Clinical Profile of Ocular Involvement In Head Injury

Aim: This study was done to evaluate the simultaneous involvement of ocular structures in cases of head injury. Method: 96 cases of head injury were studied to note the associated ocular affections. It was a prospective nonrandomized analytical observational study. Patients of head Injury were evaluated for any ocular affections .Detailed history, Ophthalmological and neurological evaluation was done. All the relevant data was compiled and analyzed. Ocular manifestations were evaluated in each patient. Appropriate investigations were done to diagnose the cases of traumatic brain injuries. Results-It was observed that eyes are commonly affected in cases of head injury. Maximum number of patients were in the age group of 21-30 yrs (56%). Males were commonly affected .Oedema & echymosis of eyelids was the commonest affection (79%), followed by conjunctival chemosis & subconjunctival haemorrhage (75%) and orbital wall fractures (54%). Among the posterior segment affections, papilloedema and   post neuritic optic atrophy were the common manifestations. Conclusion- It is important to evaluate all patients of head injury for any ocular involvement as well; so that timely intervention can be done. A detailed ocular examination in such cases can save the life as well as the sight of the patients.

[1]  M. Deshpande,et al.  Ocular manifestations of head injury: a clinical study , 2005, Eye.

[2]  D. Ademola-Popoola,et al.  Ocular and visual complications of head injury , 2005, Eye.

[3]  S. Yamada,et al.  Severe papilledema identified 3 weeks after head injury. , 2002, Neurologia medico-chirurgica.

[4]  G. Gururaj,et al.  Epidemiology of traumatic brain injuries: Indian scenario , 2002, Neurological research.

[5]  I. Parmar,et al.  Pattern of ocular injuries in Haryana. , 1985, Indian journal of ophthalmology.

[6]  N. Raju Ocular manifestations in head injuries. , 1983, Indian journal of ophthalmology.

[7]  B. Khanna,et al.  Trauma index--a system of evaluation of ocular damage due to trauma. , 1983, Indian journal of ophthalmology.

[8]  C. L. Cowan Associated eye signs and symptoms of head injuries. , 1962, Journal of the National Medical Association.

[9]  G. F. Rowbotham,et al.  Analysis of 1,400 Cases of Acute Injury to the Head* , 1954, British medical journal.