Journal of Ophthalmic and Optometric Sciences

Vol. 8 No. 3 (2024)

Clinical Characteristics and Visual Outcomes of Ocular Trauma in Rural Southeast Iran

Journal of Ophthalmic and Optometric Sciences, Vol. 8 No. 3 (2024), 12 July 2024 , Page 1-6
https://doi.org/10.22037/joos.v8i3.48090

Abstract

Purpose: To classify ocular trauma in a rural region of southeast Iran, evaluate its impact on vision, and assess post-treatment visual outcomes.
Patients and Methods: The study was a hospital-based, prospective, observational study conducted over a one-year period including patients presenting with ocular trauma from rural areas of Sistan and Baluchestan province located in southeastern Iran. A total of 50 patients with ocular trauma were included. A detailed ocular history was obtained, followed by a comprehensive ophthalmic examination for each patient. Follow-up visits were scheduled one week after discharge, and subsequently at four weeks eight weeks and twelve weeks.
Results: Ocular injuries were more commonly seen in adults who were engaged in agricultural work. Males were more frequently affected (74 %). Closed-globe injuries (72 %) were more common than open-globe injuries (28 %). In both open- and closed-globe injuries, the most common object causing injury was a wooden stick. At presentation, only 29.2 % of patients had a visual acuity better than 1/10. However, after completing treatment and at the 3-month follow-up, 71.3 % had a best-corrected visual acuity better than 1/10.
Conclusion: Ocular trauma remains a major public health concern in rural areas, particularly among adult males involved in agricultural activities. Closed-globe injuries were more common than open-globe injuries, with wooden sticks identified as the primary cause of trauma. Further multi-center studies across multiple rural hospitals in Iran could provide a broader epidemiological picture of ocular trauma and its impact in these areas.

Keywords:
  • Clinical
  • Profile
  • Outcome
  • Ocular
  • Injuries
  • Rural
  • Iran

How to Cite

Jamalzehi , M. (2025). Clinical Characteristics and Visual Outcomes of Ocular Trauma in Rural Southeast Iran. Journal of Ophthalmic and Optometric Sciences, 8(3), 1–6. https://doi.org/10.22037/joos.v8i3.48090

References

- Misra S, Nandwani R, Gogri P, Misra N. Clinical profile and visual outcome of ocular injuries in a rural area of western India. Australas Med J. 2013;6(11):560-4.

- Sridhar MS. Anatomy of cornea and ocular surface. Indian J Ophthalmol. 2018;66(2):190-4.

- Nemet AY. The Orbital Bones Protect the Globe From Sharp Periorbital Trauma Injuries. J Craniofac Surg. 2023;34(1):e84-8.

- Willett SM, Maenner SK, Mayo JP. The perceptual consequences and neurophysiology of eye blinks. Front Syst Neurosci. 2023;17:1242654.

- Shirke DB, Karambelkar VH, Joshi BS, Bhattad CP, Jarag RJ. Clinical Study of Paediatric Ocular Trauma and its Assessment with Paediatric Ocular Trauma Score. Research Journal of Pharmacy and Technology. 2023; 16(5):2359-3.

- Zhou Y, DiSclafani M, Jeang L, Shah AA. Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls. Clin Ophthalmol. 2022;16:2545-59.

- Heath Jeffery RC, Dobes J, Chen FK. Eye injuries: Understanding ocular trauma. Aust J Gen Pract. 2022;51(7):476-82.

- Yang X, Chen H, Zhang T, Yin X, Man J, He Q, et al. Global, regional, and national burden of blindness and vision loss due to common eye diseases along with its attributable risk factors from 1990 to 2019: a systematic analysis from the global burden of disease study 2019. Aging (Albany NY). 2021;13(15):19614-42.

- Fotouhi A, Hashemi H, Mohammad K, Jalali KH; Tehran Eye Study. The prevalence and causes of visual impairment in Tehran: the Tehran Eye Study. Br J Ophthalmol. 2004;88(6):740-5.

- Hashemi H, Yekta A, Jafarzadehpur E, Doostdar A, Ostadimoghaddam H, Khabazkhoob M. The prevalence of visual impairment and blindness in underserved rural areas: a crucial issue for future. Eye (Lond). 2017;31(8):1221-8.

- Kousiouris P, Klavdianou O, Douglas KAA, Gouliopoulos N, Chatzistefanou K, Kantzanou M, et al. Role of Socioeconomic Status (SES) in Globe Injuries: A Review. Clin Ophthalmol. 2022;16:25-31.

- Budhathoki SS, Singh SB, Sagtani RA, Niraula SR, Pokharel PK. Awareness of occupational hazards and use of safety measures among welders: a cross-sectional study from Eastern Nepal. BMJ Open. 2014;4(6):e004646.

- Verma A, Schulz MR, Quandt SA, Robinson EN, Grzywacz JG, Chen H, et al. Eye health and safety among Latino farmworkers. J Agromedicine. 2011;16(2):143-52.

- Cillino S, Casuccio A, Di Pace F, Pillitteri F, Cillino G. A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area. BMC Ophthalmol. 2008;8:6.

- Wagh V, Tidake P. Clinical Study and Profile of Ocular Trauma: Findings From a Rural Hospital in Central India. Cureus. 2022;14(7):e26915.

- Ugalahi MO, Adebusoye SO, Olusanya BA, Baiyeroju A. Ocular injuries in a paediatric population at a child eye health tertiary facility, Ibadan, Nigeria. Injury. 2023;54(3):917-23.

- Merca TGB, Valbuena MN. Epidemiology and Visual Outcomes of Pediatric Ocular Trauma Cases in a Tertiary Hospital. Philipp J Ophthalmol. 2014;39:27-32.

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