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| Format: | Recurso digital |
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Zenodo
2025
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| Accès en ligne: | https://doi.org/10.5281/zenodo.17464514 |
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Table des matières:
- <div> <div> <p><strong>Background:</strong> Blunt ocular trauma represents a significant cause of preventable monocular blindness worldwide, with varying presentations ranging from minor contusions to severe globe ruptures. This study aimed to analyze the clinical patterns, demographic characteristics, and visual outcomes of patients presenting with blunt eye trauma at a tertiary care centre.</p> <p><strong>Methods:</strong> A prospective observational study was conducted over 18 months, including 50 consecutive patients presenting with blunt ocular trauma. Comprehensive ophthalmological examination was performed including visual acuity assessment, anterior segment evaluation, intraocular pressure measurement, and dilated fundoscopy. Patients were followed for six months to assess final visual outcomes and complications.</p> <p><strong>Results:</strong> Males comprised 72% of cases with a mean age of 32.4 years. Road traffic accidents (36%) and workplace injuries (28%) were the predominant causes. Initial visual acuity was <6/60 in 44% of cases. Hyphema (52%), traumatic mydriasis (38%), and lens subluxation (24%) were common anterior segment findings. Commotio retinae (32%) and vitreous hemorrhage (28%) were frequent posterior segment manifestations. Final visual acuity improved to ≥6/18 in 58% of cases. Factors significantly associated with poor visual outcome included initial visual acuity <6/60 (p<0.001), presence of hyphema grade III-IV (p=0.003), and posterior segment involvement (p=0.002).</p> <p><strong>Conclusion:</strong> Blunt ocular trauma remains a significant cause of visual morbidity, particularly affecting young males. Early intervention and appropriate management of complications can result in favorable visual outcomes in the majority of cases. Workplace safety measures and road traffic injury prevention strategies are essential for reducing the burden of ocular trauma.</p> </div> </div> <div></div>