
opacity - 4,5 %, subretinal hemorrhage - 20,9 %, macular hole - 9 %, retinal
detachment - 4,5 %. In 20,9 % VA was light perception; in 19,4 % - 0,06; in
29,9 % - 0,1 - 0,5 and in 29,9 % - 0,6 - 1,0. In 24 % surgery was necessary
and was performed.
Conclusion: Bottles of sparkling wine can cause severe ocular trauma due to
the high-impact energy. So, there is evident the necessity of educational work
and protective measures for the prophylaxis of such eye trauma.
WOC2012 Abstract Book
FP-TRA-MO 368 (10)
Ocular Trauma in a Rural Population of North China: The Handan
Eye Study
Wang Fenghua (1) , Lu Hai (1) , Liang Yuan Bo, (1) , Wang Ning Li (1) ,
Wang Jie Jin (2)
1. Beijing Tongren Eye Center, Beijing Tongren Hospital
2. Centre for Eye Research Australia, University of Melbourne
Objective: To determine the prevalence of ocular trauma and proportion of
blindness and visual impairment due to ocular trauma in a rural population in
northern China.
Methods: The Handan Eye Study is a population-based cross-sectional study
surveyed 6830 Chinese people 30+ years in 2006-7.
Results: Of the 5837 participants having the questionnaire data, 124 subjects
gave a history of ocular trauma in either eye, including 19 persons reporting
trauma in both eyes. Of those, 28.6% had trauma from a blunt object, 33.3%
from a sharp object, and 15.1% from chemical burns, 11.1% from plant. In
multiple logistic regression models ocular trauma was significantly more
frequent among normal tension participants when compared with hypertensive
group and among participants who had a history of any falls. The proportion
of unilateral VI and unilateral blindness due to trauma were 10.5% and 21.0%
respectively. Traumatic cataract was the predominant cause of unilateral VI and
unilateral blindness, traumatic corneal scars, phthisical, surgical anophthalmia
and traumatic optic atrophy were other common causes of unilateral VI and
unilateral blindness.
Conclusions: These findings underscore a pressing need for eye care programs
targeting rural population to increase the eye health awareness, while
improving the management of eye trauma.
FP-TRA-MO 368 (11)
Demographic Patterns of Presentation of Eye Emergencies in the
United Kingdom - A Study of 71,315 Cases at Bristol Eye Hospital
Bell Edward (1) , Hildebrand Goran Darius (1)
1. University Hospitals Bristol NHS Foundation Trust and King Edward VII Hospital
Purpose: To study the demographic patterns of eye emergency presentations.
Methods: Retrospective review using an electronic data base of all patients
attending Bristol Eye Hospital between 1st October 2007 to 30th September
2010. Population census data was used for comparison.
Results: A total of 71,315 patients attended (range 0-99 years, mean age 47.7
years). Children accounted for 7.2% of all emergency patients. Distribution by
age showed a rapid rise between 15-29 years, a broad plateau between 30-64
years and a steady fall thereafter. Emergency visits were less frequent than
expected by population percentage for all ages under 35 years. Though males
accounted for a similar overall proportion (53%) as women, they predominated
in childhood and in the working age group, while females predominated in
those 60 years and older. Comparison with census data for Bristol City showed
that this gender difference was not due to simple gender distribution by age.
Conclusions: To our knowledge, this is the largest study of eye emergencies so
far and provides valuable new data with implications for adequate resourcing
and training for eye emergency departments. Further research is required to
explain the cause for the gender differences in presentation.
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