Epidemiological profile of occupational ocular injury in a tertiary eye care centre of North India

Monika Dahiya, Mohit Dua


Background: Occupational ocular injuries are quite common among industrial and agricultural workers. It is an important cause of preventable vision loss in developing as well as developed countries. The principal objective of our research work was to study epidemiological profile of occupational ocular injuries and use of protective eye wear at workplace in North India.

Methods: A prospective, hospital based observational study was conducted on 400 patients of occupational ocular injuries attending emergency services and OPD in Regional Institute of Ophthalmology, PGIMS Rohtak, Haryana, India during June 2016 to March 2020.

Results: Out of 400 patients of occupational ocular injuries, majority were male (92%) and most common age group affected was 31-40 years (48%) followed by 21-30 years (30%). Most common injured patients were of manufacturing industry (45%) followed by construction site (30%) and agriculture based industry (25%). Metallic foreign body (70%) was found to be the most common cause of occupational ocular injury in 70% cases followed by chemical injury in 10% cases. Ocular injuries were more common in temporary workers (65%) who were not having proper safety training and not using protective devices at workplace.

Conclusions: Occupational ocular injuries most commonly affect young productive population leading to temporary or permanent vision loss. Avoidance of protective glasses and lack of basic safety training make them more vulnerable for ocular injuries. Therefore, all workers should be encouraged to adopt basic safety measures and proper safety training should be given to them. It will not only help in reducing the ocular morbidity, but will also enhance the economic productivity.


Ocular trauma, Preventable blindness, Occupational health, Occupational ocular injury

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Sethi S, Khan MD. Childhood ocular trauma. J Postgrad Med Inst Peshawar. 2011;15(1):51-5.

Mishra A, Parihar J, Verma A, Aggarwal S, Baranwal V, Bhargava N. The pattern and visual outcomes of ocular trauma in a large zonal hospital in a nonoperational role. J Clin Ophthalmol Res. 2014;2(3):141-4.

Prakash DN, Sathish K, Kumar A, Patil A. Study of demographic and clinic profile of ocular trauma. J Evol Med Dent Sci. 2013;2(11):1741-6.

Fong LP, Taouk Y. The role of eye protection in work- related eye injuries. Aust NZ J Opthalm. 1995;23;101-6.

Imberger A, Altmann A, Watson W. Unintentional adult eye injuries in Victoria. Monash University Accident Research Centre. Report 137, 1998. Available at: reports/muarc137.html. Accessed on 3 January 2020.

Islam SS, Doyle EJ, Velilla A, Martin CJ, Ducatman AM. Epidemiology of Compensable Work-Related Ocular Injuries and Illnesses. J Occup Environ Health 2000;42(6):575-81.

Forrest KY, Cali JM. Epidemiology of lifetime work- related eye injuries in the U.S. population associated with one or more lost days of work. Ophthalmic Epidemiol. 2009;16:156-62.

Harris PM, Bureau of Labor Statistics. Nonfatal occupational injuries involving the eyes, 2002. Available at: sh20040624ar01p1.htm. Accessed 3 November 2006.

Qayum S, Anjum R, Garg P. Epidemiological pattern of ocular trauma in a tertiary hospital of Northern India. Int J Med Clin Res. 2016;7:420-2.

Mccall BP, Horwitz IB. Assessment of occupational eye injury risk and severity: an analysis of Rhode Island workers’ compensation data 1998 - 2002. Am. J. Ind. Med. 2006;49:45 -53.

Welsch LS, Hunting KL, Mawudeku A. Injury surveillance in constuction;eye injuries. Appl Occup Environ Hyg. 2001;16:755-62.

Lombardi DA, Pannala R, Sorock GS, Wellman H, Verma S, Smith GS. Welding related occupational eye injuries. Inj Prev. 2005;11:174-9.

Ozkurt ZG, Yuksel H, Saka G, Guclu H, Evsen S, Balsak S. Metallic corneal foreign bodies: An occupational health hazard. Arq Bras Oftalmol. 2014;77:81-3.

De Broff BM, Donahue SP, Caputo BJ, Azar MJ, Kowalski RP, Karenchak LM. Clinical characteristics of corneal foreign bodies and their associated culture results. CLAO J. 1994;20:128-30.

Fong LP. Eye injuries in Victoria, Australia. Med J Aust. 1995;162:64-8.

Ramakrishnan T, Constantinou M, Jhanji V, Vajpayee RB. Corneal metallic foreign body injuries due to suboptimal ocular protection. Arch Environ Occup Health. 2012;67:48-50.

Das Gupta S, Mukhrjee R, Ladi DS, Gandhi VH, Ladi BS. Pediatric ocular trauma - a clinical presentation. J Postgrad Med, 1990;36(1):20-2.

Kanoff JM, Turalba AV, Andreoli MT, Andreoli CM. Characteristics and outcomes of work-related open globe injuries. Am. J. Ophthalmol. 2010;150:265 269. Int J Environ Res Public Health. 2015;12:96-8.

Bauza AM, Emami P, Son JH, Langer P, Zarbin M, Bhagat N. Work-related open-globe injuries: Demographics and clinical characteristics. Eur. J. Ophthalmol. 2013;23:242-8.

Yu TS, Liu H, Hui K. A case-control study of eye injuries in the workplace in Hong Kong. Ophthalmology. 2004;111:70-4.

Kundu A, Roy KK, Nazm N, Mishra A, Singh S, Haque F. An epidemiological report of occupational ocular injury in eastern part of India. Int J Contemporary Med Res. 2017;4(7):1516-18.

Cai M, Zhang J. Epidemiological Characteristics of Work-Related Ocular Trauma in Southwest Region of China. Int J Environ Res Public Health. 2015;12:9864-75.

Thompson GJ, Mollan SP. Occupational eye injuries: A continuing problem. Occup Med. 2009;59:123-5.

Chen SY, Fong PC, Lin SF, Chang CH, Chan CC. A case- crossover study on transient risk factors of work-related eye injuries. Occup Environ Med. 2009;66:517-22.

Kumar S, Dharanipriya A. Prevalence and pattern of occupational injuries at workplace among welders in coastal south India. Indian J Occup Environ Med. 2014;18:135-7.