Indian Journal of Occupational and Environmental Medicine   Official publication of Indian Association of  0ccupational  Health  
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 ORIGINAL ARTICLE
Year : 2021  |  Volume : 25  |  Issue : 2  |  Page : 111-113

Ocular injury due to arecanut: A unique occupational hazard in Central Karnataka


Department of Vitreo-Retina, Sankara Eye Hospital, Shimoga, Karnataka, India

Correspondence Address:
Dr. H N Ravishankar
Sankara Eye Hospital, Harakere, Shimoga, Karnataka - 577202
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijoem.IJOEM_174_20

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Purpose: To evaluate the ocular manifestations and visual outcomes of ocular injury by arecanut. Methods: We analysed cases with ocular injury by arecanut from August 2018 to December 2019, retrospectively. Mode of injury, visual acuity and ocular manifestations of trauma were recorded. Results: Out of the 40 cases, closed globe injuries were seen in 97.5% of cases. All the injuries were due to the direct impact of arecanut during harvesting. The mean age was 45.15 ± 12.84 years. The mean best-corrected visual acuity (BCVA) at presentation was 20/40. A significant number of cases (35%) required surgical intervention. Mean BCVA at final follow-up was 20/30 but 16.66% of cases had BCVA of <20/60 even after definitive therapy. Conclusion: Ocular trauma due to arecanut is an important and preventable cause of visual impairment in central Karnataka. Modifications in harvesting technique would prevent ocular injuries.






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