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Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 76-80

Pattern of gun pellet ocular injuries in Kashmir, India

Department of Ophthalmology, Sher-i-Kashmir Institute of Medical Sciences Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Dr. Imtiyaz A Lone
Sher-i-Kashmir Institute of Medical Sciences Medical College, Srinagar - 190 017, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1597-1112.154929

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Objective: The objective was to study the type and severity of ocular injuries in gun pellet victims. Materials and Methods: The study is a retrospective case series conducted in the Department of Ophthalmology, SKIMS Medical College, Bemina, Srinagar. The study included gun pellet victims admitted in our department between January 2010 and September 2013. Results: The study included 20 patients with 19 males and 1 female. Mean age of the subjects was 21.45 years. Ocular injury was unilateral in 17 cases and bilateral in 3 cases. The most common type of injuries encountered were hyphema in 82.60% of eyes, followed by corneo-scleral tear in 78.26% and vitreous hemorrhage in 47.82% of eyes. Of the 23 eyes, 18 eyes (78.26%) had an open globe injury, while only 3 eyes (13.04%) had closed globe injury at presentation in our hospital. The most commonly performed surgery was corneo-scleral repair in 18 eyes. Final corrected visual acuity (VA) remained unchanged in 34.78% and improved in 65.22% of eyes. About 47.83% of eyes had final VA < 6/60. Conclusion: Gun pellet related ocular injuries are becoming increasingly common in Kashmir Valley. In severely injured eyes, the visual prognosis remained poor despite adequate treatment. Measures toward reducing violence in our society so as to reduce avoidable visual impairment are strongly advocated.

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