Indian Journal of Clinical and Experimental Ophthalmology


Medico-Legal cases related to ocular trauma in North India


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Author Details: Ankur Yadav, Vishal Katiyar, Komal D Singh, Siddharth Agrawal, Sanjiv Gupta, Vinita Singh

Volume : 2

Issue : 2

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 87

Article End Page : 92


Abstract

Introduction: Basic nature of mechanical injuries is accidental, suicidal or homicidal; so they are often associated with legal problems. This study is aims to assess the epidemiology of ophthalmic medico-legal cases in order to acquaint the ophthalmologists with the spectrum of the same, which is prevailing in north India.
Material and methods: Retrospective analysis of medical records of all the cases of ocular trauma was done, in which basic nature of mechanical injuries was either accidental or assault, presenting in emergency at ophthalmology department, medical university hospital, central India, between years 2007 to 2014.
Results: In the present study 94% patients (96 /102) were males. Patients presented with mean age of 30.3±11.9 years (range 10-61 years). Sixty six percent of patients (67/102) were cases of alleged assault by firearms. Most commonly implicated firearm was a country made gun or non-rifled single barrel hand gun. Seventy five percent (77/102) of all cases had open globe injuries. Treating surgeon was asked to provide expert witness in 6 out of 102 cases seen during study duration.
Conclusion: It was observed that young adult males of poor rural background are most commonly involved in cases of ocular trauma associated with medico-legal liabilities. Only a very small fraction of cases were pursued in the court for which attending ophthalmologist is called as expert witness.

Keywords: Expert witness, India, Medico-legal cases, Ocular trauma