Manoj Sharma, Rosie Dawkins, Januario Gusmao,Nitin Verma
Ocular trauma remains an importantcause of low vision, and blindness, especially in thedeveloping world. This work describes the presenta-tion, treatment and outcomes of ocular trauma at theNational Eye Centre (NEC) in Timor-Leste.
Review of presentations with ocular traumaover a one year period from June 2013–May 2014 atthe NEC in Dili. Demographic data, mechanism ofinjury, treatment and ?nal outcome were recorded.
167 patients presented with ocular trauma.Men were over-represented (86.8%). The mostcommon presentation was adults aged 26–45 y(44.4%). Time to presentation was three days or less in77.6%, and greater than two weeks in 10.3%. 75.3%of patients were from Dili. Mechanism of injury wasmost commonly blunt (86.7%), followed by penetrat-ing (9.6%). No chemical injuries were seen. 19.9% ofpatients were treated surgically. At presentation 68.5%of patients had good vision (>6/18) in the affected eye,26.8% poor vision (<6/60). At ?nal follow-up 71.5%good vision, 16.1% poor vision. Conclusion: Ocular trauma is an important, andpotentially preventable, cause of morbidity in Timor-Leste. The NEC is the only permanent location forophthalmology review. Presentations from Dili wereover-represented, indicating there may be peoplewith ocular trauma in the districts not accessing ser-vices. The patients presenting to the NEC were over-whelmingly men of working age. Unlike otherdeveloping countries, chemical injuries were not seen.Late presentation and severe injuries are barriers togood visual outcomes. Work place safety, and educa-tion regarding early ophthalmology care, should bepriority areas.