Traumatic Corneal Perforation, Its Clinical Profile and Outcome in Eastern Nepal

Abstract

Aims: To describe the clinical profile and visual outcome of the patients with traumatic corneal perforation. Place and Duration of Study: Mechi Eye Hospital, Birtamode, Jhapa, Nepal, 1st January to 31st December 2018 Methods: Retrospective review of 60 eyes of 60 patients presenting with open globe injury zone I from 1st January 2018 to 31st December 2018 was conducted. Demographic data, place of origin, duration required for presentation, inflicting agent, visual acuity at presentation, type of injury as per Birmingham Eye Trauma Terminology classification. Ocular Trauma Score was intended for predicting the final VA. All the cases underwent primary repair of the injury within 24 hours of presentation. Results: Mean age of patient was 25.63 ± 15.4 years ranging from 6 to 70 years. Preponderance of male was higher than female. Mean duration of injury and time of presentation was 6.02 ± 5.6 days. The most common type of injury was penetrating injury accounting with 56 (96.3%) cases. Metallic object was the most inflicting agent with 46.7%. After surgery, in their latest follow up 17 (28.3%) patients had visual acuity better than 20/40 while four (6.7%) had no light perception. Univariate logistic regression revealed poor presenting visual acuity and endophthalmitis had poor prognosis. Conclusion: Open globe injury is the major cause of ocular morbidity among economically productive group of population. The final outcome can be predicted using ocular trauma score at the time of presentation is effective for predicting the visual outcomes and preparing appropriate management plans to reduce the ocular co morbidities.