Bungee cord related ocular trauma: An avoidable cause of ocular morbidity

Mobashir Sarfraz Ali, Bibhuti Prassan Sinha, Gyan Bhaskar, Rakhi Kusumesh, Nazia Imam

Abstract


Purpose: To study the mechanism and clinical features of ocular injury and its outcome associated with bungee cord related eye trauma.
Materials and Methods: A retrospective review of medical records was  erformed at our tertiary care centre to identify patients presented with bungee cord related eye injury between March 2016 to February 2017. Data collected from medical records were age, sex, mechanism of injury, clinical features,  therapeutic intervention, presenting visual acuity, final visual acuity and length of follow up.
Result: Total of thirteen patients with bungee cord related trauma were identified. Ten (77%) patients presented with closed globe injury and 3(23%) presented with open globe injury. All patients were male with mean age group of 30.157.38 years. Presenting visual acuity ranges from 6/12 to NPL. Only seven (54%) of patients were having final visual acuity of better than or equal to 6/18 in injured eye. Three patients (23.1%) with open globe injury had final visual acuity of counting fingers or worse. Main mechanism of injury being combination of blunt and high speed projectile injury due to slippage of metal or plastic hook while the cord is stretched.
Conclusions: Trauma with bungee cord is usually affecting working age group male with injury resulting in loss of workable vision to loss of eye hence there is need of appropriate intervention like use of printed warning on package and modification of hook design to decrease the incidence of bungee cord related
trauma.

Keywords: Bungee cord, Closed globe injury, Open globe injury.


Full Text:

PDF