Clinical profile of medicolegal cases presenting to the eye casualty in a tertiary care center in India.
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Date
2016-06
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Abstract
Purpose: The purpose of this study was to analyze the clinical profile of medicolegal cases (MLCs) presenting
to the eye casualty in a tertiary care hospital. Materials and Methods: Retrospective review of records. The
cases were grouped according to the Ocular Trauma Classification Group classification system. Results: Out of
188 MLCs, 164 (87.2%) were male. Mean age (±standard deviation) was 31.6 (±12.7) years. Age ranged from 7 to
75 years. Twenty‑six (13.8%) patients had bilateral involvement. The fist was the most common mode of injury,
which was seen in 109 (58%) cases. A total of 27 (14.3%) patients had associated extraocular injury. No evidence
of ocular or orbital trauma (malingering) could be found in 13 (7%) patients. Mechanical trauma was present
in 169 (90%) patients with injury to globe in 129 (69%) patients and injury to lid or orbit without damage to
the globe in 40 (21%) patients. Chemical injury was observed in 6 (3%) patients. Closed globe injury (CGI) was
seen in 116 eyes and open globe injury (OGI) was noted in 29 eyes. The most common type of injury, zone,
pupil, and grade of injury in CGI were Type A or contusion (79%), Zone I (72%), Pupil B (absence of relative
afferent pupillary defect) in 95%, and Grade A [visual acuity (VA) ≥20/40] in 68% of the eyes, respectively. The
most common type of injury, zone, pupil, and grade of injury in OGI were Type B or penetrating (48%), Zone
II (38%), Pupil B (59%), and Grade D (VA 4/200‑light perception) (42%), respectively. Conclusions: The most
common form and mode of ocular injury in MLC were closed globe injury and fist, respectively. The most
common type of injury in CGI and OGI was contusion and penetrating injury, respectively.
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Keywords
Birmingham eye trauma terminology, chemical injury of eye, malingering, ocular trauma, orbital trauma
Citation
Tripathy Koushik, Chawla Rohan, Venkatesh Pradeep, Vohra Rajpal, Sharma Yog Raj. Clinical profile of medicolegal cases presenting to the eye casualty in a tertiary care center in India. Indian Journal of Ophthalmology. 2016 June; 64(6): 422-426.