Clinical profile of medicolegal cases presenting to the eye casualty in a tertiary care center in India.

dc.contributor.authorTripathy, Koushik
dc.contributor.authorChawla, Rohan
dc.contributor.authorVenkatesh, Pradeep
dc.contributor.authorVohra, Rajpal
dc.contributor.authorSharma, Yog Raj
dc.date.accessioned2016-12-05T06:49:44Z
dc.date.available2016-12-05T06:49:44Z
dc.date.issued2016-06
dc.description.abstractPurpose: 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.en_US
dc.identifier.citationTripathy 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.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/179306
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4991164/en_US
dc.subjectBirmingham eye trauma terminologyen_US
dc.subjectchemical injury of eyeen_US
dc.subjectmalingeringen_US
dc.subjectocular traumaen_US
dc.subjectorbital traumaen_US
dc.titleClinical profile of medicolegal cases presenting to the eye casualty in a tertiary care center in India.en_US
dc.typeArticleen_US
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