A CROSS-SECTIONAL RESEARCH TO DETERMINE VARIOUS REASONS OF OCULAR INJURIES AMONG SECURITY TROOPS OF LEAs (LAW ENFORCING AGENCIES)

Objective: The research objective is the determination of the severity and etiology of different types of ocular injuries occurred during war against terrorism. Methods: The method of this study is cross-sectional, carried out at Services Hospital, Lahore (Ophthalmology Department) from July 2016 to September 2017. A number of 210 personnel with ocular injuries were included in the study. Informed consent was taken from each patient. To record a patient’s details of demography, side, cause, severity, and type of injury, a pre-designed Performa was used. The score of ocular trauma was noted down at presentation. Results: All patients were male with age as mean (29.30 ± 05.30) years. IED blast was the most frequented cause (54.3%, n=114) with the involvement of the left side at a higher frequency (60%, n=126). Injuries of the closed globe were found among 57.10% (120) patients. After the assignment of Ocular Trauma Score, the following frequencies (descending order) were recorded in terms of Grades: Grade-V, Grade-I, Grade-III, Grade-II, and Grade-IV equal to 28.60%, 25.70%, 25.7%, 11.40%, and 8.60% respectively. After the stratification of the type of injuries, patients with OGIs were recorded with highest (60%) OTS Grade-I injuries, hence prognosis is poorer, while patients with CGIs were recorded with highest (50%) (p=0.000) of OTS Grade-V injuries. Conclusion: Injuries to IED blast caused OWIs at the highest frequency, often among (20 – 30) years age security personnel. OGIs had a very bad presentation at the beginning with poorer prognosis as compared to CGIs. Keywords: Open Globe Injuries (OGI), Ocular War Injuries (OWI), Ocular Trauma Score (OTS), Improvised Explosive Device (IED) and Closed Globe Injuries (CGI)