scholarly journals Penetrating ocular fish hook injury: a case report

2016 ◽  
Vol 7 (2) ◽  
pp. 198-201 ◽  
Author(s):  
Chandana Chakraborti ◽  
Udayaditya Mukhopadhya ◽  
Dayal Bandhu Mazumder ◽  
Partha Tripathi ◽  
Swapan Kumar Samanta
Keyword(s):  
Surgical Intervention ◽  
Visual Outcome ◽  
Female Child ◽  
Recreational Activity ◽  
Traumatic Cataract ◽  
Ocular Tissues ◽  
Initial Management ◽  
Entrance Wound ◽  
Fish Hook ◽  
Final Visual Outcome

Background: Fishing is a popular rural recreational activity. Fortunately, penetrating ocular injuries with fish hooks are rare. These injuries are usually caused by fish hook prongs penetrating the ocular tissues. We report a rare case of penetrating fish hook injury to the globe and its successful surgical management.Case: A 12- year-old female child was referred to the causality with a fish hook embedded in her right eye. She sustained the injury while fishing with her father. The fish hook had penetrated the globe obliquely. The hook was removed via its entrance wound under general anesthesia. Subsequently the child developed traumatic cataract which was operated with a final visual outcome of 6/12. Conclusion: Visual prognosis can be profoundly affected by the initial management. Prompt surgical intervention as done in our case is recommended to prevent significant visual loss. 

TO ANALYZE THE EFFECT OF DAMAGE TO OTHER OCULAR TISSUES ON VISUAL OUTCOME AFTER TRAUMATIC CATARACT SURGERY.

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Mita V. Joshi ◽  
Dr. Sudhir Mahashabde
Keyword(s):  
Visual Outcome ◽  
Corneal Opacity ◽  
Research Centre ◽  
Traumatic Cataract ◽  
Visual Axis ◽  
College Hospital ◽  
Ocular Tissues ◽  
Department Of Ophthalmology ◽  
Ocular Injuries ◽  
Final Visual Outcome

All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case. Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6. Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6. Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case. The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract. Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.

scholarly journals Penetrating Fish-Hook Ocular Injury: Management of an Unusual Intraocular Foreign Body

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ludovico Iannetti ◽  
Paolo Tortorella
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Ocular Trauma ◽  
Visual Outcome ◽  
Intraocular Foreign Body ◽  
Ocular Injury ◽  
Entrance Wound ◽  
Method Of Extraction ◽  
Fish Hook ◽  
Final Visual Outcome

Importance. Ocular penetrating fish-hook injuries represent an unusual and very dangerous ocular trauma. We report the management of an unusual case of a simple-single barbed fish-hook accident globe injury successfully treated with surgery.Observations. We described a case report of a caucasian 32-year-old man presented with a scleral perforation of the left eye caused by a fish-hook injury while fishing. The fish-hook penetrated the sclera, passed the trabecular meshwork, and exited into the anterior chamber. He underwent surgery under local anesthesia to remove the intraocular foreign body and to repair the wound. The hook was removed backing through the entrance wound, enlarge the primary scleral laceration. Final visual outcome, one month after trauma, was 0.0 LogMar.Conclusions and Relevance. Our unusual case shows a modified extraction technique of fish-hook from the eye. Although the fish-hook injury represents generally a serious occurrence, in some cases, a prompt and appropriate method of extraction can lead to a good final outcome.

Comparative study of final visual outcome between open- and closed-globe injuries following surgical treatment of traumatic cataract

2011 ◽  
Vol 249 (12) ◽  
pp. 1775-1781 ◽  
Author(s):  
Mehul Ashvin Shah ◽  
Shreya Mehul Shah ◽  
Shashank B. Shah ◽  
Chintan G. Patel ◽  
Utsav A. Patel ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Comparative Study ◽  
Visual Outcome ◽  
Traumatic Cataract ◽  
Final Visual Outcome

scholarly journals Morphology of traumatic cataract: does it play a role in final visual outcome?

BMJ Open ◽  
2011 ◽  
Vol 1 (1) ◽  
pp. e000060-e000060 ◽  
Author(s):  
M. A. Shah ◽  
S. M. Shah ◽  
S. B. Shah ◽  
C. G. Patel ◽  
U. A. Patel
Keyword(s):  
Visual Outcome ◽  
Traumatic Cataract ◽  
Final Visual Outcome

Effect of Interval between Time of Injury and Timing of Intervention on Final Visual Outcome in Cases of Traumatic Cataract

2011 ◽  
Vol 21 (6) ◽  
pp. 760-765 ◽  
Author(s):  
Mehul A. Shah ◽  
Shreya M. Shah ◽  
Shashank B. Shah ◽  
Utsav A. Patel
Keyword(s):  
Care Center ◽  
Visual Outcome ◽  
Time Interval ◽  
Western India ◽  
Specific Information ◽  
Traumatic Cataract ◽  
Eye Trauma ◽  
Evidence Based Care ◽  
Final Visual Outcome

Purpose. There are no clear guidelines to treat traumatic cataract. This study was conducted to pro-vide evidence-based care to patients with traumatic cataracts and to examine the effect of the time interval between injury and the first intervention on the final visual outcome. Methods. In a prospective cohort study, all patients presenting to our hospital with traumatic cataracts between January 2003 and December 2009 were enrolled. Information regarding demographics and ocular trauma was collected on the pretested World Eye Trauma Registry form for both the first and follow-up visits. In particular, we collected specific information on the time interval between the injury and intervention. The relationship between this time interval and the final visual outcome was analyzed. The study was conducted at a tertiary eye care center, in Dahod, at the junction of Gujarat, Madhya Pradesh, and Rajasthan states, in central western India. Results. The time interval between the injury and first intervention had a significant effect on the final visual outcome (p = 0.02, χ2 test). Conclusions. The morphology of traumatic cataracts plays an important role in determining the appropriate surgical technique and the final visual outcome.

scholarly journals Visual Outcome of Cataract Surgery Complications Repair at a Cataract Training Centre of Western Central India

2020 ◽  
pp. 14-20
Author(s):  
Mehul A. Shah ◽  
Shreya M. Shah ◽  
Ashit Desai
Keyword(s):  
Surgical Intervention ◽  
Central India ◽  
Visual Outcome ◽  
Surgery Complications ◽  
Training Centre ◽  
Primary Surgery ◽  
Significant Difference ◽  
Cataract Surgery Complications ◽  
Online Form ◽  
Final Visual Outcome

Introduction: Cataract is a major cause of blindness, but it can be eliminated by surgical management. The visual outcome depends upon the competency of the surgeon, and quality training can contribute to the creation of such skilled surgeons. Methods: This is a retrospective study in which we enrolled all the cataract cases operated between 2004 and 2018, any complication and its repair reported in pretested online form, and all documented post-operative data. All these data were exported to excel sheet from EMR and analysed using SPSS22. Results: Our cohort involved 2998(2.49%) cases out of 120,000 total cataract operated cases. Out of complications documented for45.5% did not require surgical intervention, 30% eyes required secondary implant and remaining cases required other surgeries. Intervention medical and surgical has made significant difference in visual outcome. (p=0.002) 43.9% complications reported during stage of cortical clean up. Primary surgery and trainee categories did not cause significant differences in the visual outcome. Conclusion: Cataract surgeries done by trainee surgeons caused complications at various stages. However, interventions by vitreo-retinal surgeons led to a significant difference in the final visual outcome.

Visual Outcome and Prognostic Factors after Vitrectomy for Posterior Segment Foreign Bodies

2000 ◽  
Vol 10 (4) ◽  
pp. 304-311 ◽  
Author(s):  
A.M. Abu El-Asrar ◽  
S.A. Al-Amro ◽  
N.M. Khan ◽  
D. Kangave
Keyword(s):  
Multivariate Analysis ◽  
Prognostic Factors ◽  
Retinal Detachment ◽  
Univariate Analysis ◽  
Visual Outcome ◽  
Posterior Segment ◽  
Entrance Wound ◽  
Good Visual Outcome ◽  
Vitreous Prolapse ◽  
Final Visual Outcome

Purpose To identify the prognostic factors that predict final visual outcome in eyes with posterior segment intraocular foreign body (IOFB) injuries managed by primary pars plana vitrectomy. Methods Ninety-six consecutive patients with posterior segment IOFB injuries were retrospectively reviewed. Factors analyzed included initial visual acuity (VA), time between injury and presentation, site of entrance wound, uveal prolapse, vitreous prolapse, traumatized iris, endophthalmitis, location and size of IOFB, use of scleral buckling and/or an encircling band, gas tamponade, lensectomy, number of surgical procedures, and development of retinal detachment. Data were analyzed using univariate and multivariate logistic regression analysis. Results After a mean follow-up of 8.6 months, 63 eyes (65.6%) achieved VA of 20/200 or better, and 9 eyes (9.4%) had total retinal detachment complicated by inoperable proliferative vitreoretinopathy. On univariate analysis, predictors of poor vision (hand movements or less) were poor initial VA, corneoscleral entrance wound, uveal prolapse, vitreous prolapse, traumatized iris, and development of retinal detachment. In contrast, predictors of good visual outcome (20/200 or better) were absence of uveal prolapse, no endophthalmitis, and no retinal detachment. Multivariate analysis identified corneoscleral entrance wound, uveal prolapse, and development of retinal detachment as the only factors significantly associated with poor visual outcome. Absence of uveal prolapse was the only factor significantly associated with good visual outcome. Conclusions Final visual outcome is greatly determined by the severity of the primary injury. On multivariate analysis, significant predictive factors of final VA were corneoscleral entrance wound, presence or absence of uveal prolapse, and development of retinal detachment.

scholarly journals Evaluation of the factors affecting visual prognosis in patients with traumatic cataract

2020 ◽  
Vol 8 (12) ◽  
pp. 4307
Author(s):  
Dhanya V. S. ◽  
Manju Abraham ◽  
Radha Nair
Keyword(s):  
Visual Outcome ◽  
Age Group ◽  
Traumatic Cataract ◽  
Factors Affecting ◽  
Lens Extraction ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Significant Difference ◽  
Male Preponderance ◽  
Final Visual Outcome

Background: Ocular trauma is a major cause of visual impairment throughout the world, although little is known about the factors that affect the visual outcome in traumatic cataract in developing countries. The objective of the study was to find out the associated ocular injuries and the factors affecting final visual outcome of patients with traumatic cataract.Methods: This prospective-hospital based study was conducted on 50 patients of traumatic cataract in the department of ophthalmology government medical college, Ernakulam, from January 2009 to December 2011. Patients were managed with lens extraction and intraocular lens implantation. Regular follow up of patients was done and best corrected visual acuity (BCVA) and post-operative complications were assessed at the end of six months.Results: Our study showed that majority (64%) of patients were in the age group of <40 years with male preponderance. visual outcome was significantly better in younger age group (<20 years) than the older group (>20 years) (p=0.03). There was no significant difference in final visual outcome of traumatic cataracts caused by penetrating or blunt trauma (p=0.73). Corneal tear was most common associated ocular damage followed by uveitis, lens matter in anterior chamber.Conclusions: Age of the patient affects final visual outcome after surgical treatment of traumatic cataract but type of trauma (blunt/penetrating) had no significant effect on final visual outcome. Corneal tear was most common associated ocular damage.

Thrombolysis in Arterial Occlusion

1999 ◽  
Vol 82 (S 01) ◽  
pp. 109-111 ◽  
Author(s):  
Raymond Verhaeghe
Keyword(s):  
Clinical Practice ◽  
Thrombolytic Therapy ◽  
Hemorrhagic Stroke ◽  
Surgical Intervention ◽  
Bypass Graft ◽  
Surgical Techniques ◽  
Arterial Occlusion ◽  
Second Step ◽  
Severe Bleeding ◽  
Initial Management

SummaryIntra-arterial thrombolytic therapy has replaced systemic intravenous infusion of thrombolytic agents as a treatment modality for arterial occlusion in the limbs. Several catheter-guided techniques and various infusion methods and schemes have been developed. At present there is no scientific proof of definite superiority of any agent in terms of efficacy or safety but clinical practice favours the use of urokinase or alteplase. Studies which compared thrombolysis to surgical intervention suggest that thrombolytic therapy is an appropriate initial management in patients with acute occlusion of a native leg artery or a bypass graft. Underlying causative lesions are treated in a second step by endovascular or open surgical techniques. Severe bleeding is the most feared complication: the risk of hemorrhagic stroke is 1-2%.

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