Meseret EjiguGetu Jufar2025-02-182025-02-182024-01-19https://etd.aau.edu.et/handle/123456789/4182Objective: To study the pattern and management outcome of ocular adnexal injuries at Menelik-II Comprehensive Specialized Hospital. Methods: A hospital based cohort study conducted at Menelik II comprehensive specialized hospital From July 2023 to June 2024. The principal investigator and residents working at day time and duty time in the department were identifying patients with ocular adnexal injury. After getting informed consent, structured questionnaire was completed. Which includes relevant socio- demographic data, place, cause and nature of the injury, time interval between injury and presentation was recorded. The study population was classified according to System for PeriOcular Trauma (SPOT) classification. Data was cleaned, edited, entered, coded and analyzed using SPSS Version 27. Variables were compared using the appropriate statistical tests. Results: A total of 45 eyes with ocular adnexal injuries of 43 patients studied. The male to female ratio was 3:1. The mean (SD) age was 27.3±14.0 years range 2- 70yrs. Regarding the setting of trauma, 17(37.8%) were due fighting accident of which 7(41.1%) is alcohol related. Road traffic accident accounts for 8(17.8%) of cases and another 17.8% are work related. Penetrating injury accounts for 29(64.4%) while 16(35.6%) are blunt injuries. Regarding the etiology, 12(26.7%) of the cases are metallic object, 10(22.2%) stone, 7(15.6%) glass objects. According to System of Periocular trauma (SPOT) classification, Type-1 injury (only upper lid involvement) accounts for 40% of cases followed by Type-2 (only lower lid involvement) which is 31.1% of the cases. Type-3(only medial canthus involvement) and Type-4(only lateral canthus involvement) is seen in 2(4.4%) and 1(2.2%) of cases respectively. Type-5 (any combination of those 4 zones) is seen in 10 eyes which accounts for 22.2% of the total. Primary repair was done for those 44 eyes of which 35(79.5%) were done by residents, 5(11.1%) by oculoplastic fellow and the rest 4(8.9%) by an ophthalmologist. The repair was done with in 24hr after the occurrence of trauma in 10(22.7%) of cases, 18(40.9%) within 24-72hr and the rest 16(36.4%) >72hr. Regarding the complications, it was studied for those who attended at least one month follow up and no complication was documented in 73% of cases. The most commonly encountered complication was lid margin notching seen in 4(10.8%) of cases followed by tearing in 3(8.1%) of cases. Conclusion: The finding of this study shows that male gender and individuals in young age group are more vulnerable to ocular adnexal injuries. Moreover fighting accident is the most common cause of the injuries and significant proportion of it is alcohol intake related. Work related injuries and RTA are also among the major causes of these injuries which warrant use of protective tools in work place and proper use of safety measures to reduce RTAen-USOcular AdnexaEyelidCanaliculiManagement OutcomeThesis