Pediatric eye trauma primer for the on-call ophthalmologist

Purpose. To assess the severity of penetrating eye trauma in children in Tajikistan. Material and methods. Retrospectively there was analyzed 277 case histories of children with a diagnosis of penetrating eye injury, admitted to the children’s department of the National Medical Centre of the Republic of Tajikistan for the provision of specialized ophthalmological care. Results. The average age of children at the time of injury to the organ of sight was 7.06 ± 3.01 years, mainly these were villagers (70%). Children under 7 years old accounted for 57.8% of those admitted to the hospital. The terms of admission to the hospital ranged from 1 to 14 days, an average of 43.02 ± 33.35 hours. The severity is caused by damage to 2 or more structures of the eyeball in 81,3%. Wounds larger than 6 mm prevailed and amounted to 63,5%. Endophthalmitis at admission was noted in 8,3% of cases. Enucleation was performed in 2 children; 244 children underwent primary surgical treatment. Visual acuity at discharge was higher than 0.1 in 72 of 275 children (26.2%), lower than 0,1 in 194 (70.7%). Conclusion. Almost every second child (43.0%) is admitted to the hospital for primary surgical treatment of an eyeball wound after 24 hours. About 2/3 of cases of eye damage are characterized by large wound sizes. Stab wounds were noted in 90.2% of cases. In 58.8% of cases, damage to the cornea was observed and in 68.6% – damage to the lens area.

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Transscleral Extraction of an Intraocular Foreign Body From the Posterior Segment of the Eye Without Pars Plana Vitrectomy

Czech and Slovak Ophthalmology ◽

10.31348/2020/2 ◽

2020 ◽

Vol 76 (1) ◽

pp. 14-23

Author(s):

Štěpán Rusňák ◽

Lenka Hecová

Keyword(s):

Foreign Body ◽

Pars Plana Vitrectomy ◽

Young Patients ◽

Vitreous Body ◽

Visual Control ◽

Intraocular Foreign Body ◽

Survey Study ◽

Surgical Method ◽

Eye Trauma ◽

Pars Plana

Purpose: Penetrating eye trauma with an intraocular foreign body is very frequent, especially in men in their productive age. Pars plana vitrectomy would be the standard surgical method at our department. However, in indicated cases (metallic intraocular bodies in the posterior eye segment in young patients with well transparent ocular media without detached ZSM and without any evident vitreoretinal traction) transscleral extraction of the intraocular foreign body is performed using the exo magnet, eventually endo magnet with a minimal PPV without PVD induction under the visual control of endo-illumination. Materials and Methods: Between June 2003 and June 2018, 66 eyes of 66 patients diagnosed with a penetrating eye trauma caused by an intraocular foreign body located in the posterior eye segment were treated. In 18 eyes (27,3 %) with a metallic foreign body in vitreous (body) or in retina, no PPV or a minimal PPV without PVD was used as a surgical method. In the remaining 48 eyes (72,7 %), a standard 20G, respectively 23G PPV method were used together with PVD induction and the foreign body extraction via endo or exo magnet. Conclusions: As demonstrated by our survey/study, in the cases of a thoroughly considered indication an experimented vitreoretinal surgeon can perform a safe NCT transscleral extraction from the posterior eye segment via exo magnet, eventually endo magnet under the visual control of a contact display system with a minimal PPV. Thereby, the surgeon can enhance the patient´s chance to preserve their own lens and its accommodative abilities as well as reduce the risk of further surgical interventions of the afflicted eye.

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Current trends in the structure of eye injuries

Medical Science And Education Of Ural ◽

10.36361/1814-8999-2020-21-3-106-108 ◽

2020 ◽

Vol 21 (3) ◽

pp. 106-108

Author(s):

M. N. Ponomareva ◽

◽

S. V. Sakharova ◽

E. M. Pochinok ◽

E. V. Fomina ◽

...

Keyword(s):

Medical Records ◽

Young Patients ◽

Present Stage ◽

Eye Injuries ◽

Third Place ◽

The Third ◽

Eye Trauma ◽

Current Trends ◽

The Poor ◽

Leading Position

Aim. To identify current trends in hospital eye trauma based on the materials of the specialized ophthalmology department of a round-the-clock hospital. Materials and methods. The analysis of medical records of patients treated in the round-the-clock specialized ophthalmology department of the state medical establishment OKB No. 2 in the period since January 2017-2019. Results. During the analyzed period, 4948 patients were treated, of which 218 patients (5.6%) were identified for nosologies belonging to the category of eye trauma. Men are most often exposed to eye injuries (84%), in addition, in 62% of cases, these are young patients (18-44 years). The structure of eye trauma is almost unchanged: the leading position is occupied by penetrating wounds of the eyeball and contusions, the third place is occupied by burns, through wounds of the eyeball are rare. Conclusions. Given the poor prognosis of the outcome of a severe eyeball injury, it requires the introduction of modern types of microsurgical intervention using endovitreal surgery at the present stage.

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Characteristics of work-related eye trauma in construction and manufacturing industries

Clinical and Experimental Optometry ◽

10.1080/08164622.2021.1952842 ◽

2021 ◽

pp. 1-6

Author(s):

Cagri Ilhan ◽

Mehmet Citirik ◽

Mehmet M Uzel ◽

Selim Bagli

Keyword(s):

Manufacturing Industries ◽

Work Related ◽

Eye Trauma

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Phantom Eye Syndrome: A Review of the Literature

The Scientific World JOURNAL ◽

10.1155/2014/686493 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 9

Author(s):

Agda M. Andreotti ◽

Marcelo C. Goiato ◽

Eduardo P. Pellizzer ◽

Aldiéris A. Pesqueira ◽

Aimée M. Guiotti ◽

...

Keyword(s):

Quality Of Life ◽

Drug Therapy ◽

Phantom Pain ◽

Direct Influence ◽

Psychological Approach ◽

Review Of The Literature ◽

Eye Trauma ◽

Pubmed Database ◽

Before And After

The purpose of this literature review was to describe the main features of phantom eye syndrome in relation to their possible causes, symptoms, treatments, and influence of eye amputation on quality of life of anophthalmic patients. For this, a bibliographical research was performed in Pubmed database using the following terms: “eye amputation,” “eye trauma,” “phantom eye syndrome,” “phantom pain,” and “quality of life,” associated or not. Thirteen studies were selected, besides some relevant references contained in the selected manuscripts and other studies hallowed in the literature. Thus, 56 articles were included in this review. The phantom eye syndrome is defined as any sensation reported by the patient with anophthalmia, originated anophthalmic cavity. In phantom eye syndrome, at least one of these three symptoms has to be present: phantom vision, phantom pain, and phantom sensations. This syndrome has a direct influence on the quality of life of the patients, and psychological support is recommended before and after the amputation of the eyeball as well as aid in the treatment of the syndrome. Therefore, it is suggested that, for more effective treatment of phantom eye syndrome, drug therapy should be associated with psychological approach.

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EYE TRAUMA FROM CONSUMER PRODUCTS

Southern Medical Journal ◽

10.1097/00007611-199309001-00179 ◽

1993 ◽

Vol 86 (Supplement) ◽

pp. 68

Author(s):

Srinivas Sastry ◽

Michael Spencer ◽

Robert Copeland

Keyword(s):

Consumer Products ◽

Eye Trauma

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Eye Trauma in Children

Southern Medical Journal ◽

10.1097/00007611-199106000-00018 ◽

1991 ◽

Vol 84 (6) ◽

pp. 747-750

Author(s):

ROGER L. HIATT

Keyword(s):

Eye Trauma

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An Uncommon Meridional Globe Rupture due to Blunt Eye Trauma

Case Reports in Emergency Medicine ◽

10.1155/2018/1808509 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Krishan Kumar ◽

Rick Figurasin ◽

Swati Kumar ◽

Muhammad Waseem

Keyword(s):

Ocular Trauma ◽

Severe Form ◽

Open Globe Injury ◽

Unique Case ◽

Pertinent Literature ◽

Eye Trauma ◽

Globe Rupture ◽

Open Globe ◽

Blunt Eye Trauma ◽

Blunt Ocular Trauma

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Most often, rupture is equatorial. We present a unique case of open globe injury due to blunt ocular trauma from a thrown rock that resulted in a meridional rupture of the eye. The pertinent literature is reviewed.

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Foreign-body conjunctival granuloma secondary to finger-nail trauma

Asian Journal of Ophthalmology ◽

10.35119/asjoo.v14i2.87 ◽

2015 ◽

Vol 14 (2) ◽

pp. 73-76

Author(s):

V. Sowmya ◽

Nelly E.P. Nazareth ◽

Vijna B. Kamath

Keyword(s):

Foreign Body ◽

Pediatric Population ◽

Foreign Body Granuloma ◽

Granuloma Formation ◽

Excision Biopsy ◽

Insect Wing ◽

Finger Nail ◽

The Past ◽

Eye Trauma

A foreign body lodged in the conjunctiva can trigger a granuloma formation. In the past, cilia, caterpillar hair, insect wing and fibers have been reported to incite foreignbody granuloma formation in the eye. Trauma to the eye with finger nail is frequently encountered but goes unnoticed among the pediatric population. Finger-nail trauma to the eye leading to a mass has not been reported in literature. We hereby report a case of conjunctival foreign-body granuloma in a seven-year-old child following finger-nail trauma. Excision biopsy and histopathology of the mass affirmed the diagnosis.

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