Ahmad Zeeshan Jamil, et al
Sengupta and co-authors conducted a study on ocular
trauma where they found presenting visual acuity was
less than 3/60 in majority of the cases15. While Iqbal
and the co-authors19 conducted study on ocular trauma
patients and found good visual acuity in most of the
cases. This difference in post-trauma presenting visual
acuity may be due to selection bias. In the present
study, patients with severe ocular trauma who required
hospital admission were included. Minor trauma
patients who required management on outdoor basis
were not included in the current study.
Ethical Approval
The study was approved by the Institutional review
board/Ethical review board.
Conflict of Interest
Authors declared no conflict of interest
Author’s Designation and Contribution
Dr Ahmad Zeeshan Jamil; Associate Professor:
Concept and design of study. Statistical analysis,
manuscript writing and interpretation of data.
Post management visual acuity of 6/12 or better
was reported in 211 (48.5%), 6/18 to 6/60 was
reported in 105 (24.1%) patients and less than 6/60
was noted in 119 (27.4%) cases. Probability (p) value
was calculated for presenting visual acuity and post-
management visual acuity difference. This difference
was found to be statistically significant at a value of
0.000.
Dr. Muhammad Luqman Ali Bahoo; Associate
Professor: Literature search, drafting of the article,
critical revision and proof reading.
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In a study by Kuhn and co-authors, post-
management visual acuity was 6/12 or better in
majority of the cases of blunt trauma while those
having trauma with sharp objects had poor post-
management visual acuity12. In another study done by
Cillino and colleagues post-management final best-
corrected visual acuity after ocular trauma was equal
to or better than 6/12 in 48.3% cases, from 6/12 to
6/60 final visual acuity was seen in 30.2% cases and
less than 6/60 final visual acuity was found in 15.5%
cases20. Our results are comparable to the results of
their study.
The limitation of our study is the sample size and
the selection of cases. In our study, patients who
sustained major trauma to the ocular structures and
required hospital admission were included. Patients
with minor trauma not requiring hospital admission
and who refused hospital admission were not included
in the study. Moreover, our study is not the true
representative of the ocular trauma as patients from
high socioeconomic strata do not go to the public
sector hospital.
The results of our study can be used to devise
strategies for patient counselling to adopt ocular safety
and to modify our management protocol and arrange
resources at district level for early and better
management.
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Jeffers JB, Treister G. A standardized classification of
CONCLUSION
Ocular trauma cases, if properly and timely managed,
have a statistically significant increase in visual acuity.
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Pakistan Journal of Ophthalmology, 2020, Vol. 36 (2): 131-136