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Ophthalmology and Allied Sciences

Volume  6, Issue 2, May–August 2020, Pages 99-104
 

Original Article

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

Sandhya R1, Manu Saini2

1Professor and HOD, 2Junior Resident, Department of Ophthalmology, Pgwomens Hostel, SDUMC, Kolar 563101.

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

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.
 


Corresponding Author : Manu Saini