Table of Contents - WOC 2012

WOC2012 Abstract Book
PO-TRA-13
Prospective Studies of Visual outcome in Globe Rupture
Pariyani Shobhana (1) , Nair Dinesh Krishna (1)
1. Al-Ain Hospital Managed by Vienna Medical University &VAMED
Purpose: Ruptured globe is an Ophthalmologic emergency required prompt
and appropriate management to maximize the visual outcome. A descriptive
study conducted from 2006-2010 Method: All the patients (74 cases) with
ruptured globe were included .statically data were analyzed with reference to
various Para meters like age, sex, occupation, nature, mode, time, place of
injury, presentation of a case for initial treatment and visual out come after
surgical interventions and time taken for primary repair of ruptured globe. .
Results: The types of injury, nature of the penetrating materials and place of
injury, History taken in detail with the preparation of primary repair of the globe.
Main ocular manifestations were corneal lacerations (21.62%), corneo sclera
laceration (18.91%), scleral laceration (16.21%) associated with uveal tissue
prolapsed (20.27%), lens damage (8.1%), vitreous loss (5.40%) and vitreous
hemorrhage (5.4%), extensive tissue loss (4.05%).
Conclusion: Most of the globe ruptures due to poor protection at work place.
Visual outcome mainly depend upon the prompt initial treatment, tissue
involvement and loss of tissue. Prompt recognition and ophthalmologic
intervention are essential to maximizing functional outcome. The protective
glasses, progressive pterygium helped many eyes from sever ocular injuries.
PO-TRA-14
Eye trauma in children in central and south regions of Tajikistan
Karim-Zade Khakima (1) , Toirova Aziza (1) , Akhrorova Zukhra (1)
1. Tajik State Medical University, Department for Ophthalmology
Objective: to evaluate epidemiological and clinical features of ocular injury in
children from central and south regions of Tajikistan.
Methods: a prospective analysis of 100 eyes of 100 children with diagnosis of
eye injury who were consecutively admitted to a children eye department of
National Medical Center of Republic of Tajikistan from September 2009 till
February 2011 was performed.
Results: the mean age was 6 years (range: 1-15 years). The boys:girls ratio
was 2.1:1. Patients from rural and urban districts were presented in 63% and
37% of cases accordingly. Etiological agents were mostly wooden stick (20%),
wire (13%) and knife (11%) for penetrating injuries and blow by stone, door
(33%) and Y-shaped stick (23%) for blunt trauma. The peak of eye injuries
was registered in December, January and June. Type of ocular trauma
was classified as follows: penetrating eye injury 73%, contusion - 18%, eye
appendages trauma - 4% and burns - 5%.
Conclusion: injuries occurred most frequently in boys from rural districts with
peak of trauma at holidays with high incidence of open globe trauma. Proper
education of parents, children, school and pre-school staff is necessary to
avoid ocular trauma and further possible invalidity.
PO-TRA-15
Importance of primary repair in eye injury
Abu Arqoub Ismail (1)
1. Albasheer Hospital
Importance of primary repair in penetrating eye injuries Ismail Abu Arqoub M.D
Purpose: - To evaluate the importance of primary repair in ocular injury. Method:
- We have studied retrospectively 75 patients 75 eyes, 50 males, 25 females,
aged between 3 months to 65 years, who had primary repair due to penetrating
eye injury. Follow up period 3 months up to 50 months. All patients had different
penetrating eye injuries. Surgical repair was done as soon as possible.
Result: - primary anterior chamber reaction was seen in all eyes, high visual
acuity was achieved in 35 eyes. Three eyes had endophthalmitits, one eye
was eviscerated, 8 eyes had cataract surgery with or without intraocular lens
implantation, 5 eyes had vitrectromy , retinal repair and removal of intraocular
foreign body .3 eyes had penetrating keratoplasty + cataract extraction and
IOL implantation , Conclusion Primary repair is a serious surgery and must
be performed by an experienced surgeon The outcome in penetrating eye
injuries depends upon many factors; one of them is QUALITY of primary repair
Reactive intraocular foreign bodies must be removed as soon as possible.
516
PO-TRA-16
Purtscher Retinopathy: Severe Bilateral Visual loss due to Chest
Compression
Al Ansari Zakia (1) , El Shafie maha (1) , Parakkatt Shakeel (1)
1. Ophthalmology section, Hamad medical corporation
A 24 years old un restrained driver had involved in a rollover accident. He
sustained injuries to chest and abdomen . vision right eye was close counting
fingers and counting finger one meter in left.Relative afferent pupillary defect
found in the right eye ,Fundus examination showed Purtscher retinopathy
bilaterally and optic disc edema in the right eye. He received methyl
prednisolone 1 gram intra venous slow infusion once daily for three days.
Fundus Fluorescein Angiogram revealed blocked fluorescence at the sites
corresponds to the retinal and pre retinal hemorrhages, capillary drop out at
the areas corresponding to the Purtscher flecken and cottonwool spots. A
review 5 weeks after the injury showed right eye vision improved to CF 1meter
and left eye to 6/18. The optic disc edema in the right eye became less. The pre
retinal and intra retinal hemorrhages in both eyes were significantly reduced.
discussion: It is important to detect this condition to avoid any medicolegal
pitfalls.
PO-TRA-17
Ocular Injuries and Visual Status before and after their Management
in the Tribal areas of Western India - A historical Cohort study
Shah Mehul (1) , Shah Shreya (1) , Shah Jinay (1) , Kalyani Parth (1) , Vasaiya
Prashant (1)
1. Drashti Netralaya
Background The authors present the epidemiology of ocular trauma and visual
status before and after their management from 2003 to 2005 at a hospital in a
tribal area of India. Methods This was a historical cohort study.Ophthalmologists
examined patients with the help of biomicroscope and also noted their visual
acuity. Ocular Injuries were classified according to Birmingham Eye Trauma
Terminology System (BETTS). Epidemiological profile, causes of injury, ocular
status and visual gain after management were noted. Results Of the 2,607
persons with ocular trauma, ‘open globe› and ‘closed globe› types of injuries
were found in 451 and 2,156 persons respectively. Within 24 hours of injury,
only 1,355 patients (52%) had consulted ophthalmologists. Improvement in
vision following management was noted in 133 persons (29.4%) with ‘open
globe› injuries and 217 persons (48.1%) with ‘closed globe› injuries. In 845
patients (39.5%), vision could be retained at same level after management.
Conclusions Agents and activities responsible for ocular injuries in our study
differed from those reported in the industrialized countries. Late presentation
was very common in our tribal area. Management improved the vision in eyes
with trauma, but eyes with ‘closed globe› type of ocular injuries had better
results than ‘open globe› type.
PO-TRA-18
Varieties of ocular injuries during Misurata war
Traina Abubaker (1) , Aboushahma Yassen (1)
1. Misurata Central Hospital
Misurata city as some cities in Libya were invaded by Gadafy forces during
freedom fitting in the beginning of the year 2011. The varieties and extent of
ocular injuries were studied during the period February to May 2006. The study
period were divided to: city invasion, occupation, and evacuation, and fighting
outside the city. The total injuries during the studied period was about 7000
cases, the total deaths were about 1200 cases, 700 cases are deaths before
arrival to the hospital , they were not included in the study. Gunn shot injuries
were the most common in the city invasion and inoccupation periods, rupture
globe were the most common type of injury during the outside city fighting
period.