Chapter-105 Anterior Segment Blunt Ocular Trauma

Backgropund: Filtering bleb formation after surgical repair of penetrating globe injury is a rare occurrence. Case: A 45-year-old male who had undergone surgical repair of a corneoscleral laceration 16 months earlier presented to emergency room after blunt trauma to the left eye. His best-corrected visual acuities were 20/20 in the right eye and 20/25 in the left. An anterior segment examination found a conjunctival filtering bleb formation on scarred sclera at superotemporal location near the limbus. Anterior chamber was slightly shallow and the Seidel test was negative. Intraocular pressures were 17 mm Hg in the right eye, 7 mm Hg in the left. The fundus examination revealed no abnormal findings. The patient was treated with topical aplication of a steroid and a cycloplegic drop during three weeks. After 16 months follow-up, the visual acuity remained unchanged with the persistence of filtering bleb. IOP was 8 mm Hg in the left eye. Follow-up examinations showed no complications related to trauma. Conclusion: Blunt ocular trauma can cause dehiscence in old scleral scars and subsequent filtering bleb formation. Nepal J Ophthalmol 2013; 5(9):136-137 DOI: http://dx.doi.org/10.3126/nepjoph.v5i1.7843

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A secondary iris cyst with 3 years of asymptomatic period following a blunt ocular trauma

European Journal of Ophthalmology ◽

10.1177/1120672120901702 ◽

2020 ◽

pp. 112067212090170

Author(s):

Hong-Yang Li ◽

Mei-Jun Li ◽

Zhi-Yi Xu ◽

Jia-Hui Li ◽

Wen-Lin Zheng ◽

...

Keyword(s):

Anterior Chamber ◽

Ocular Trauma ◽

Imaging Techniques ◽

Anterior Segment ◽

Head Tilt ◽

Long Time ◽

History Of ◽

Iris Cyst ◽

Uncommon Case ◽

Blunt Ocular Trauma

Purpose: To present a relatively uncommon case with a secondary iris cyst in the anterior chamber and its successful management with an anterior chamber mass excision surgery. Case report: A 46-year-old Chinese woman presented with a dark shadow in her left eye for 6 months without any other discomfort. She had a history of blunt ocular trauma by a badminton strike 3 years ago. Slit-lamp examination showed a small, nearly circular, sharply demarcated, and movable mass in the anterior chamber OS, which could change its position with head tilt. The anterior segment optical coherence tomography revealed a well-circumscribed cystic lesion in the anterior chamber with higher reflective outer layer and lower internal reflectivity. An anterior chamber mass removal surgery was performed without recurrence up to 1 year. Conclusion: Secondary free-floating iris cyst following a blunt trauma is rarely reported. It is relatively stable and nonprogressive so it may remain asymptomatic for a long time. Appropriate imaging techniques are necessary for facilitating diagnosis and therapy. Therapeutic management should be considered if visual symptoms arise, especially when complications occur.

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VISUAL OUTCOME, CLINICAL FINDINGS AND MANAGEMENT OF BLUNT OCULAR TRAUMA DUE TO SHOTGUN PELLETS.

10.36106/gjra/3403572 ◽

2021 ◽

pp. 44-46

Author(s):

Faisal Qayoom Shah ◽

Haniyaa Mufti ◽

Syed Tariq Qureshi

Keyword(s):

Retinal Detachment ◽

Ocular Trauma ◽

Anterior Segment ◽

Vitreous Hemorrhage ◽

Visual Outcome ◽

Retinal Hemorrhage ◽

Good Prognosis ◽

Surgical Interventions ◽

Open Globe ◽

Blunt Ocular Trauma

Purpose: To analyze the clinical ndings, management and visual prognosis of blunt ocular injuries due to shotgun pellets. Methods: A prospective observational study on 200 eyes with blunt ocular trauma due to shotgun pellets was conducted. Patients with other causes of ocular trauma or with open globe injury were excluded from study. Surgical interventions were employed when indicated for associations like, traumatic cataract, dense persistent vitreous hemorrhage(VH),retinal detachment(RD) etc. Patients were followed up for 6 months from time of injury. Results: The mean age of patients was 22.6+9.52 years. Majority (99.5%) of our patients were males and only 1(0.50%) was female. Subconjunctival hemorrhage (SCH) was the most common clinical manifestation(77.0%) followed hyphaema in 34.0% of patients and vitreous hemorrhage(VH) (27.5%). Cataractous changes were seen in 7.5% of patients, retinal hemorrhage in 11.0% while retinal detachment(RD) in 4.0%. 60.5% of patients were managed conservatively and 39.5% patients needed surgical intervention. Visual Acuity(VA) at presentation was recorded to be <6/60-PL(light perception) in 51.0% of the patients which progressed to range of 6/6 -6/9 in 82.5% of patients. 2 patients reported with no perception of light (NPL) at the time of trauma which persisted till the end of follow-up. Conclusion: We conclude that the blunt ocular trauma due to pellets occurs most commonly in males, and has a good prognosis in terms of anatomical and functional outcome. Anterior segment was more commonly involved than the posterior segment with reparable damage in majority of the cases. Educating the mass for use of any form of eye protection can prevent ocular trauma in most cases

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Blunt ocular trauma: What is hidden behind?

Visual Journal of Emergency Medicine ◽

10.1016/j.visj.2021.100987 ◽

2021 ◽

Vol 22 ◽

pp. 100987

Author(s):

M.J. Vicente Altabás ◽

B. Arias-Peso ◽

M.A. Vicente Altabás

Keyword(s):

Ocular Trauma ◽

Blunt Ocular Trauma

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An Uncommon Meridional Globe Rupture due to Blunt Eye Trauma

Case Reports in Emergency Medicine ◽

10.1155/2018/1808509 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Krishan Kumar ◽

Rick Figurasin ◽

Swati Kumar ◽

Muhammad Waseem

Keyword(s):

Ocular Trauma ◽

Severe Form ◽

Open Globe Injury ◽

Unique Case ◽

Pertinent Literature ◽

Eye Trauma ◽

Globe Rupture ◽

Open Globe ◽

Blunt Eye Trauma ◽

Blunt Ocular Trauma

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Most often, rupture is equatorial. We present a unique case of open globe injury due to blunt ocular trauma from a thrown rock that resulted in a meridional rupture of the eye. The pertinent literature is reviewed.

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Complete reconstruction of anterior segment surgery for a patient with traumatic cataract and iris defects: a case report

10.21203/rs.2.227/v1 ◽

2019 ◽

Author(s):

Zhenyu Wang ◽

Xuemin Li

Keyword(s):

Ocular Trauma ◽

Anterior Segment ◽

Posterior Segment ◽

Traumatic Cataract ◽

Case Presentation ◽

Iris Defect ◽

Uncorrected Visual Acuity ◽

Posterior Synechia ◽

Anterior Segment Surgery

Abstract Background: Ocular trauma has relationship with variable damage towards anterior segment or posterior segment. Among them, cornea, iris and lens are vulnerable to injury. For patients with traumatic cataract and other anterior segment trauma， complete reconstruction of anterior segment surgery can be a good option to restore patients’ anterior segment that helps them regain their vision. Case presentation: We presented a case of traumatic cataract with iris defects after explosive trauma. A surgery was done to fully reconstruct the anterior segment of the patient’s left eye including separating posterior synechia of iris, removing cataract and implantation of IOL. Postoperatively, the patient didn’t complain about photophobia anymore and the uncorrected visual acuity (UCVA) of the patient reached from counting fingers to 20/25 and remained stable on follow-up at 1 week and 1 month. Conclusion: Our case suggested the importance of completely reconstruct anterior segment for patients who have traumatic cataract with traumatic iris defects and its benefits for society. Keywords: Traumatic cataract; Traumatic iris defect; Surgery

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