Ocular Manifestations in Patients of Head Injury Attending a Tertiary Care Trauma Centre: An Observational Cross-Sectional Study
Abstract: Background: Traumatic brain injury (TBI) remains a leading cause of trauma-related morbidity and mortality worldwide. Ocular involvement is frequently observed in head injury due to the close anatomical relationship between the visual apparatus and intracranial structures. These ocular manifestations may serve as important clinical indicators of injury severity and prognosis. Methods: This observational cross-sectional study was conducted at a tertiary care trauma centre over a period of 20 months. One hundred patients with clinically and radiologically confirmed head injury were included. A comprehensive ophthalmic evaluation encompassing adnexal, anterior segment, posterior segment, and neuro-ophthalmic assessment was performed in all patients. Neurological severity was graded using the Glasgow Coma Scale (GCS). Ocular findings were analysed and correlated with the severity and mechanism of head injury. Results: Ocular manifestations were identified in 68% of patients. Adnexal and anterior segment injuries were the most common findings, with periorbital ecchymosis (28%) and subconjunctival haemorrhage (22%) predominating. Posterior segment involvement was observed in 18% of patients, while neuro-ophthalmic manifestations were noted in 14%. Road traffic accidents accounted for the majority of cases (64%). A statistically significant association was observed between lower GCS scores and the presence of severe ocular manifestations (p
Keywords: Head injury, ocular manifestations, trauma, neuro-ophthalmology, Glasgow Coma Scale
How to Cite?: Dr. Minal Vyawahare, Dr. Piyush Madan, Dr. Samradni Dengle, "Ocular Manifestations in Patients of Head Injury Attending a Tertiary Care Trauma Centre: An Observational Cross-Sectional Study", Volume 15 Issue 2, February 2026, International Journal of Science and Research (IJSR), Pages: 979-982, https://www.ijsr.net/getabstract.php?paperid=MR26216023223, DOI: https://dx.doi.org/10.21275/MR26216023223