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Research Articles

Clinical Profile of Medico Legal Cases in Ophthalmology: A Descriptive study

Authors:

Prabha Gupta ,

GR Medical College, IN
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Abha Shukla,

Gajra raja medical college Gwalior, IN
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Rashmi Tirkey

Gajra Raja Medical College Gwalior, IN
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Abstract

Revised Abstract- ABSTRACT Purpose As ocular medicolegal cases (MLCs) are on the rise, ophthalmologists play an important role in the management and fixing the responsibility as per the law. This study was planned to describe the clinical profile of medico-legal cases attending the ophthalmic unit at a tertiary care hospital in north India Methods The present study was conducted at a tertiary care ophthalmic center in north India. The study design was a hospital-based retrospective study, and the patient’s charts/ medical records were collected from the medical record section who were registered as ophthalmic MLC from November 2015 to May 2018. The cases were grouped as adnexal and globe injuries. The clinical profile was recorded in the clinical record forms and analyzed accordingly. Results Total 156 patients were enrolled in study of which87.8 % (n=137) were males and 12.2% (n=19) were female. The mean (+SD) age was 31.4+12.8years. The most common mode of injury was fist in 55.1 % (n=86). Adnexal injuries were the most common 46.2 % (72). Lid /periorbital contusion and subconjunctival hemorrhage were the most common presentation among adnexal and globe injuries respectively. Open globe injury accounted for 5.1 % (8) of patients, of which all had a poor prognosis. Malingering was present in 2.6 % (4) of patients, all presented with the profound and sudden loss of vision with bleeding from the eye and almost 11.5 %(n=18) of the patient had related preexisting ocular morbidity with the present injury. Conclusion Fist injury was the most common cause of trauma. A substantial number of patients who had adnexal injuries or subconjunctival hemorrhage had good vision, contrary to open globe injuries which had very poor vision. The pupillary reaction is the most important clue to the existing damage. Medicolegal cases require meticulous eye examination along with clear and concise documentation. Always correlate reduced vision with signs of a recent injury and suspect foul play by the patient.
How to Cite: Gupta, P., Shukla, A. and Tirkey, R., 2021. Clinical Profile of Medico Legal Cases in Ophthalmology: A Descriptive study. Sri Lanka Journal of Forensic Medicine, Science & Law, 12(1), p.None. DOI: http://doi.org/10.4038/sljfmsl.v12i1.7863
Published on 06 Dec 2021.
Peer Reviewed

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