DR. VIJAY LABANA

, Dr. MEHUL SHAH, Dr. SHREYA SHAH, Dr. DEEKSHA THORAT

Abstract

INTRODUCTION :CATTLE HORN INJURY IS COMMON AMONGST CATTLE REARERS,DAIRY FARMERS, IN RURAL AREAS AND MALES.DESPITE THE LOW INCIDENCE, THE IMPACT OF CATTLE HORN OCULAR INJURY IS QUITE SIGNIFICANT WITH RESULTANT MONOCULAR BLINDNESS

METHOD: CATTLE HORN INJURY PRESENTS AS FORCEFUL IMPACT INJURY WITH BLUNT OBJECT. CHEMOSIS, SUBCONJUNCTIVAL HAEMORRHAGE, HYPHEMA AND LENS SUBLUXATION/DISLOCATION ARE MAIN FEATURES. OCULAR SCLOPETARIA IS ALSO OBSERVED IN ZONE-2 OR 3 INJURIES. POST CATARACT SURGERY ,OPENING OF CATARACT WOUND AND ANTERIOR DISLOCATION OF IOL IS COMMON. MANAGEMENT IS PRIMARILY SURGICAL WOUND REPAIR WITH DEBRIDMENT , ZONE 2 /3 REPAIR AND REACHING TO POSTERIOR EXTENSION WITH/WITHOUT DISINSERTION OF RECTI. HYPHEMA MANAGEMENT TO BE DONE DURING PRIMARY REPAIR, LENS MANAGEMENT MAY BE DONE LATER.

CONCLUSION: EXPLORATION ,SUBCONJUNCTIVAL SPACE IDENTIFICATION OF EXTENSION OF WOUND, MANAGEMENT OF HYPHEMA AND LENS CONDITION IS THE MAINSTAY IN THESE CASES.