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A Study to Correlate Ocular Manifestations of Closed Head Injury with Glasgow Coma Scale and Vision and Neurological Outcome in A Rural Tertiary Care Center

Manu Saini , Sandhya R1 , Manu Saini2

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Ophthalmology and Allied Sciences 6(2):p 99-104, May–August 2020. | DOI: http://dx.doi.org/10.21088/oas.2454.7816.6220.5

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Sandhya R, Manu Saini. A Study to Correlate Ocular Manifestations of Closed Head Injury with Glasgow Coma Scale and Vision and Neurological Outcome in A Rural Tertiary Care Center. Ophthalmol Allied Sci. 2020;6(2):99–104.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Purpose: To evaluate and document various ocular manifestations in patients with closed head injury and to evaluate and document the neurological status by Glasgow Coma Scale (GSC) score at the time of presentation and to compare the association between them. Materials and Methods: A prospective study was undertaken which included a total of 85 patients of ocular trauma. Conscious status was assessed using Glasgow coma scale. Thorough examination of anterior segment, posterior segment, extraocular movements, visual acuity and investigations were carried out for all patients. Results: The highest incidence of head injuries was in the age group of 21 to 30 years.
There were 60 males and 25 females. The mean age for males was 34.14 ± 14.4 and the mean age for females was 45.43±12.44. In this study, 4.70 % cases of severe head injury cases had posterior segment manifestations. And 3 patients with pupillary abnormalities, i.e 3.52%. And 1.17% patients had traumatic optic neuropathy manifestations.
During follow up visits, there was improvement in ocular manifestations and GSC score. Conclusion: In severe head injury (GCS 3–8), it is important to look for posterior segment findings and neuro-ophthalmic manifestations. A detailed ocular assessment during the first presentation in all cases of head injury patients is mandatory as it helps
in better management and the final outcome could be improved with better diagnosis and management.

Keywords: Closed head injury; Ocular manifestations; GCS score.
 

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Sandhya R, Manu Saini. A Study to Correlate Ocular Manifestations of Closed Head Injury with Glasgow Coma Scale and Vision and Neurological Outcome in A Rural Tertiary Care Center. Ophthalmol Allied Sci. 2020;6(2):99–104.

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DOI: http://dx.doi.org/10.21088/oas.2454.7816.6220.5

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