Chief & Presenting Author: Dr.Vaibhav Chaudhary

Co Author(s): Prof. Dr. Alka Gupta, Dr.Lokesh Kumar Singh, Dr.Jaishree Dwivedi

Abstract

STUDY DESIGN: AN OBSERVATIONAL STUDY CONDUCTED OVER A PERIOD OF 5 MONTHS INVOLVING 50 PATIENTS WITH TRAUMATIC HEAD INJURY IN AGE GROUP 10-50 YEARS
PURPOSE: TO IDENTIFY THE OCULAR MANIFESTATIONS AND THEIR CORRELATION WITH THE SEVERITY OF HEAD TRAUMA.METHODS: ALL PATIENTS UNDERWENT DETAILED OCULAR AND RADIOLOGICAL EXAMINATION AND ASSESSMENT OF GLASGOW COMA SCALE.RESULTS AND CONCLUSION: THE COMMONEST AGE GROUP AFFECTED WAS 20-45 YEARS.ROAD TRAFFIC ACCIDENTS WAS THE MOST COMMON CAUSE OF HEAD INJURY (UNDER THE INFLUENCE OF ALCOHOL) FOLLOWED BY PHYSICAL ASSAULT. IN PATIENTS WITH SEVERE GCS < 9 ORBITAL WALL FRACTURE ALONG WITH TRAUMATIC OPTIC NEUROPATHY WAS SEEN IN MAJORITY , IN MODERATE GCS 9-12 PUPILLARY ABNORMALITIES LIKE RAPD AND TRAUMATIC MYDRIASIS WAS SEEN IN 53.3% AND ABDUCENT NERVE PALSY IN 33.33 %. IN MILD GCS 13-15 PERIORBITAL ECCHYMOSIS FOLLOWED BY LID AND BROW TRAUMA WERE THE MAJOR INJURIES. RETINAL HEMORRHAGES AND PAPILLEDEMA WERE ALSO SEEN IN 30% PATIENTS WITH < 6/60VA