Spectrum of orbital injuries with special reference to road traffic accidents

Abstract

Ocular trauma is a potentially hazardous event with a multitude of pathologies and complications. It is important for patients and ophthalmologists to have, at the earliest possible time, reliable information regarding the expected outcome of a serious eye injury. F. Kuhn et al. [1] in 2002 formulated the OTS to help estimate the outcome of a serious eye injury. A vast number of studies have been conducted to estimate the prognostic value of OTS ever since then. Most of these studies have been retrospectively done. Also, the few prospective studies done over time, have had a low sample size. POTS, on the other hand, was developed in 2011, by U Acar et al. as a way to better estimate the visual prognosis following penetrating ocular injuries in children. This, being a prospective study, with a larger sample size, compared to previous studies, and a wide range of patient pathologies, and inclusion of patients of all age groups, provides reliable results to estimate the prognostic value of OTS and POTS. According to the results of this study, OTS has been a reliable predictor of final visual outcome, both in blunt and penetrating injuries, in patients of all age groups. Our study shows that ocular trauma mostly occurs in men, with majority being young adults, usually under the age of 40 years, with the left eye being more vulnerable to trauma that the right. There were nearly equal incidences of blunt and penetrating trauma, as seen in our study.