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At least 343 records · Page 19Linked to original sources

Eye injuries due to tractor wheel explosion: report of two cases.

CASE REPORT: We describe 2 patients who sustained eye injuries when tractor wheels exploded while being inflated. Descriptions of ocular involvement from such accidents are rare in the literature. One of our patients experienced severe eye trauma requiring enucleation. In the second case, despite trauma to both eyes, 20/20 vision was recovered. COMMENTS: Injuries from exploding tires are compared to those seen in the context of air-bag deployment, and safety recommendations are discussed.

Accidents, Occupational↗

Management of retinal detachment after penetrating eye injury.

Between December 1981 and April 1989 the authors operated on 61 eyes presenting with retinal detachment after penetrating eye injury. Air or expanding gases were used for retinal tamponade. The follow-up between complete gas absorption and last examination ranged from 8 months to 8 years (mean, 29 months). Retinal reattachment was achieved in 50 eyes (81.9%). Anatomic success was achieved by a single operation in 43 eyes (70.5%). A postoperative visual acuity of 20/40 or better was achieved in 46% of the eyes. The factors found to influence the postoperative outcome adversely include (1) association of severe blunt trauma (P less than 0.05), (2) anterior proliferative vitreoretinopathy (PVR) involving two or more quadrants (P less than 0.01), and (2) retinotomies (P less than 0.007).

Adolescent↗

Eye injury after jellyfish sting in temperate Australia.

Although jellyfish stings are an uncommon medical problem in temperate Australia, significant morbidity can occur, particularly in association with infestations of large numbers of jellyfish in public swimming areas. We report a case of a jellyfish sting-related eye injury, probably caused by the "hair" jellyfish (Cyanea capillata) from southeast Australia. The patient, a 54-year-old man, was stung while swimming without goggles in a jellyfish-infested bay. He experienced severe pain in his right eye, requiring narcotic analgesia, and had decreased visual acuity associated with right-sided facial swelling. Although usually brief and self-limiting, eye injuries after jellyfish stings should be assessed and treated as early as possible to reduce the risk of longer term sequelae. Water safety campaigns should incorporate information on the prevention and early treatment of such stings.

Animals↗

A 10-year survey of penetrating eye injuries in Gwent, 1976-85.

A retrospective survey was performed of all penetrating eye injuries in Gwent from 1976 to 1985. It included 171 eyes. The results showed a gradual decline in all penetrating injuries and not just those due to road traffic accidents. An analysis of the cause and prognosis is given.

Adolescent↗

[The cases of penetrating eye injuries with large intraocular foreign body].

AIM: Three consecutive cases of penetrating eye injuries complicated with large (size 9-12 mm) intraocular foreign body are presented as such. PATIENTS AND METHODS: The initial findings, management, surgical procedures and final anatomical and functional outcomes of each particular case are given. Corneal entrance laceration was seen in all three patients. Second scleral full-thickness eye wall laceration was found just posterior to the horizontal muscle insertions in two eyes. Full-thickness exit posterior eye wall laceration obturated with foreign body was diagnosed in one case. This metallic foreign body projected into posterior orbit. Two eyes were injured with metallic radio opaque foreign body. Glass fragment was removed from posterior segment of the eye in one patient. Following primary wound closure pars plana vitrectomy was performed to remove all posterior segment intraocular foreign bodies. RESULTS: Silicone oil was used to fill the vitreous cavity at the end of the surgery in two eyes. Gas bubble (perfluoropropane, C3F8) was injected into the vitreous space at the end of the vitrectomy in one eye. The authors observed following complications: vitreous cavity haemorrhage, traumatic cataract formation, cystoid macular oedema and peripheral stationary traction retinal detachment. CONCLUSION: Good anatomical results and restoration of good visual functions of injured eye were achieved in all patients despite some inferior initial prognostic factors.

Adult↗

Penetrating eye injuries associated with motor vehicle accidents.

A 2 1/2-year review of penetrating eye injuries resulting from motor vehicle accidents and treated at the Princess Alexandra Hospital, Brisbane, is presented. The series dates from January 1, 1972, when legislation requiring the compulsory wearing of seat belts was introduced. The review shows a downward trend in injuries compared with the previous 6 1/2 years. Almost all the patients failed to wear a lap-and-sash seat belt or, if one was worn, it was not secured properly.

Accidents, Traffic↗

The role of vehicle safety glass in eye injuries.

Despite the introduction of compulsory seat belt legislation, the incidence of eye injuries, and their severity, is greater in Auckland, New Zealand, than in London, Canada. A comparison has been made between Auckland (83 cases) and London (50 cases) in a survey from 1 July 1970, to 31 December 1974. Consideration is given to the fact that New Zealand vehicles are equipped with heat-toughened (tempered) glass, whereas in Canada, vehicles are fitted with laminated windscreens.

Accidents, Traffic↗

Eye injuries from laser exposure: a review.

Lasers pose a significant threat to vision in modern military operations. Anti-personnel lasers have been designed that can cause intentional blindness in large numbers of personnel. Although the use of blinding laser weapons during combat has been prohibited by international legislation, research and development of these weapons have not been prohibited, and significant controversy remains. Unintentional blinding can also result from other types of lasers used on the battlefield, such as range-finders and anti-material lasers. Lasers that are capable of producing blindness operate within specific wavelength parameters and include visible and near infrared lasers. Patients who suffer from laser eye injuries usually complain of flash blindness, followed by transient or permanent visual loss. Laser retinal damage should be suspected in any patient with visual complaints in an operational setting. The treatment for laser retinal injuries is extremely limited, and prevention is essential. Improved protective eyeware and other countermeasures to laser eye injury are necessary as long as the threat remains.

Blindness↗

Experimental study on drug therapy of "traction retinal detachment" after posterior penetrating eye injury in the rabbit.

In an experimental study on rabbits, a standardized eye injury was created by using the "pars-plana incision model." Subsequently, the effect of intravenous application of dexamethasone and penicillamine on traction retinal detachment was investigated. The two drugs were applied in varying concentrations and combinations (single and combined use in varying intervals), followed by a 3-month control period without medication. Clinical and histological findings showed that intravitreal instillation of 1.2 mg dexamethasone reduces the incidence of retinal detachment from 46% to 27%. Higher concentrations of dexamethasone, as well as the use of penicillamine or a combination of both substances, proved to enhance traction retinal detachment.

Animals↗

Serious eye injury from windscreen contact.

A retrospective survey was carried out of serious eye injury caused by windscreen contact in road traffic accidents over a 6-year period. All 15 patients had contacted toughened windscreens, and all but one did not wear seat belts. The cost in terms of pounds sterling paid out by the National Health Service, and also the cost in terms of visual handicap were assessed. It was found that of the 15 patients admitted during this time, the treatment of the large majority cost at least twice as much as that for patients undergoing routine cataract surgery. This was primarily due to the longer hospitalization necessary. Only 2 patients retained a visual acuity of 6/6.

Accidents, Traffic↗

[Vitrectomy in the early treatment of extensive penetrating eye injuries. Comparative studies].

Presented are early and late results of treatment of extensive perforating eye injuries treated by vitrectomy immediately after the patient reported for a hospital treatment. For comparison--a similar group of patients with corresponding posttraumatic lesions was selected; they were treated by traditional methods and in some cases also by vitrectomy but performed only for the treatment of late complications. The results obtained confirm the necessity of early vitrectomy as a method of reconstruction of the anatomical conditions after an extensive perforating injury.

Adolescent↗

Experimental posterior penetrating eye injury in the rabbit. I. Method of production and natural history.

A technique has been developed which produces an experimental posterior penetrating eye injury that reproducibly results in traction retinal detachment in rabbit eyes. The standard injury is an incision through the pars plana with vitreous prolapse and incarceration; the wound is then carefully closed with microsurgical techniques. It appears that blood in the vitreous is an essential factor in the development of vitreous traction and of traction retinal detachment. The model, which has been successfully transferred to Rhesus monkey eyes, is considered useful for further histological, electromicroscopical, electrophysiological, and ultrasound studies of posterior penetrating injuries of the eye. Our immediate goal is to assess in a controlled experiment whether pars plana vitrectomy can interrupt the sequence of events leading to traction retinal detachment after a posterior penetrating injury.

Animals↗

Perforating eye injury in the Stockholm population. An epidemiological study.

We studied the occurrence of perforating eye injury (PEI) during the period 1974-1979 in the population (1.5 million) of Stockholm county. Information was obtained from medical and population registries, medical records and personal interviews. PEI was almost 6 times more common in men than in women, and age specific incidence rates varied from 94.3 per million person years in young men (10-19 years) to 3.9 in elderly women (60-69 years). The risk appeared somewhat increased in the unmarried, but not in foreign citizens. Most injuries occurred during the day with no less than 54% between 10 a.m. and 4 p.m., and only 2% after 9 p.m. The most common activity at the time of injury was paid work (27%) followed by play or sport (23%), while 10% of the cases were due to fight or assault. Among those injuried in paid work, the most common occupation was construction worker or building metal worker. Metal and glass fragments were the most common perforating objects, but thorns from planted bushes caused many perforating injuries in children.

Adolescent↗

[Eye injuries caused by eyeglass lenses].

Among a group of 452 patients treated for eye injuries between 1979 and 1983, there were 66 with injuries due to broken spectacle lenses. These accidents accounted for 7.1% of all penetrating lacerations and 18.2% of all superficial ones. The trend in the period reviewed was toward an increase in such injuries. Altogether, 86.3% of the accidents occurred during free time, with most of the patients being male and between 11 and 30 years of age. The number of injured children is very low. The number of patients with lid lacerations was equivalent to 40.9%, the same as for injuries to the cornea. Most of the patients wore concave lenses, of which 48.5% were shattered by hitting or being hit by another object, and 36.4% by the patient falling.

Eye Injuries↗