scholarly journals Fireworks Ocular Injury in Saudi Children; Profile and Management Outcomes

2021 ◽  
Author(s):  
Huda AlGhadeer ◽  
Rajiv Khandekar
Keyword(s):  
Vitreous Hemorrhage ◽  
Presentation Mode ◽  
Penetrating Injury ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Visual Disability ◽  
Management Interventions ◽  
Corrected Visual Acuity ◽  
Limbal Stem Cell

Abstract Background: To explore the demographic profiling, causes, types, complications, management outcomes, and severity of fireworks- inflicted ocular injuries and traumas in children in KSA.Methods: This is a retrospective study of 115 cases with eye injuries managed at the Emergency Department, of our institution between 2003 and 2019. Demography, clinical features at presentation, mode of management and the Best Corrected Visual Acuity (BCVA) were evaluated at the last follow up. Results: The study included 117 eyes of 115 children [median age: 9 years; 96 (83.5%) boys; 19(16.5%) girls]. Fifty-six (48.7%) participants were bystanders. The injuries were caused mainly due to bangers (n=47; 40.9%), rockets in bottle (n=28; 24.3%), firecrackers (n=27; 23.5%), and nonspecific reasons (n=13; 11.3%). The children had presented with various severity levels: corneal abrasion (n=52; 44.4%); cataract (n=47;40.2%); penetrating injury (n=40; 34.2%); secondary glaucoma (n=22;18.8%); subluxated lens (n=19;16.2%); limbal stem cell deficiency (n=14;12.0%); Iridodialysis (n=12;10.3%), and vitreous hemorrhage (n=11;9.4%). Management interventions of the eyes under study included: penetrating injury repair (n=40; 34.2%), lens removal plus intraocular lens implantation (n=26; 22.2%), removal of foreign body (n=9; 7.7%). The BCVA after six months was 20/20- 20/60 in 49(41%) cases; 20/70 - 20/200 in 27 (23.1%) cases; <20/200-20/400 in 7 (6%) cases, and <20/400 in 34(29.1%) of the cases. Out of 51.3% eyes with <20/200 before management, only 35% recorded severe visual impairment.Conclusion: Fireworks-related eye injuries were mainly observed in boys primarily due to the use of bangers . Visual disability remained in one-third of the managed cases.

scholarly journals Endophthalmitis and Retinal Detachment after Ocular Injury by Animal Inoculation Needle

2021 ◽  
Vol 62 (9) ◽  
pp. 1305-1308
Author(s):  
Leeha Kwon ◽  
Yong-Wun Cho ◽  
Seong-Wook Seo ◽  
Seong-Jae Kim ◽  
In Young Chung ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Ocular Injury ◽  
Early Vitrectomy ◽  
Corrected Visual Acuity ◽  
Vitreous Prolapse ◽  
Oil Injection ◽  
Best Corrected Visual Acuity

Purpose: To report a case of endophthalmitis and retinal detachment after injury caused by an animal inoculation needle. Case summary: A 39-year-old man received an injury to his left eye with an animal inoculation needle while vaccinating a pig came to the hospital due to decreased visual acuity. At initial presentation, the best-corrected visual acuity in the left eye was “counting fingers,” and slit lamp examination revealed corneal lacerations, anterior capsule rupture, and traumatic cataract. Ultrasonography showed no specific findings in the vitreous and retina. Primary corneal suture, phacoemulsification, anterior vitrectomy due to rupture of the posterior capsule and vitreous prolapse, intraocular lens implantation, and intravitreal antibiotic injection were performed. On day 1 postoperatively, vitrectomy, anterior chamber irrigation, intravitreal antibiotic injection, and silicone oil injection were performed as signs of endophthalmitis, such as hypopyon and retinal tear, and focal retinal detachment were observed during surgery. Silicone oil removal was performed 7 months after the operation and the best-corrected visual acuity was 0.6. There has been no recurrence during follow-up. Conclusions: This is the first report in Korea of ocular injury caused by an animal inoculation needle. If the fundus is not observed in such injuries, there is a possibility of endophthalmitis and retinal detachment and early vitrectomy should be considered.

Epiretinal Membrane Peeling in Patients With Good Preoperative Vision

2017 ◽  
Vol 1 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Nicholas D. Chinskey ◽  
Gaurav K. Shah
Keyword(s):  
Visual Acuity ◽  
Epiretinal Membrane ◽  
Chart Review ◽  
Vitreous Hemorrhage ◽  
Retrospective Chart Review ◽  
Corrected Visual Acuity ◽  
Additional Procedure ◽  
Pars Plana ◽  
Baseline Visual Acuity

Objective: To evaluate the outcomes of patients undergoing removal of an epiretinal membrane (ERM) with good starting visual acuity. Design: Retrospective chart review. Participants: Forty eyes of 40 patients seen at a tertiary, referral-based private practice. Methods: All patients undergoing pars plana vitrectomy with removal of an ERM by a single surgeon (G.K.S.) from the years 2012 to 2014 were evaluated. Patients who were phakic, had a baseline visual acuity of 20/50 or worse, and those who had surgery less than 6 months prior to data collection were excluded. Results: Of the 40 patients included, only 2 (5%) developed a serious postoperative complication. One had a vitreous hemorrhage that cleared without further surgical intervention, and another developed a macula on retinal detachment that required 1 additional procedure. Nineteen (47.5%) had improved best-corrected visual acuity (BCVA), 10 (25%) maintained their initial BCVA, 7 (17.5%) lost 1 to 2 lines, and 4 (10%) lost 3 lines or greater at their last follow-up visit. When looking only at idiopathic ERMs in the group, the results were similar with 48% with improved vision, 29% maintained the initial BCVA, 16% lost 1 to 2 lines, and 6% lost 3 lines or greater. Discussion: Surgery to remove an ERM is a reasonable option for those with significant metamorphopsia and highly symptomatic blurring of central vision, even with good baseline visual acuity.

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.

Soloist performance of vitrectomy probe in proliferative diabetic retinopathy

2018 ◽  
Vol 29 (2) ◽  
pp. 251-256 ◽  
Author(s):  
Mohammed M Elwan ◽  
Sherein M Hagras ◽  
Manal A Kasem
Keyword(s):  
Pars Plana Vitrectomy ◽  
Case Series ◽  
Vitreous Hemorrhage ◽  
Epiretinal Membranes ◽  
Corrected Visual Acuity ◽  
Vitreoretinal Traction ◽  
Pars Plana ◽  
Diabetic Vitrectomy ◽  
Anatomic Success

Purpose: To evaluate the feasibility and outcomes of the sole use of 23g pars plana vitrectomy in cases with diabetic vitreous hemorrhage with vitreoretinal traction. Methods: Prospective interventional case series involving patients between January 2013 and January 2018. All eyes underwent 23g pars plana vitrectomy with internal tamponade. Intraoperative parameters including ancillary instruments, the methods used for hemostasis and complications were all recorded. Postoperative parameters including anatomic success rate, functional success, and postoperative complications were recorded and analyzed. Patients were followed up for at least 12 months. Results: A total of 68 eyes of 66 patients were included. Intraoperative ancillary instruments were required in 5 (7.4%) eyes. None of the cases required the use of chandelier illumination, endodiathermy, or scissors. Mean best-corrected visual acuity improved significantly from LogMAR 1.67 ± 0.63 preoperative to 1.22 ± 0.38 at 1-year follow-up (P = 0.005). Functional success was achieved in 37 (54.4%) eyes at 1-year follow-up. Iatrogenic breaks occurred in 3 (4.4%) eyes, vitreous hemorrhage in 4 (5.9%) eyes, and epiretinal membranes in 3 (4.4%) eyes. Repeated vitrectomy was done in 3 (4.4%) eyes. Conclusion: The 23g vitrectomy probe proved to be a safe, effective, and beneficial single tool that could accomplish the diabetic vitrectomy mission exclusively with minimal aid from other instruments in cases with vitreous hemorrhage associated with vitreoretinal traction.

scholarly journals Ophthalmic Screening in Patients with Coronavirus Disease 2019: A Prospective Cohort Study

2021 ◽  
Vol 10 (5) ◽  
pp. 896
Author(s):  
Anthia Papazoglou ◽  
Anna Conen ◽  
Sebastian Haubitz ◽  
Markus Tschopp ◽  
Viviane J. Guignard ◽  
...  
Keyword(s):  
Animal Studies ◽  
Clinical Course ◽  
Intraocular Inflammation ◽  
Ocular Motility ◽  
Corrected Visual Acuity ◽  
Published Evidence ◽  
Laboratory Results ◽  
Minimum Angle ◽  
Observation Period

Postmortem pathological examinations, animal studies, and anecdotal reports suggest that coronavirus disease 2019 (COVID-19) could potentially affect intraocular tissue. However, published evidence is scarce and conflicting. In our study, we screened 100 eyes of 50 patients hospitalized for COVID-19. Relevant medical and ophthalmological history was assessed as well as symptoms, laboratory results, specific treatments, clinical course, and outcome. Ophthalmic exams including assessment of best corrected visual acuity (BCVA), intraocular pressure (IOP), color perception, ocular motility, ophthalmoscopy as well as optical coherence tomography (OCT) of the macula and the optic disc was performed at hospital admission and 29 to 192 days later. Of the 50 patients included, 14 (28%) were female. Median age was 64.5 (range 29–90) years. COVID-19 severity was mild in 15 (30%), severe in 30 (60%), and critical in five cases (10%). At baseline, median BCVA was 0.1 (0–1.8) Logarithm of the Minimum Angle of Resolution (LogMAR) and median IOP was 16 (8–22) mmHg. At follow-up, no relevant changes in BCVA and IOP were documented. No signs of active intraocular inflammation or optic nerve affection were found and OCT findings were widely stable during the observation period. Our findings suggest that COVID-19 does not regularly affect intraocular tissue.

scholarly journals Use of Plasma Rich in Growth Factors and ReGeneraTing Agent Matrix for the Treatment of Corneal Diseases

Vision ◽  
2021 ◽  
Vol 5 (3) ◽  
pp. 34
Author(s):  
Ronald M. Sánchez-Ávila ◽  
Edmar Uribe-Badillo ◽  
Carlos Fernández-Vega González ◽  
Francisco Muruzabal ◽  
Borja de la Sen-Corcuera ◽  
...  
Keyword(s):  
Growth Factors ◽  
Corneal Ulcer ◽  
Disease Index ◽  
Eye Drops ◽  
Analog Scale ◽  
Ocular Surface Disease Index ◽  
Corneal Ulcers ◽  
Corrected Visual Acuity ◽  
The Mean

This study aimed to investigate the use of Plasma Rich in Growth Factors (PRGF) associated with tissue ReGeneraTing Agent (RGTA) drops for the treatment of noninfectious corneal ulcers. RGTA treatment was applied (one drop every two days); however, if ulcer closure was not achieved, PRGF eye drops treatment was added (four times/day). The time taken to reach the ulcer closure, the Best Corrected Visual Acuity (BCVA), intraocular pressure (IOP), Visual Analog Scale (VAS, in terms of frequency and severity of symptoms), and Ocular Surface Disease Index (OSDI) were evaluated. Seventy-four patients (79 eyes) were included, and the mean age was 56.8 ± 17.3 years. The neurotrophic corneal ulcer was the most frequent disorder (n = 27, 34.2%), mainly for herpes virus (n = 15, 19.0%). The time of PRGF eye drops treatment associated with the RGTA matrix was 4.2 ± 2.2 (1.5–9.0) months, and the follow-up period was 44.9 ± 31.5 months. The ulcer closure was achieved in 76 eyes (96.2%). BCVA, VAS and OSDI improved from the baseline (p < 0.001), and IOP remained unchanged (p = 0.665). RGTA and PRGF in noninfectious ulcers were effective and could be a therapeutic alternative for this type of corneal disease.

scholarly journals One-year results of half-dose versus one-third-dose photodynamic therapy in chronic or recurrent central serous chorioretinopathy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jirarattanasopa Pichai ◽  
Banchasakjaroen Vanchalerm ◽  
Ratanasukon Mansing
Keyword(s):  
Photodynamic Therapy ◽  
Recurrence Rate ◽  
Central Serous Chorioretinopathy ◽  
Subretinal Fluid ◽  
Corrected Visual Acuity ◽  
Half Dose ◽  
One Year ◽  
The One ◽  
Different Doses

Abstract Background Central serous chorioretinopathy (CSC) is characterized by an accumulation of subretinal fluid (SRF) in the macula. It is usually treated by laser photocoagulation or photodynamic therapy (PDT) with consisting of different doses and power. This study aimed to compare the efficacy of half-dose PDT and one-third-dose PDT in chronic or recurrent CSC. Methods A retrospective review of patients with chronic or recurrent CSC who were treated with either a half-dose or one-third-dose PDT, and had follow up 12 months afterwards. Best-corrected visual acuity (BCVA), central retinal thickness (CRT) and resolution of subretinal fluid (SRF) at baseline as well as 1, 3, 6 and 12 months post-PDT were assessed. Results Forty-six eyes and 20 eyes received half-dose and one-third-dose PDT, respectively. The study showed efficacy of the one-third-dose PDT compared with half-dose PDT in BCVA improvement (0.10±0.04 logMAR for one-third-dose versus 0.17±0.04, for half-dose, P=0.148) and CRT improvement (125.6±24.6 μm for one-third-dose versus 139.1±16.54, for half-dose, P=0.933) at 12 months. The SRF recurrence rate was significantly higher in the one-third-dose PDT group compared with the half-dose PDT group (40.0% versus 15.2%, P=0.027) at 12-months. Conclusion At 12 months, the one-third-dose PDT was effective in terms of BCVA and CRT improvement, when compared with half-dose PDT. However, this study showed that one-third-dose PDT had a higher recurrence rate of SRF.

scholarly journals Morphological Changes in Lamellar Macular Holes According to SD-OCT Examination over a Long Observation Period

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1145
Author(s):  
Magdalena Kal ◽  
Izabela Chojnowska-Ćwiąkała ◽  
Mateusz Winiarczyk ◽  
Monika Jasielska ◽  
Jerzy Mackiewicz
Keyword(s):  
Retinal Thickness ◽  
Morphological Changes ◽  
Outer Diameter ◽  
Corrected Visual Acuity ◽  
Macular Holes ◽  
Kolmogorov Smirnov ◽  
Inner Diameter ◽  
Observation Period ◽  
Sd Oct

Background: The aim of this study was to evaluate the quantitative morphological changes in lamellar macular holes (LMHs) based on SD-OCT examinations and to assess the correlations among minimal retinal thickness (MRT), reading vision (RV), and best corrected visual acuity (BCVA) over a 36-month follow-up period. Methods: A group of 40 patients (44 eyes) with LMH was evaluated, with an average age of 69.87 (SD = 10.14). The quantitative parameters monitored in the follow-up period (at 0, 3, 6, 12, 18, 24, 30, and 36 months) were tested for normality of distribution by Shapiro–Wilk and Kolmogorov–Smirnov tests. Results: The RV and BCVA values were stable, and no significant changes were found at any of the check-ups during the 36-month follow-up period (BCVA p = 0.435 and RV p = 0.0999). The analysis of individual quantitative LMH parameters during the 36-month follow-up period did not demonstrate statistically significant differences: MRT (p = 0.461), Max RT temporal (p = 0.051), Max RT nasal (p = 0.364), inner diameter (ID) (p = 0.089), and outer diameter (OD) (p = 0.985). Conclusions: The observations at 0, 6, 12, 18, 24, 30, and 36 months revealed moderate and significant correlations between RV and MRT. No significant correlation between BCVA and MRT was observed.

Corneal densitometry in patients with keratoconus undergoing intrastromal Ferrara ring implantation

2021 ◽  
pp. 112067212110206
Author(s):  
Pablo Felipe Rodrigues ◽  
Bernardo Kaplan Moscovici ◽  
Guilherme Ferrara ◽  
Luciano Lamazales ◽  
Marcela Mara Silva Freitas ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Medical Records ◽  
Spherical Equivalent ◽  
Interventional Study ◽  
Data Comparison ◽  
Corneal Densitometry ◽  
Corrected Visual Acuity ◽  
Ring Segment ◽  
The Mean

Objective: Evaluation of central corneal densitometry changes following Ferrara corneal ring segment implantation in patients with keratoconus, especially the correlation between corneal densitometry and keratometry. Methods: Retrospective, non-comparative, interventional study based on the review of medical records of patients diagnosed with keratoconus who underwent Ferrara corneal ring segment implantation. Pre and post-operative corneal densitometry measurements obtained with Pentacam HR (Oculus, Wetzlar, Germany) were analyzed. The follow-up time was 3 months, and data comparison was made, using specific statistical analysis, with the data of 3 months postoperatively. Results: The study sample consisted of 43 eyes of 36 patients. The mean corrected visual acuity improved from 0.82 LogMAR preoperatively (SD ± 0.33) to 0.19 LogMAR (SD ± 0.13) postoperatively. The mean spherical equivalent varied from −4.63 (SD ± 3.94) preoperatively to −2.16 (SD ± 2.63) postoperatively. Asphericity varied from −0.69 (SD ± 0.32) preoperatively to −0.27 (SD ± 0.31) postoperatively. The mean maximum K was 54.01D (SD ± 3.38) preoperatively and 51.50D (SD ± 2.90) postoperatively. The mean anterior densitometric value was 18.26 (SD ± 2.03) preoperatively and 17.66 (SD ± 1.84) postoperatively. Conclusion: Corneal densitometry is an interesting technology that should be studied in keratoconus patients. Our results suggest that the corneal densitometry in the cornea’s anterior layer reduces after ICRS implantation and correlates with corneal keratometry. Further studies should be performed to increase the knowledge in this field.

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.

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