scholarly journals Ocular Trauma from the “Knockout Game”

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Brian C. Joondeph
Keyword(s):  
Young Woman ◽  
Ocular Trauma ◽  
Ocular Injury ◽  
Submacular Hemorrhage ◽  
Urban Violence ◽  
Eye Injuries ◽  
Eye Care ◽  
National Media ◽  
Eye Damage ◽  
New Form

The “knockout game” is a new form of urban violence receiving much attention in local and national media. Apart from the obvious head trauma, eye injuries may be subtle and overlooked. This report brings awareness of potential eye damage with this type of assault. This report is of a young woman, victim of the knockout game, who sustained a submacular hemorrhage. Beyond a neurologic evaluation for anyone knocked unconscious following the knockout game, patients should be counseled regarding potential ocular injury and encouraged to seek eye care promptly should symptoms develop.

OCULAR INJURY TREND IN COVID-19 ERA- A TERTIARY EYE CARE STUDY IN INDIA

2021 ◽  
pp. 158-160
Author(s):  
R. B. Goyal ◽  
Karishma Goyal
Keyword(s):  
Ocular Trauma ◽  
Care Center ◽  
Ocular Injury ◽  
Trauma Patients ◽  
Delayed Presentation ◽  
Eye Care ◽  
Education And Awareness ◽  
Future Strategy ◽  
Mass Health ◽  
Care Study

Aim- To study the change in demography and injury pattern of ocular trauma during the lockdown period tothat of a similar period of the previous year. Materials & Methods- This is a retrospective analysis of the data of 362 patients with ocular trauma during the lockdown period from 25 March 2020 to 3 May 2020 and during a similar period of the previous year at a tertiary eye care center in India. Results- There was a decrease of 62.87% of patients of ocular trauma during the lockdown period because of the restricted lifestyle. Although home related and violence-related trauma increased, there was a decrease in trafc and sports-related trauma. Patients with chemical injury by sodium hypochlorite also had a sharp rise. Majority of the patients presented after two days during this period. Conclusion- Guidelines for mass health education and awareness about the risk of ocular trauma, morbidity caused by delayed presentation, and need to adopt safety or preventive strategies should be formulated so that future strategy can be planned to ght with the next pandemic or epidemic.

Domestic Ocular Injuries: A Case Series

2007 ◽  
Vol 17 (4) ◽  
pp. 654-659 ◽  
Author(s):  
M. Reza Mansouri ◽  
A. Mirshahi ◽  
M. Hosseini
Keyword(s):  
Emergency Room ◽  
Ocular Trauma ◽  
Case Series ◽  
High Rate ◽  
Ocular Injury ◽  
Eye Injury ◽  
Eye Injuries ◽  
Female Ratio ◽  
Severe Visual Loss ◽  
Eye Trauma

Purpose To determine the nature and types of domestic eye injuries. Methods The authors prospectively analyzed data of 100 consecutive patients with domestic eye injury (104 eyes) referred to the emergency room of Farabi Hospital during October 2003. Standardized international classification of ocular trauma (Birmingham Eye Trauma Terminology) was used for eye injury classification. Results Domestic ocular trauma represented 4.85% of all ocular emergencies (2061 patients) referred to the emergency room during that period. Male to female ratio was 1.13 and mean age of patients was 26±18 years (range, 1–73). Cornea was involved in 50.0% and sclera, lens, and retina each was involved in 4.8%. There was severe visual loss (best-corrected distance visual acuity <20/200 due to trauma) in 4% of the patients. The most frequent domestic ocular injury was globe injury (93.7%) including mechanical (72.1% closed and 4.8% open), chemical (14.4%), and thermal (1.9%) injuries. Conclusions Closed mechanical injuries were the most common type of domestic ocular injury in our series. Considering the high rate of domestic eye trauma among ocular emergency cases, more preventive measures should be taken at home.

scholarly journals Profile of Ocular Trauma Patients presenting to the National Eye Referral Hospital, Asmara, Eritrea

2021 ◽  
Author(s):  
Oluwafemi Adekunmi Ibrahim ◽  
Danait Michael ◽  
Hermela Misghna ◽  
Amir Ibrahim ◽  
Rut Russom
Keyword(s):  
Ocular Trauma ◽  
Visual Outcome ◽  
Referral Hospital ◽  
Ocular Injury ◽  
Trauma Patients ◽  
Open Globe Injury ◽  
Eye Injuries ◽  
Cross Sectional ◽  
Open Globe ◽  
At Home

Abstract Background Ocular trauma is a significant disabling health problem and a leading cause of visual impairment and loss worldwide. These injuries have many diverse costs including human suffering, long term disabilities, loss of productivity and economic hardship. Therefore, assessing the profile of ocular trauma, the etiology and its outcome is critical to the prevention of ocular injuries Methods This cross-sectional study was conducted on ocular trauma patients presenting to Berhan Ayni National Eye Referral Hospital from August – November, 2018. Data on demography, presenting visual acuity, type of injury and visual outcome were collected using a standardized questionnaire. The types of injuries were classified according to Birmingham Eye Trauma Terminology System. Pearson Chi-Square test (χ2)/or Fisher’s exact test in the Crosstab procedure was used to evaluate the relationship between specific variables. Logistic regression models were constructed to assess risk factors associated with blindness. Result 280 patients were seen with ocular trauma in the hospital during the study period. Males were 198 (70.7%) and peak age was 18–40 years. Ocular injury commonly occurred at home (31.8%), street and high way (31.4%) and workplace (28.9%). 24.7% of the injury was work-related. Common causes of injury were blunt objects (37.5%), sharp objects (31.1%) and fall (12.5%). 27.8% had open globe injury (OGI). Blindness was associated with rural residence (p < 0.0001), presentation greater than 24 hours (p = 0.04), non-use of eye protection goggles (p = 0.007), open globe injury (p = 0.018), posterior segment involvement (p < 0.0001) and hospitalization (p < 0.0001). Conclusion Immediate and comprehensive medical care is mandatory for ocular trauma patients. Educating the public especially at home and workplace is essential to prevent eye injuries.

CLINICAL PROFILE AND VISUAL OUTCOME IN OCULAR INJURIES-AN OBSERVATIONAL STUDY AT TERTIARY CARE CENTRE

2021 ◽  
pp. 45-47
Author(s):  
Paruldeep Chakma ◽  
Phani Kumar Sarkar ◽  
Shivam Gupta
Keyword(s):  
Observational Study ◽  
Ocular Trauma ◽  
Occupational Injuries ◽  
Tertiary Care ◽  
Work Place ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Tertiary Care Centre ◽  
Major Health Problem ◽  
Ocular Injuries

Background: Ocular injury is a major health problem in India, blunt trauma being one of the important causes of ocular morbidity and blindness. Eye injuries are avoidable, if prevention is quiet effective at work place, on the sports eld, and in home. Patients and ophthalmologist must be aware of activities that incur high of eye injury and must take advantage of a protective eye wear that is available, which varies with the need of the patient and when used in proper manner can reduce eye injuries in certain settings by as much as 90 percent. Methods:Ahospital based prospective observational study was conducted at AGMC& GBPHOSPITAL, including 200 patients within 2 years of duration. Patients with ocular injuries were included in this study. Patients who were not willing to participate and patients with pre-existing ocular diseases were excluded. Results: In our study, out of 200 patients 31(15.5%) eyes had lenticular involvement, 12(6%) had angle recession and 36(18%) cases of posterior segment involvement. Conclusion: It is clear from this study that ocular trauma is associated with varying degrees of loss of vision. We can infer that children and young adults are more prone to blunt ocular trauma, occupational injuries and road trafc accidents constitute the main bulk of injuries.

Clinical presentation and visual outcome of broomstick ocular injury in 120 eyes of children at a tertiary eye care in India

2020 ◽  
Author(s):  
Abhishek Gupta ◽  
Prabhakar Singh ◽  
Richa Gupta ◽  
Vidya Bhushan ◽  
Shivani Sinha ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Hand Movement ◽  
Visual Outcome ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Early Presentation ◽  
Open Globe ◽  
Regional Institute ◽  
Open Globe Injuries

Abstract Background Eye injuries are a serious health problem globally. Ocular trauma accounts for 5% of blindness cases. In India broomstick injury is very common. But only few studies are published regarding the nature and outcome of broomstick ocular injuries. The aim of this study is to determine the frequency, mode of presentation, complications and surgical results with a view to offering solutions to reduce this trend. Methods This retrospective study was conducted at Regional Institute of Ophthalmology, Patna. The records of all patients presenting to the Eye OPD and Emergency clinic with ocular trauma from broomstick injury between March2017 and April 2020 were reviewed. A total of 120 cases were identified. Patient’s age, gender, interval between injury and presentation to eye OPD, mechanism of injury, activity at time of injury, visual acuity at presentation, anterior and posterior segment findings, diagnosis, complications, treatments offered and follow-up events were documented. Data were analysed statistically. Results The mean age of presentation was 8.10 ± 4.93 years. All were children < 15 years old. 80% patients sustained trauma from broomstick shot as an arrow. 70% had presenting vision < Hand movement. 90% of the cases were open globe injuries. Most of them had multiple complications such as corneal perforation (80%), traumatic cataract (27%), endophthalmitis (68%), retinal detachment (12.5%), panophthalmitis 8 (7%) and orbital cellulitis (6%). Culture was positive in 20%. Pseudomonas aeuroginosa was the most common organism isolated. Therapeutic vitrectomy was performed in 67% eyes. Only 12% eyes gained ambulatory vision (VA > 3/60) after vitrectomy. Conclusion Broomstick shot as an arrow causes devastating and multiple complications resulting in rapid and immediate loss of vision. Overall prognosis is bad and early presentation to the hospital does not appear to improve the prognosis. Such injuries often affect younger, male children. Primary prevention is the only way to control blindness occurring from such injuries. Primary health education should be given in school to highlight these risk factors.

scholarly journals Description of the epidemiological characteristics of work-related eye injuries in Spain: a retrospective study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035696
Author(s):  
Sergio Martin-Prieto ◽  
Cristina Álvarez-Peregrina ◽  
Israel Thuissard-Vasallo ◽  
Carlos Catalina-Romero ◽  
Eva Calvo-Bonacho ◽  
...  
Keyword(s):  
Injured Workers ◽  
Insurance Companies ◽  
Secondary Outcome ◽  
Ocular Injury ◽  
Insurance Company ◽  
Age Group ◽  
Eye Injuries ◽  
Manual Task ◽  
Work Related ◽  
Epidemiological Characteristics

ObjectiveTo describe the epidemiological characteristics and trends of work-related eye injuries (WREIs) in Spain over a 10-year period by sex, age and occupational sector.Design and settingsA descriptive, retrospective and longitudinal study based on data from workers insured by a labour insurance company in Spain from 2008 to 2018 was presented. The study considered the ratio of the number of WREI per 100 000 population and the relative risk of suffering an ocular injury. WREIs were characterised by sex, age and occupational sector of injured workers.Primary and secondary outcome measuresRatio of the number of WREI.ParticipantsIn Spain, all workers are insured by a labour insurance company that provides cover in the event of work-related accidents. In this study, we have included all workers insured by one of these insurance companies, IBERMUTUA, with workers in all areas of Spain.ResultsThe study included 50 265 WREI in the company over the 10-year period. Most of the injuries occurred in males (44 445; 88.4%), in 35–44 age group (15 992; 31.8%) and in industry workers (18 899; 42.6%). The average incidence was 429.75 per 100 000 workers insured and 4273.36 per 100 000 IBERMUTUA accidents (related and not related to eyes). Males, 16–24 age group and industry occupational sector group, have the highest incidence for WREI. The incidence of WREI decrease over the study period in all variables. Males have 6.56 (95% CI 6.38 to 6.75) times more risk of suffering WREI than females. 16–24 age group have 1.77 (95% CI 1.71 to 1.83) times more risk than in the group of workers older than 55. Finally, industry workers have 7.73 (95% CI 7.55 to 7.92) times more risk than services workers.ConclusionsThe risks of suffering WREI is higher for males, younger and less experienced workers, and for those who works in a manual task.

The Incidence and Prevention of Ocular Injuries in Orthodontic Practice

1993 ◽  
Vol 20 (4) ◽  
pp. 339-343 ◽  
Author(s):  
A. P. T. Sims ◽  
T. J. Roberts-Harry ◽  
D. P. Roberts-Harry
Keyword(s):  
Ocular Trauma ◽  
Postal Survey ◽  
Operative Procedures ◽  
Acid Etching ◽  
Ocular Injury ◽  
Long Term Effects ◽  
British Standard ◽  
Eye Protection ◽  
Ocular Injuries

A postal survey was conducted to determine the use of eye protection and incidence of ocular trauma in orthodontic practice. One-hundred-and-fifty-nine NHS orthodontic consultants and 203 specialist orthodontic practitioners were surveyed. Two-hundred-and-forty-one(66·5 per cent) replies were received. Some form of eye protection was routinely worn by 66·8 per cent of orthodontists, 64·3 per cent of patients, but only 33·6 per cent of DSAs. Eye protection was not offered to DSAs in 31·9 per cent of practices or to patients in 22·1 per cent. Forty-three per cent of orthodontists reported instances of ocular injury in their practices. The majority of these injuries (n = 104) occurred during debonding or trimming acrylic. Other incidents involved ligating materials, intra-oral polishing, and acid etching. Most injuries (83·5 per cent) were treated in the surgery without any long-term effects. The routine use of goggles or spectacles with side-pieces and plastic lenses, which conform to British Standard BS 2092, is recommended for staff and patients during all operative procedures in orthodontic practice.

Vitrectorhexis in penetrating eye injuries in adults

2018 ◽  
Vol 29 (6) ◽  
pp. 689-693
Author(s):  
Miklós D Resch ◽  
Anikó Balogh ◽  
Gábor L Sándor ◽  
Zsuzsanna Géhl ◽  
Zoltán Zsolt Nagy
Keyword(s):  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Anterior Segment ◽  
Posterior Chamber ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Anterior Capsule ◽  
Safe Alternative ◽  
Anterior Lens Capsule ◽  
Pars Plana

Introduction: Vitrectorhexis is an alternative for manual continuous curvilinear capsulorhexis originally developed for paediatric cataract surgery. The aim of our study was the evaluation of the technique in adult patients with penetrating ocular injury and traumatic cataracts. Methods: Eight eyes of 8 patients (23–41 years, all males) had penetrating mechanical corneal trauma. Anterior lens capsule was penetrated in all cases and additional posterior capsule defect in five cases. Intraocular foreign body was detected in one case in the crystalline lens and in two cases in the posterior segment. Standard 23G infusion cannula and vitreous cutter were applied to perform anterior capsule opening, removal of lens material, anterior vitrectomy and pars plana vitrectomy if needed. No phacoemulsification or irrigation/aspiration probe was used. Results: Vitrectorhexis could be performed in 7 out of 8 cases with the preservation of peripheral anterior capsule; primary implantation of posterior chamber intraocular lens was possible in all cases (in the bag in three eyes and into the sulcus in five eyes). Anterior chamber was stable in all cases intraoperatively, and no dropped nucleus or lens fragment loss was observed. Surgery was combined with pars plana vitrectomy in three cases, with foreign body removal (when necessary). No postoperative complication occurred. Conclusion: Vitrectorhexis was found to be an effective and safe alternative method in the management of complex anterior segment trauma cases. With its use, traditional cataract surgical devices can be substituted and additional benefits of vitreous cutter can be utilized in selected cases, especially in young adults.

scholarly journals Visual loss from mismanaged ocular injury with foreign body impaction: A Case Report

2018 ◽  
Vol 4 (2) ◽  
pp. 198-204
Author(s):  
Ifedayo O. Akintoye ◽  
Caroline O. Adeoti
Keyword(s):  
Foreign Body ◽  
Health Workers ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Health Concern ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Health Extension Workers ◽  
Foreign Body Impaction ◽  
Upper Lid

Ocular injury occurs commonly and it may lead to visual impairment if it is not properly managed. We report the case of a 35-year old man with a retained infected ocular foreign body in his right eye following an injury. The foreign body was not discovered despite consulting non-ophthalmologists at a Maternity Centre and an Optical Shop over a period of ten days.  At presentation at the Specialist Hospital, he was unable to see with swelling of the eyelid, red eye and discharge. On examination, the visual acuity in the affected eye was NLP and an infected stick that penetrated the eyeball was discovered in the superonasal aspect of sclera covered by the swollen upper lid. This resulted in endophthalmitis, cataract and blindness of that eye. Ocular injuries must be promptly referred to the ophthalmologist for appropriate care and to prevent complications. The case clearly showed a diagnostic and therapeutic challenge for paramedics who encounter eye injuries outside the tertiary hospital setting. Therefore, this report raises public health concern intended to increase awareness on the management of eye injuries. The incorporation of Primary Eye Health into Primary Health Care along with training and re-training of Community Health Extension Workers, General Practitioners and other rural health workers cannot be overemphasized.

scholarly journals Penetrating Ocular Trauma Caused by Steel Wire from a Rotating Wire Brush: A Case Report with Review of Literature

2021 ◽  
Vol 3 (2) ◽  
pp. 49-52
Author(s):  
Sagili Chandrasekhara Reddy
Keyword(s):  
Visual Loss ◽  
Ocular Trauma ◽  
Steel Wire ◽  
Eye Drops ◽  
Review Of Literature ◽  
Eye Injuries ◽  
Thin Steel ◽  
Ocular Morbidity ◽  
Full Face ◽  
Penetrating Ocular Trauma

A 19-year-old young man came to emergency department with a complaint of injury in the left eye with a wire, while cleaning the car engine parts in the workshop with motorized rotating wire brush. He was referred immediately to the eye clinic. On examination of the left eye, a thin steel wire was seen penetrating at the nasal limbus which was projecting forwards. The wire was removed (33 mm in length) under aseptic precautions using topical anaesthesia. Postoperatively, he was treated with ciprofloxacin eye drops. The patient had no ocular morbidity; the vision was normal, and he was asymptomatic in the left eye. Eye injuries from rotating wire brushes are caused by detached fragments. These eyes should be examined in detail for the involvement of different structures of the eye; and should be treated adequately in-time to prevent visual loss/ blindness. Wearing of safety glasses/ full face shield while working is recommended to prevent such injuries.

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