January-March 2018

A clinical evaluation of Glaucoma following blunt trauma in G.G.G. Hospital, Jamnagar.

Bharg kariya1*, Mayank Acahrya2, Anwar Sipai3, Komal Vala4, Radhakrishan Khatri5

1,4,5 Third year resident, Ophthalmology, 2M.S. Ophthalmology, Additional Professor, 3M.S. Ophthalmology, Assistant Professor, Shri M.P. Shah Govt Medical College, Jamnagar.


BACKGROUND: to study the occurrence of glaucoma in blunt trauma in patients presenting to the eye dept, G.G.G. hospital Jamnagar. OBJECTIVE: to study the clinical profile, age , sex, occupation, mode of injury, intra-ocular pressure and gonioscopic grading of the patients with blunt trauma. Settings: various patients presenting to the eye dept , G.G.G. hospital Jamnagar with blunt trauma. MATERIALS AND METHODS: a total of 50 patients(50 eyes) will be evaluated for blunt trauma by detailed history taking followed by measuring visual acuity, intra-ocular pressure, anterior segment examination on slit lamp, gonioscopy and gonioscopic grading of the angle of anterior chamber. RESULTS: Glaucoma due to blunt trauma is a substantial yet neglected cause of vision loss especially in young patients. Detailed history taking is very important while evaluating these patients. There is profound increase in the intra ocular pressure after blunt trauma and the gonioscopic evaluation and grading of the anterior chamber angle helps in diagnosis of these patients. CONCLUSIONS: young male patients were more commonly affected. Left eye was more commonly affected than right eye. Labourers and farmers are more commonly affected. The most common mode of injury was by stone and wooden stick. Angle recession on gonioscopy is a significant risk factor for the development of glaucoma.

Keywords: blunt trauma, 2 angle recession, 3 glaucoma, 4 gonioscopy

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