Priyanka Gupta

Abstract

Purpose: To evaluate the spectrum of ocular injuries, clinical and demographic profile and management patterns following firecracker injury during three days of festive season of ‘Deepavali’. Materials and Methods: A hospital-based, retrospective study of 19 patients, who sustained ocular injuries following firecracker injury during three days of festive season of Deepavali from 28/10/19 to 30/10/19 visiting emergency department of SMIH, Dehradun. All the patients were attended in collaboration with on call ophthalmologists and plastic surgery burn unit team. Vision assessment was done using Snellen’s chart. Slit lamp examination including anterior segment evaluation and fundus examination was done in cases possible. USG B-scan and X-Ray orbit were done in cases required. Patients with severe injuries were advised admission and managed either conservatively or surgically. Surgical intervention included corneo-scleral tear repair and evisceration. Rest of the patients were treated on outpatient basis. Results: The firecrackers causing ocular injuries include Bomb in 37% cases, Flowerpot in 31.5%, Rocket in 21% and Sparkles in 10.5% cases. The spectrum of ocular involvement included periocular burns in 100% cases, corneal abrasion in 74%, corneal perforation and hyphema in 16%, lid and conjunctival laceration and globe rupture in 11%, and iridodialysis and vitreous hemorrhage in 5% cases. The devastating visual outcomes were seen in 10% cases. 89.5% cases underwent medico-legal consultation. Conclusion: Firecracker injury leads to physical and mental trauma to the patients. Adult supervision is very crucial while igniting firecrackers. Appropriate triage management and coordinated treatment was critical to ensure best possible patient outcome. Enforcement of legislations, health education and public awareness are essential in preventing this hazard to ocular health in country. Keywords: Ocular trauma, Firecracker injury, Medicolegal.

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Abstract

Introduction: There is geographical variation in pattern of ocular tumors. We aimed to identify and describe the clinicopathologic characteristics of primary tumors of the eye and ocular adnexa in oculoplastic clinics at our tertiary care centre. Materials and Methods: In our prospective longitudinal study patients with primary ocular tumors underwent surgical management. Resectable tumors were subjected to excision biopsy. Incision biopsy was taken in advanced malignant tumors.  The tissue masses were sent for histopathological examination. Cases were followed up monthly to see recurrences. Result: Out of 676 oculoplastic cases operated, 68 patients required surgery for tumors with common site being upper eyelid followed by periorbital area & lower eyelid. 75% cases were benign while 25% were malignant. Maximum cases in benign group were in the age group 11-20 year & in malignant group in age group of 41-50 years. Recurrence rate was 17.3%. Sebaceous cell carcinoma (44.4%) was the predominant malignant eyelid tumor. Conclusion: We observed an interesting geographical variation in malignant eyelid tumor. We have come up with a few recommendations to prevent recurrences. Keywords: Benign, Malignant, Ocular tumors, Oculoplastic cases.

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