Ocular Trauma in a Troubled Zone: Northeastern Nigeria
DOI:
https://doi.org/10.53555/nnmhs.v2i11.627Keywords:
OCULAR TRAUMA, CONFLICT, EXPLOSIVE DIVICE, GUNSHOTAbstract
Ocular trauma is an important cause of preventable morbidity worldwide, and is a major cause of unilateral visual loss in developing countries. The eye is the third most common organ affected by injuries, after the hands and the feet Objective: We present the pattern of ocular injuries in Maiduguri: An armed conflict area. Material and methods A retrospective study of all the case records of patients with ocular trauma was done between January 2013 and December 2015.
Results: Case note of 108 patients were available for this study. There were 86 (66.6%) males and 22(33.3%) females. The age range was between 3 years and 60 years of age. The age range 21 to 30 years was predominant 38 (35.2%). 45 (41.7%) of the patients presented within the first 24 hours. Blast injuries from improvised explosive devises were seen in 54(50.0%), gunshot injuries were seen in 25(23.1 %). 27(25.0%) of the patients had ruptured globe, corneal and corneo-scleral lacerations were seen in 19(17.6%) and 14(13.0%) respectively. Visual acuity on presentation and visual acuity on last visit of 6/18 or better was seen in 32 (31.5%) and 38(35.2%) patients respectively, while 62 (57.4%) and 50 (46.3%)had visual acuity of 3/60 or worst on first presentation and on last visit respectively.
Conclusion: The findings from this study highlight a high incidence of severe ocular injury leading to blindness in countries or regions at warA.
References
Negrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol 1998;5:143-169
Thylefors B. Epidemiological patterns of ocular trauma. Aust N Z J Ophthalmol 1992; 20:95-98
Oluyemi F. Epidemiology of penetrating eye injury in Ibadan: A 10-year hospital based review. Middle East African Journal of Ophthalmology 2011;18:2 p 159-163
Uhumwangho OM, Njinaka I, Edema OT, Dawodu OA, Omoti AE. Ocupational eye injury among sawmill workers in Nigeria. Asian journal of Medical Sciences 2010; 2(5): 233-236.
Kinderan YN, Shrestha E, Maharjan IM, Karmacharya S. Pattern of ocular trauma in Western Region of Nepal. Nepal J Ophthalmol 2012; 4(7): 5-9
Emem A, Uwemedimbuk E. Prevalence of traumatic ocular injuries in a teaching hospital in South-South Nigeria- A two year review. Advance Tropical Medicine and Public Health International 2012; 2(3): 102-108
Nordber E. Ocular injuries as a public health problem in sub-saharan Africa: Epidemiology and prospect for control. East Afr Med. J 2000; 77: 1-43
Acar U, Tok OY, Acar DE, Burcu A, Ornek. A new ocular trauma score in pediatric penetrating eye injuries. Eye 2011; 25: 370-374
Okoye OI. Eye injury requiring hospitalization in Enugu, Nigeria. A one-year survey. Nigerian Journal of Surgical Research. 2006; 8(1-2): 34-37
Desai P, MacEwen CJ, Baines P, Minaissian DC. Epidemiology and implications of ocular trauma admitted to hospital in Scotland. J Epidemiol Community Health 1996; 50(4): 436-441
MacEwen CJ. Eye injuries: a prospective survey of 5671 cases. British Journal of Ophthalmology 1989;73(11): 888-894
Katz J, Teilsch JM. Lifetime prevalence of ocular from the Baltimore Eye Survey. Achieves of Ophthalmology 1993; 111(11): 1564-1568
Macewen CJ. Ocular injuries. Journal Royal College of Surgeons of Edinburgh 1999; 44(5): 317-
Adeoye AO, Olateju EO, Soetan EO. Communal conflict-related ocular trauma. Nigerian Journal of Clinical Practice 2000; 5(1): 1-4
Sobaci G, Mutlu FM, Bayer A, Karagul S, Yildirim E. Deadly weapon-related open-globe injuries: Outcome assessment by the ocular trauma classification system. American Journal of Ophthalmology 2000; 129(1): 47-53
Mpyet CD, Alli S, Wade P, Agaba B. Ocular injuries in a civilian conflict in jos. Nigerian Journal of Ophthalmology 2004; 12(1): 10-13
Parver L, Eye trauma. The neglected disorder. Arch Ophthalmol 1986; 104(10): 1452-1453
Macewen CJ. Ocular injuries. JR Coll. Surg. Edinb.1999; 44: 317-323
Olurin O. Eye injuries in Nigeria. Am J Ophthalmol 1971; 72(1): 157-166
Adeoye AO. Eye injuries caused by locally manufactured dane-guns. Nig J Ophthalmol 1996; 4(1): 27-30
Ajaiyeoba AI. Ocular injuries in Ibadan. Niger J Ophthalmol 1995; 2: 18-24
Omolase CO, Omolade EO, Ogunleye OT, Omolase BO, Ihemedu CO, Adeosun OA. Pattern of ocular injuries in Owo, Nigeria. Journal of ophthalmic and visual research 2011; 6(2): 114-118
Umeh RE, Umeh OC. Causes and outcome of childhood eye injuries in Nigeria. Eye 1997; 11: 489-495
Duke-Elder S. Explosion and gunshot injuries. System of Ophthalmology, vol 14. London; H. Kimpton 1972; 671
Heather J. Severe ocular trauma due to land mines and other weapons in Cambodia. Community Eye Health 1997; 10(2): 37-39
Wong TY, Seet B, Ang CL. Eye injuries in twentieth century warfare: A historical perspective. Surv Ophthalmol 1997; 41(6): 433-459
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