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 Changing Trends in Eye-Related Complaints Presenting to the Emergency Department in Beirut, Lebanon, over 15 Years

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Haytham I. Salti ◽  
Carl-Joe Mehanna ◽  
Bachir Abiad ◽  
Nicola Ghazi ◽  
Samih Raad ◽  
...  
Keyword(s):  
Emergency Department ◽  
Ocular Trauma ◽  
Medical Center ◽  
Third Party ◽  
Health Policies ◽  
Eye Injuries ◽  
Public Health Policies ◽  
Eye Trauma ◽  
Changing Trends ◽  
Ed Visits

Objective. To report the 15-year trend in ophthalmic presentations to the emergency department (ED) at the only medical center in Lebanon that provides 24-hour ophthalmologic care. Methods. Retrospective review of 1967 patients presenting to the ED with eye-related complaints between September 1997 and August 1998 and between September 2012 and August 2013. Diagnoses were classified into 4 categories according to the International Society of Ocular Trauma and include penetrating eye injuries, nonpenetrating eye trauma, nontraumatic ophthalmic emergencies, and nontraumatic, nonurgent ophthalmic conditions. Results. One thousand sixty eye-related presentations out of 39,158 total ED visits (2.71%) presented in 1997 compared to 907 out of 46,363 in 2012 (1.96%). Penetrating and nonpenetrating eye emergencies decreased between 1997 and 2012 (7.17% to 4.19%, p=0.003 and 52.64% to 29.00%, p<0.001, resp.) while nonurgent cases increased from 30.19% to 53.47% (p<0.001). 57% of patients were covered by third-party guarantors in 1997 versus 73% in 2012. Conclusion. Our results demonstrate a significant increase in nonurgent cases in parallel with the proportion of third-party payers, an issue to be addressed by public health policies and proper resource allocation. A detailed nationwide review is needed to make solid recommendations for the management of ophthalmologic presentations in the ED.

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.

scholarly journals Modeling of mechanical eye injury. Relevance. Background

2021 ◽  
Vol 40 (1) ◽  
pp. 91-96
Author(s):  
Dmitry R. Zdorovtsov ◽  
Sergey V. Churashov ◽  
Aleksey N. Kulikov ◽  
Aleksey A. Kolbin
Keyword(s):  
Mechanical Trauma ◽  
Eye Injury ◽  
Eye Injuries ◽  
Military Medical Academy ◽  
Eye Trauma ◽  
Entire Complex ◽  
Vision Disability ◽  
Large Material ◽  
Return To Duty ◽  
Air Rifle

The share of eye injuries in Russia is from 3 to 8% of the total number of injuries in peacetime. Eye trauma is one of the three main causes of vision disability and accounts for 22.8%. In wartime, the mass admission of wounded with damage to the organ of vision requires prompt decisions on their sorting, treatment, rehabilitation, dismissal, or return to duty. In peacetime, mechanical trauma to the eye is associated with the disability of the working population and large material costs. Considering the relevance of mechanical trauma to the eye, ophthalmologists around the world are constantly investigating the features of the pathogenetic mechanism, diagnosis, and treatment. Retrospective studies are based on the analysis of clinical cases, which are not always homogeneous. Experimental damage modeling has a long history. Attempts to simulate mechanical eye trauma have been made since the 40s of the XX century. Mathematical models are calculated based on known data: thickness, density, the elasticity of tissues, this makes it possible to predict the result of exposure to a wounding agent. Unfortunately, in these models, it is difficult to reproduce the entire complex of pathomorphological changes. The created models fulfilled the assigned tasks but had certain drawbacks. In each subsequent experiment, the reproducibility improved and the model approached the desired one as accurately as possible. Specialists of the Professor V.V. Volkov Ophthalmology Department S.M. Kirov Military Medical Academy since the 40s. are engaged in solving this problem. For the first time in an experiment, B.L. Pole proved that closure of eyeball wounds with corneal and scleral sutures has an advantage over conjunctival covering. B.V. Monakhov et al. created an installation for inflicting mine-explosive injury to the eye. In the experiment, M.M. Shishkin inflicted a combined eye injury by striking the sclera with a knife with a rectangular blade and firing an air rifle at the knife handle. B.A. Kanevsky et al. reproduced a D-type gunshot open eye injury shot from an air rifle with a multi-compression piston pump. The creation of models that reproduce the mechanical trauma of the eye made it possible to study it in an experiment, which improved the quality of diagnostics and reduced the proportion of disability in this pathology (bibliography: 24 refs).

scholarly journals Work Related Ocular Injury: Nepal

2018 ◽  
Vol 10 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Ben Limbu ◽  
Grant Moore ◽  
Amir H. Marvasti ◽  
Mariel E. Poole ◽  
Rohit Saiju
Keyword(s):  
Ocular Injury ◽  
Eye Injury ◽  
Eye Injuries ◽  
Community Based ◽  
Cross Sectional ◽  
Prospective Survey ◽  
Work Related ◽  
Work Related Injury ◽  
Modifiable Factors ◽  
Eye Examination

Introduction: Occupational eye injuries comprise a major source of ocular trauma. Knowledge of the epidemiology of occupational eye injuries is essential to formulate viable safety strategies.Objectives: To evaluate the demographics, patterns of protective eye wear use, and patterns of occupational eye injury among workers in Hetauda, Nepal.Materials and methods: Community based cross-sectional prospective survey was carried out from September 2010 to July 2011. Survey included all workers irrespective of their age and those who are willing to participate in survey by filling details on structured questioners and comprehensive eye examination at community level.Results: 1236 surveys were collected. 38.3% (473) of workers surveyed reported experiencing a work-related eye injury. Over two-thirds [68.3% (844)] of workers surveyed reported never wearing safety eyewear while at work. There was a positive correlation between male sex (P<0.001), reported previous work-related injury (P<0.001), and attending school (P=0.016) and use of personal protective equipment (PPE).Conclusions: The population studied demonstrates a significant level of work related injury. There are potentially modifiable factors that could lead to increased use of eye protection.

Profile of Occupational Ocular Injury in a Tertiary Health Care Centre of Western Odisha - A Prospective Study

2021 ◽  
Vol 8 (15) ◽  
pp. 972-976
Author(s):  
Jayashree Dora ◽  
Sasmita Sahu ◽  
Madhumita Naik ◽  
Deepak Jyot Mohanty ◽  
Rupasri Sethi
Keyword(s):  
Prospective Study ◽  
Ocular Trauma ◽  
Health Concern ◽  
Ocular Injury ◽  
Ophthalmological Examination ◽  
Protective Devices ◽  
Eye Trauma ◽  
Open Globe ◽  
Ocular Injuries ◽  
A Prospective Study

BACKGROUND Occupational ocular injuries are very common in industrial and agricultural workers. These are important and preventable causes of ocular morbidity. Objective of the study was to profile occupational ocular trauma clinicoepidemiologically. METHODS A prospective study was done by collecting data from a standardised questionnaire and complete ophthalmological examination of patients with occupational eye trauma attending VSSIMSAR, Burla, between January 2019 and October 2020. RESULTS Out of 128 cases of work related injuries, males were 85 %. 48 % of the cases were between 21 - 40 years. Out of all cases 66 % injuries were related to industrial work followed by 29 % in agricultural sector and farming. 3 % of cases were due to blast injury. Also there were 3 % cases of chemical conjunctivitis. Most injuries were closed globe (85 %), mostly involving zone 1 (91 %). Open globe injuries were 15 %, majority of them involved zone 2 (47 %). Ocular superficial foreign bodies were the most common clinical entity (60 %), majority of them being metallic in nature (37.5 %). In 4 % cases IOFBs were found. Cornea was the most common ocular structure to get injured (69 %). Out of all cases, 50 % had ocular trauma score (OTS) of 4, and 4 % cases had OTS 2. 48 % of patients presented within 6 hours of injury. 42 % patients were not aware of any eye protective gear at work and 30 % patients were aware but did not use any eye protection. CONCLUSIONS Eye trauma in workplace is an important public health concern in economically productive population. Significant proportion of these injuries is avoidable by using standardised eye protective devices. Attention need to be given for instruction, enforcement of protective eye wear use, and frequent prevention campaigns. KEYWORDS Ocular Trauma, Occupational Ocular Injuries, Eye Protective Devices, Western Odisha

Eye Injuries in Childhood: Demography, Etiology, and Prevention

PEDIATRICS ◽  
1989 ◽  
Vol 84 (3) ◽  
pp. 438-441
Author(s):  
Leonard B. Nelson ◽  
Thomas W. Wilson ◽  
John B. Jeffers
Keyword(s):  
Emergency Room ◽  
Visual Impairment ◽  
Ocular Trauma ◽  
Eye Injuries ◽  
Hospital Emergency ◽  
Hospital Emergency Room ◽  
Ocular Injuries

A 1-year survey was conducted of all children with eye injuries seen in the Wills Eye Hospital emergency room to determine demographic, etiologic, and prophylactic factors. There were 810 children with ocular trauma. Childhood ocular injuries are frequent, often resulting in serious visual impairment. Many of these injuries are preventable.

scholarly journals Anterior Segment Imaging in Combat Ocular Trauma

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Denise S. Ryan ◽  
Rose K. Sia ◽  
Marcus Colyer ◽  
Richard D. Stutzman ◽  
Keith J. Wroblewski ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Anterior Segment ◽  
Case Series ◽  
Ocular Injury ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Ocular Imaging ◽  
Ocular Injuries ◽  
Anterior Segment Imaging

Purpose. To evaluate the use of ocular imaging to enhance management and diagnosis of war-related anterior segment ocular injuries.Methods. This study was a prospective observational case series from an ongoing IRB-approved combat ocular trauma tracking study. Subjects with anterior segment ocular injury were imaged, when possible, using anterior segment optical coherence tomography (AS-OCT), confocal microscopy (CM), and slit lamp biomicroscopy.Results. Images captured from participants with combat ocular trauma on different systems provided comprehensive and alternate views of anterior segment injury to investigators.Conclusion. In combat-related trauma of the anterior segment, adjunct image acquisition enhances slit lamp examination and enables real timeIn vivoobservation of the cornea facilitating injury characterization, progression, and management.

scholarly journals Current pattern of ocular trauma as seen in tertiary institutions in south-eastern Nigeria

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chinwe Cynthia Jac-Okereke ◽  
Chukwunonso Azubuike Jac-Okereke ◽  
Ifeoma Regina Ezegwui ◽  
Rich Enujioke Umeh
Keyword(s):  
Ocular Trauma ◽  
Road Traffic ◽  
Teaching Hospitals ◽  
Trauma Patients ◽  
Eye Injuries ◽  
Health Seeking ◽  
Current Pattern ◽  
Female Ratio ◽  
Tertiary Institutions ◽  
South Eastern

Abstract Background Ocular trauma is a leading cause of monocular blindness worldwide and in developing countries, are not only more common but also more severe. Industrialization and urbanization may alter or modify prevalent aetiological factors and the presentation of ocular trauma. Objective To determine the current pattern of eye injuries in Teaching Hospitals in Enugu State. Methods This prospective cross-sectional descriptive study was carried out at the eye clinics and emergency units of two tertiary institutions in Enugu, Nigeria. Consecutive ocular trauma patients were enrolled over a 5-month period. On presentation, they underwent ocular examination including visual acuity (which was categorized according to the WHO classification of visual impairment and blindness}, anterior and posterior segment examinations. Injuries were grouped using the Birmingham Eye Trauma Terminology system. Results Within the study period, 2545 new patients presented to the hospitals where the study was conducted. A total of 89 patients presented with ocular trauma, giving an incidence of 3.5%. The male to female ratio was 1.3:1 and patients aged 10 to 19 years formed the majority (24%). Domestic accidents (22%) were the most common cause of ocular injuries while blunt objects (57%) were the most common agents. Closed globe injuries constituted 76% of all injuries. Forty-three per cent of patients presented within 24 h of injury. Conclusion Ocular trauma is still prevalent in South-eastern Nigeria and there has indeed been a change in the pattern as well as the incidence. Assault and road traffic accidents have emerged as important causes of eye injuries. In addition, there has been an improvement in the health-seeking behaviour of people living in Enugu and this may reflect positively on the uptake of recommended preventive strategies.

scholarly journals Spectrum of Ocular Trauma Presenting to ophthalmic OPD

2020 ◽  
Vol 5 (3) ◽  
Keyword(s):  
Vision Loss ◽  
Ocular Trauma ◽  
Risk Groups ◽  
Ocular Injury ◽  
Eye Injury ◽  
Central Hospital ◽  
Common Causes ◽  
History Of ◽  
Standardized Terminology ◽  
Time Of Presentation

Introduction: Ocular trauma is one of the most common causes of vision loss. Etiologies of ocular injury differ from area to area and from country to country, difference according to demographic or socioeconomic classes have been reported. Measures to be taken for prevention of ocular trauma require knowledge of the cause and mechanism of injury, which may enable more accurate planning to prevent such injuries. The classification of ocular trauma with standardized terminology was developed by Kuhn and associates. The International Society of Ocular Trauma subsequently used this terminology to develop a classification system for mechanical injuries of the eye. This study was conducted to identify the etiology and nature of ocular trauma affecting our population. Aim: To identify the causes of ocular trauma and determine the types of various injuries presenting to the ophthalmic OPD Al-Thawra central hospital Al-Baida Libya. Subjects and Methods: 80 patients included in this study Presented to ophthalmic OPD Al-Thawra central hospital AlBaida Libya with history of Trauma during a period of three months. Following data were collected: patient’s age, gender, affected eye, etiology of trauma, place of trauma, visual acuity and Ocular Injury to time of presentation. Result: There were 80 eyes of 80 patients, of which 77.50% were males and 22.50% were females. The ages ranged from 1–50 years. The highest incidence of trauma was seen in the 21– 30-year age group (30.0%). Blunt trauma occurred in 42.5% of cases and foreign body trauma in 33.3% of cases. The highest incidence of eye injury occurred at workplace (50.0%) followed by the Home (22.5%), then Playground (20.0%). Assault-related eye injury was seen in 25% of cases and 75% of all injuries were accidental. Conclusion: Education programs regarding the safety measures to be taken to protect the eyes during work and other activities will be quite helpful to minimize the incidence of ocular trauma among the risk groups.

Posterior Segment Pathologies in Patients with Ocular Trauma Using B-Scan Ultrasonography

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Fatima Sidra Tanweer ◽  
Afia Matloob Rana ◽  
Waseem Akhter
Keyword(s):  
Retinal Detachment ◽  
Foreign Bodies ◽  
Ocular Trauma ◽  
Vitreous Hemorrhage ◽  
Posterior Segment ◽  
Categorical Variables ◽  
Ocular Injury ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Female Ratio

Purpose:  To determine the frequency of posterior segment pathologies caused by ocular trauma using B scan USG. Study Design:  Descriptive, cross-sectional study. Place and Duration of Study:  Holy family hospital, Rawalpindi, from September 2015 to March 2016. Methods:  One hundred patients of ocular trauma, 12 to 45 years of age were included in the study. Patients who had any posterior segment pathology prior to the ocular trauma were excluded. B scan was performed in all patients. The data was collected and analyzed using SPSS version 17. For all the categorical variables like gender, type and site of ocular injury, the side of eye involved, type of posterior segment pathology as detected on B Scan, frequencies and percentages were calculated. For the continuous variables like age and time since injury, mean and standard deviation were calculated. Results:  Mean age was30.43 ± 9.58 years. Majority of the patients (35.0%) were between 26 to 35 years of age. Out of these 100 patients, 73 were males and 27 were females with male to female ratio of 2.7:1. Vitreous hemorrhage was the most common and ocular pathology (38 patients). Retinal detachment was seen in 21 patients. Intra-ocular foreign bodies were seen in 12 patients. Conclusion:  Vitreous hemorrhage was the most common posterior segment pathology in ocular trauma followed by retinal detachment and intra-ocular foreign bodies. Key Words:  Trauma, B-scan, Vitreous hemorrhage, Retinal detachment.

Sign in / Sign up

Export Citation Format

Share Document