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Systematic analysis of ocular trauma by a new proposed ocular trauma classification
- Source :
- Indian Journal of Ophthalmology, Vol 65, Iss 8, Pp 719-722 (2017), Indian Journal of Ophthalmology
- Publication Year :
- 2017
- Publisher :
- Wolters Kluwer Medknow Publications, 2017.
-
Abstract
- Purpose: The current classification of ocular trauma does not incorporate adnexal trauma, injuries that are attributable to a nonmechanical cause and destructive globe injuries. This study proposes a new classification system of ocular trauma which is broader-based to allow for the classification of a wider range of ocular injuries not covered by the current classification. Methods: A clinic-based cross-sectional study to validate the proposed classification. We analyzed 535 cases of ocular injury from January 1, 2012 to February 28, 2012 over a 4-year period in an eye hospital in central India using our proposed classification system and compared it with conventional classification. Results: The new classification system allowed for classification of all 535 cases of ocular injury. The conventional classification was only able to classify 364 of the 535 trauma cases. Injuries involving the adnexa, nonmechanical injuries and destructive globe injuries could not be classified by the conventional classification, thus missing about 33% of cases. Conclusions: Our classification system shows an improvement over existing ocular trauma classification as it allows for the classification of all type of ocular injuries and will allow for better and specific prognostication. This system has the potential to aid communication between physicians and result in better patient care. It can also provide a more authentic, wide spectrum of ocular injuries in correlation with etiology. By including adnexal injuries and nonmechanical injuries, we have been able to classify all 535 cases of trauma. Otherwise, about 30% of cases would have been excluded from the study.
- Subjects :
- medicine.medical_specialty
genetic structures
open globe injury
Ocular trauma
Patient care
closed globe injury
Eye injuries
03 medical and health sciences
0302 clinical medicine
lcsh:Ophthalmology
Medicine
Closed Globe Injury
business.industry
General surgery
Retrospective cohort study
Aid communication
medicine.disease
eye diseases
Surgery
Ophthalmology
lcsh:RE1-994
Open Globe Injury
030221 ophthalmology & optometry
Etiology
destructive globe injury
030211 gastroenterology & hepatology
Original Article
Adnexal injury
sense organs
business
nonmechanical injury
Subjects
Details
- Language :
- English
- ISSN :
- 19983689 and 03014738
- Volume :
- 65
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....78d7987ec52bbc30ab1dec8c0cad6007