Table of Contents - WOC 2012

WOC2012 Abstract Book
PO-TRA-04
Pattern of Ocular Emergencies in a Tertiary Care Hospital.
Alotaibi Abdullah (1) , Allam Khalid (1) , Abu amero Khaild, Mosa Ahmed (1) , Othman
Essam (1)
1. King Saud University
PURPOSE: To investigate the number and characteristics of patients attending
an Accident and Emergency (A/E) department of a tertiary care hospital, their
route of referral and to estimate the number of patients who could have been
managed by trained ophthalmic assistant.
Methods: A retrospective study was carried out using the records of all patients
who attended A/E at King Abdulaziz University Hospital in Riyadh, Saudi
Arabia during the month of July 2010. The collected data included age, sex,
source of referral, principal diagnosis.
Results: Total number of 1412 patients was recruited in the current study. The
average daily attendance was 47 patients. 863 (61%) patients were male. The
mean patient age was 28.2 years with an age range of 1 day to 90 years.
The most frequent diagnosis was trauma in 382 (27%) of patients followed
by conjunctivitis in 174 (12.3%). Majority 860 (78%) of patients attended as
self referrals without General Practitioner (GP) letters as our A/E is open to
the general public. Moreover, 712 (50.4.%) of the patients were considered
as none emergency cases . CONCLSIONS: non-urgent conditions could be
managed satisfactorily by trained ophthalmic assistants under supervision of
an ophthalmologist.
PO-TRA-05
Successful repair of injury to the eyelid, lacrimal passage, and extraocular
muscle
Shah Shreya (1) , Shah Mehul (1) , Ramani Meet (1) , Patel Utsav (1)
1. Drashti Netralaya
Introduction: Injury is known cause of monocular blindness, ocular trauma may
affect lacrimal canaliculi, extra ocular muscle , we want to report this case as it
includes injury to lid , lacrimal canaliculi and inferior rectus.
Methods: Patient condition presented with injury to all these structures, which
was surgically corrected in single session.
Result: Satisfactory structural and functional result achieved.
Conclusion: It is possible to repair all three structures in same sitting.
514
PO-TRA-06
Ocular Injury:Epidemilogical Study at District Eye Clinic of
Bangladesh
Khan A.K (1) , Khan Nusaffarin (2) , Islam Md.Shafiqul (3) , Mannan Md.Abdul (4)
1. Associate Prof.GSV Medical College,Gonobishobiddalaya( University)
2. Hon.Medical Officer,National Institute of Ophthalmology
3. Prof. of Ophthalmology,Bangabondhu Sheikh Mujib Medical University,Dhaka,
Bangladesh
4. Prof.of Zoology,Rajshahi University.
Objective: To study the epidemiology of ocular injury and factors associated
with severe injury presented at Dristrict eye Center, Jamalpur, Bangladesh.
Method: A cross sectional study conducted on cogecutively attended new
ocular injury cases at OPD from January to December 2010.
Result: Out of total 364 patients male female rato was 7:3; 62.7% were married
and 22% was in age group 21-30.In relation to occupation farming,housewivwes
and students comprises 60%. Common setting of injury included home 59.4%,
agriculture feild 15.1% and factory 9.6%. Highest trauma happened in May.
Among type of injury 62.1% was sharp and 28.4% blunt.Unintentional injury
was 60% followed by 27.8% self inflected.Among ocular involvement corneal
ulcer 22.9%,subconjunctival haemorrhage 21.8%, corneal abrasion 17.8% and
corneal foreign body 16%. Hospital stay was 17.2%. First followup attended
66.1%.Median hospital stay and abstinence from job was 2days and 7days
respectively. Risk of blindness following trauma was 3.7 times(95% of CI=2.1-
6.7)higher in people aged 50 or>50 years.Farmer,domestic workers and day
labourers were 1.2 times(95% of CI=0.7-1.9) more prone to develop severe
impairment/blindness compaired to other ocupants.
Conclusion: Ocular injury is common in yung adults.Protective eyewear at
workplace can prevent blindness.
PO-TRA-07
Visual outcome of Red eyes in ocular emergencies
Pariyani Shobhana (1) , Nair Dinesh Krishna (1)
1. Al-Ain Hospital Managed by Vienna Medical University &VAMED
Purpose: To determine the most common causes of red eyes with, without pain
and visual disturbances and visual outcome of red eyes.
Methods: Review o all patients seen during 2006-2010 with history of redness
o unilateral and bilateral eyes in Ophthalmic Emergency Department of Al-Ain
Hospital.
Results: Reviewed 512 cases and most common etiologies were corneal
foreign bodies 146 cases(28.51%),corneal abrasions 125 cases(24.41%),Viral
and infectious Kerato conjunctivitis 89 cases(17.38%), corneo scleral
lacerations 45cases (8.78%),concussion injuries 39 cases(7.61%), sub
conjunctival hemorrhages 23 cases (4.49%),chemical burns 16 cases
(3.16%),Acute congestive Glaucoma 14 cases (2.73%), corneal ulcers 13
cases (2.55%), Endophthalmitis 2 cases(0.39%). Visual outcome reviewed and
excluded those cases without any review. Non vision threatening conditions are
more common cases seen in Ophthalmic Emergency Department. Potentially
blinding conditions are corneal, scleral lacerations, central corneal ulcers,
acute congestive glaucoma treated.
Conclusion: Visual outcome of ocular emergencies depend upon the early
prompt treatment and the role of Ophthalmic Emergency Department
continually escalate and improving the visual outcome of all types of ocular
emergencies in this city Al-Ain. Non vision threatening ocular conditions acute
congestive Glaucoma, corneal lacerations ruptured globe, severe chemical
burns are extremely rare.