Discharging sinus from the eyelid following accidental impaction of wood fragment

Injury to the eyelid is one of the most common emergencies at eye hospitals. Injuries to the eye and its surrounding tissues may result from several types of foreign bodies. The injured eye must be carefully and gently examined to prevent missed injuries and to avoid putting pressure on the globe, which might cause prolapse of intraocular contents. We report an unsightly upper eyelid discharging sinus with wood fragment impaction that was incompletely removed by the first attending physician for a period of eleven months. The wood fragments were carefully and completely removed under local anaesthesia, and debridement and dressing of the wound were done by an ophthalmic plastic surgeon when the patient was eventually referred to the tertiary institution. The need to include basic eye care courses in continued medical education for all general practitioners is advocated to reduce resultant ocular morbidity from such ocular injuries. This will aid this group of physicians in decision-making while providing care to patients with eye injuries.

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

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.2.804 ◽

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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Correction: Ocular Morbidity and Health Seeking Behaviour in Kwara State, Nigeria: Implications for Delivery of Eye Care Services

PLoS ONE ◽

10.1371/journal.pone.0112860 ◽

2014 ◽

Vol 9 (10) ◽

pp. e112860

Author(s):

Keyword(s):

Health Seeking Behaviour ◽

Health Seeking ◽

Eye Care ◽

Care Services ◽

Ocular Morbidity

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Ophthalmology

Oxford Assess and Progress: Emergency Medicine ◽

10.1093/oso/9780199599530.003.0020 ◽

2011 ◽

Author(s):

Pawan Gupta

Keyword(s):

Physical Examination ◽

Junior Doctor ◽

Visual Fields ◽

History Taking ◽

Eye Injuries ◽

Upper Eyelid ◽

Loss Of Vision ◽

Eye Problems ◽

Patient Will ◽

The Common

Approximately 2% of ED attendances comprise patients with eye complaints. Most of the time this group of patients is seen by a junior doctor with very little training in thorough and relevant history taking and examination. The majority of such eye problems can be treated in the ED without requiring any intervention from an ophthalmologist. But a few may require immediate action and subsequent referral to the on-call ophthalmologist. Most of the emergencies require a standard approach to history taking followed by an examination, although some (acid or alkali burns) may need immediate treatment, which is given while the assessment is being done. In ophthalmology, the history will help indicate the part of the eyes to focus on during the physical examination. The following points should be covered in the history: • Associated trauma • Pain versus irritation • Photophobia • Discharge—colour, quantity and consistency • Loss of vision • Pattern and speed of onset of symptoms • Any past eye problems in the same or the other eye. During the physical examination always measure VA separately for each eye by using Snellen’s chart and document your findings. If the patient wears glasses, these should be kept on during the test. The examination should also include a good look at the eyelids (both from outside and inside), conjunctivae, cornea, pupils and their size and reaction, visual fields, eye movements, and ophthalmoscopy. Do not forget to evert the upper eyelid with the help of a cotton bud as tiny foreign bodies often hide underneath it and their removal will immediate relieve the symptoms—the patient will be very grateful! Patients with potentially serious pathology requiring immediate ophthalmology referral include those with: • Sudden loss of vision • New reduction in VA • Acute red and painful eye (suspect acute glaucoma) • Penetrating eye injuries • Chemical burns to the eye • Suspected iritis, herpes zoster infection, and orbital cellulitis (referral on the same day). The questions in this chapter cover the common eye emergencies and a few uncommon but serious pathologies.

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Long-term follow-up and the role of vitrectomy in the treatment of perforating eye injuries without intraocular foreign bodies

Acta Ophthalmologica ◽

10.1111/j.1755-3768.1989.tb04394.x ◽

2009 ◽

Vol 67 (6) ◽

pp. 625-632 ◽

Cited By ~ 10

Author(s):

Eeva Punnonen ◽

Leila Laatikainen

Keyword(s):

Foreign Bodies ◽

Eye Injuries ◽

Long Term Follow Up

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Course of upper eyelid retraction in thyroid eye disease

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2018-313578 ◽

2019 ◽

Vol 104 (2) ◽

pp. 254-259

Author(s):

Dong Cheol Lee ◽

Stephanie M Young ◽

Yoon-Duck Kim ◽

Kyung In Woo

Keyword(s):

Positive Family History ◽

Thyroid Stimulating Hormone ◽

Thyroid Eye Disease ◽

Eye Disease ◽

Clinical Activity ◽

Eyelid Retraction ◽

Tertiary Institution ◽

Upper Eyelid ◽

Upper Eyelid Retraction ◽

History Of

AimsTo evaluate the natural course of upper eyelid retraction (UER) in patients with thyroid eye disease (TED) and factors affecting its course.MethodsRetrospective non-interventional cohort study in a single tertiary institution from March 2006 to March 2015 on patients with TED with (1) unilateral or bilateral UER within 6 months from initial presentation, and (2) no prior interventions nor surgical treatment for their UER. Main outcomes and measures were mean margin reflex distance 1 (MRD1) and factors associated with UER improvement.ResultsThere were a total of 61 patients and 81 eyes (41 unilateral and 20 bilateral UER). Mean age was 42.3±15.1 years. Mean MRD1 decreased from 6.1 mm at presentation to 4.8 mm at 12 months, and 4.4 mm at 24 months. The proportion of eyes with normalisation of lid height increased from 0% at presentation to 22.2% at 6 months, 37.0% at 12 months and 49.4% at 24 months. Mean time to normalisation of MRD1 was 18.0±12.4 months. A positive family history of TED was found to be associated with a 6.2 times lower likelihood of normalisation. Change in exophthalmometry, clinical activity score and thyroid-stimulating immunoglobulin were significantly correlated to change in MRD1 (p<0.05). There was no correlation between change in MRD1 and thyroid-stimulating hormone receptor antibodies.ConclusionAn improved knowledge of the natural history of UER in TED will allow us to better decide and evaluate the optimal management for such patients.

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Ocular Trauma from the “Knockout Game”

Case Reports in Ophthalmological Medicine ◽

10.1155/2014/285942 ◽

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.

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Diagnosis and Management of Wooden Foreign Bodies in the Orbit: A Case Report

Journal of Wound Management and Research ◽

10.22467/jwmr.2021.01571 ◽

2021 ◽

Vol 17 (2) ◽

pp. 158-161

Author(s):

Hyo Bong Kim ◽

Hoon Kim ◽

Soo Yeon Lim ◽

In Chang Koh

Keyword(s):

Magnetic Resonance Imaging ◽

Optic Nerve ◽

Foreign Bodies ◽

Surgical Removal ◽

Resonance Imaging ◽

Upper Eyelid ◽

Diagnosis And Management ◽

Optic Nerve Damage ◽

Magnetic Resonance Imaging Mri

The diagnosis and management of intraorbital foreign bodies are challenging for surgeons. Foreign bodies made of wood and those located close to the optic nerve are especially difficult to manage. Herein, we report our experience with the diagnosis and management of intraorbital wooden foreign bodies utilizing magnetic resonance imaging (MRI). A 50-year-old man presented to the emergency room with a laceration on his left upper eyelid. No foreign bodies were visible through the laceration, and computed tomography findings showed only evidence of cellulitis with abscess formation. Despite drainage and antibiotics, the cellulitis worsened; subsequently, we found multiple wooden foreign bodies on MRI. Surgical removal was performed, excluding those in the intraconal space to avoid optic nerve damage. The patient recovered well and has not experienced any ophthalmic complications at 1 year of follow-up.

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Harrowing Blindness and Ocular Morbidity in a Himalayan Village

Nepal Journal of Epidemiology ◽

10.3126/nje.v6i2.15166 ◽

2016 ◽

Vol 6 (2) ◽

pp. 582-583 ◽

Cited By ~ 1

Author(s):

Amrit Pokharel ◽

Himal Kandel ◽

Reshma Shrestha

Keyword(s):

Health Care Workers ◽

Care Service ◽

Eye Care ◽

Short Term ◽

Primary Eye Care ◽

Eye Health ◽

Primary Health ◽

Care Workers ◽

Ocular Morbidity

To address this terrible situation, we propose the following solutions: in the short term, conduct regular eye health camps with appropriate management locally. In the long term, to strengthen primary eye care and integrate it into general health, by training primary health care workers in primary eye care (more specifically assessing visual acuity) establishing adequate referral channels. Currently, unfortunately, much of eye care service delivery remains centered on the district headquarters and accessible places, with other remote regions left unattended. We hope our report will awaken all concerned to the dire need for equitable eye care across the country.

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Organization and implementation of emergency ophthalmic surgical assistance in a specialized ophthalmic clinic during the Pandemic period COVID-19

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-1-25-29 ◽

2021 ◽

pp. 25-29

Author(s):

N.V. Mashchenko ◽

Keyword(s):

Surgical Treatment ◽

Foreign Bodies ◽

Mechanical Damage ◽

State Institution ◽

Federal State ◽

Eye Injuries ◽

Penetrating Injuries ◽

Surgical Assistance ◽

Contusion Injury ◽

The Impact

Purpose. Evaluation of the frequency, structure and severity of the eye injuries, the effectiveness of the implementation of primary surgical treatment (PST) and the outcomes of their surgical treatment. Material and methods. In just a period from the end of March to December 2020, in the Khabarovsk branch the S. Fyodorov Eye Microsurgery Federal State Institution received 51 patients with various as penetrating (48 eyes) and imperriburing injuries of the eyeball (3 eyes). Their age varied widespread from 5 to 56 years (on average 35.5 years). Men were dominated among them – 44 people, women – 7 people. Adults were 49 people, children – 2 people. Results. Under the conditions of obtaining penetrating injuries, household injuries were isolated – 33 eyes (65%), production – 15 eyes (29%). The contusion injury of the eye was criminal, which was 6% (3 eyes). According to the localization of penetrating injuries or the impact of mechanical damage, they were presented: corneal wounds – 12 eyes, rootless – 17 eyes, scleral – 18 eyes. In 13 eyes, there was an intraocular foreign bodies (IFB). Conclusion. Thus, for the period from April to December 2020, in our branch, PST eyes were performed about 47 heavy penetrating injuries, including the introduction of IFB in 13 eyes, 4 eyes with extensive damage to conjunctiva. Among the victims were 49 adults and 2 children. Key words: penetrating eye wound, intraocular foreign body, microgery surgery, traumatic retinal detachment.

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