CHANGING PARADIGM IN OCULAR TRAUMA OVER 15 YEARS
Abstract
Background: Changing profile of work force can give rise different types of injuries
Purpose: To analyze causative factors (Host-Agent-Event) in ocular trauma over last 15 years
Methods: Hospital based prospective study during 1997-2012.Detailed information on nature of trauma; agent and setting were recorded.
Results: Cohort included 12365 eye injuries, 1241 serious cases. Prevalence - 0.45 /10000 Mean age 45.8 with bi- modal pattern of incidence, 3:1 male –female ratio.80% closed globe, 48% workplace injury (90% in marginal laborers with an exponential annual increase).10% cases from garage mechanics.60% of eye injuries in female were related to “social violence”. Multivariate analysis has detected new causative agents.
Conclusion: Significant change in parameters of trauma (Host-Agent-Event) is resulting in paradigm shift in eye injury. Unorganized unaccustomed labor in workplace injury and “social trauma” in females has become an important cause of eye injury.
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