Ocular Trauma During Public Road Accidents: Epidemiological, Clinical, Therapeutic and Prognostic Aspects at the Abass Ndao University Hospital Center - Abstract
Purpose: To determine the epidemiological, clinical, therapeutic and prognostic characteristics of eye injuries following a public road accident. Methodology: This was a retrospective, descriptive study covering the files of patients followed for ocular trauma by a public road accident, over a period of 3 years. We collected using a collection sheet to collect epidemiological, clinical, paraclinical and therapeutic data. Data were entered and analyzed using SPSS 20.0 software. Results: The frequency of ocular trauma overall was 9.47%. The sex ratio was 2.64/1. 3/10 was noted in 54.90% of cases. The mean age was 29.12 ±16.15 . Pupils and students represented 27.5%. The complaints were blindness (3.92%), eye pain (31%), eye redness (25.4%). Conjunctival lesions were noted in 23.36%, followed by eyelid wounds in 17.75%. Corneal lesions represented 3.70%. On the fundus examination we noted optic atrophy in five patients or 9.25%.The orbito-cerebral CT showed an orbital fracture in 13 patients (22.41%). Among our patients, 51% had not received any previous treatment and 49% had already received medical treatment. Patients seen between D0 and D1 represented 47.1%. In 45.1% of our patients the treatment was medical- surgical. A final visual acuity (VA) greater than Conclusion: Ocular trauma from PRA constitutes a frequent reason for consultation. Pupils and students were the most affected. PRAs constitute a public health problem. Prevention is essential.