Incidence of Glaucoma following Open Globe Injury in a Tertiary Centre

Ocular trauma remains one of the important cause for blindness worldwide. Trauma leading to blindness can be immediate or late depending upon the nature of the trauma and the degree of the tissue damage. Trauma leading to blindness can range from corneal scarring, lens injury, glaucoma, retinal hemorrhage, detachment to endophthalmitis affecting every part of eye. Development of glaucoma post trauma involves many different mechanisms. This article aims to identify the incidence of glaucoma post ocular trauma in patients attending a tertiary care centre over a period of 1 year. Patients and methods This is a prospective study conducted over a period of 1 year from may 2017 to may 2018 and followed up for a period of 1 year. Patients who sustained ocular trauma were examined and relevant history regarding the nature of trauma, visual acuity, baseline IOP, globe assessment and detailed fundus examination was done including gonioscopy. Results 120 patients, 80 eyes were included in this study after complete ocular examination. Of which 89 % were males, 11 % females.80 % of increased base line IOP (greater than21 mmHg) was seen in middle aged patients. Traumatic hyphaema was seen in 60 % cases. Angle recession on gonioscopy was seen in 85 % of patients having traumatic hyphaema. Conclusion Traumatic glaucoma following open globe injuries is not uncommon. Several baseline risk factors have been identified that are significantly and independently associated with the development of glaucoma. Identifying the patients early who are at risk of developing glaucoma and treating them timely helps in saving the patients from becoming blind