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[Eye injuries].

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Eye Injuries↗

Eye injuries caused by elasticated "octopus" straps.

"Octopus" elasticated straps are a common cause of severe accidental eye injuries, which we believe are largely preventable. In a retrospective study (January 1990 to August 1996), we identified 42 patients with such injuries severe enough to warrant admission to hospital. The injuries included hyphaema, vitreous haemorrhage, retinal detachment, and choroid and globe rupture, with 28% (12/42) of the injuries resulting in permanent visual loss. We believe octopus straps should not be available for sale in their current form.

Adolescent↗

Eye injuries during training exercises with paint balls.

The use of paint balls, increasingly popular for war games and survival games, has recently been introduced for certain military training exercises. We treated two soldiers who had severe permanent ocular damage after being hit by these balls. Both removed their goggles after their vision was obscured with paint from a hit on these protective lenses. They were then hit for a second time, resulting in the eye injury. Based on these cases and on a literature review, we conclude that protective eye gear should be mandatory when paint pellets are used. It is essential that service members participating in such exercises be instructed not to remove their protective goggles under any circumstances.

Adult↗

[Eye injuries caused by "Hornussen"--a traditional Swiss team game].

BACKGROUND: "Hornussen" is a traditional Swiss team game played in rural areas of Switzerland. A puck made out of hard plastic called "Hornuss" or "Nouss" is hit with a lash like racket into the field. The opposing team has to capture the flying puck with shovel like shields. Eye injuries are rare, however, very severe. PATIENTS: We report on three patients who were seen and treated at the university eye clinic Berne in the last four years. RESULTS: All injuries were blunt contusions with involvement of the periorbital soft tissues by a hit with the "Hornuss". In two cases orbital fractures were observed and in one case there was a rupture of the globe in a pre-injured aphakic eye. Only in one case was there a direct hit to the eye by the "Hornuss", the other injuries were caused by indirect hit after the "Hornuss" bounced off the shovel like shields. No protection gear was used. One patient showed complete recovery, whereas in the other two cases significant impairment remained. CONCLUSIONS: Without adequate protection gear, injuries caused by "Hornussen" are generally severe. The injury pattern with periorbital involvement resembles eye injuries caused by baseballs. This is probably due to the similar size of the balls. The mandatory wearing of protection helmets issued by the federal "Hornusser" association for young players should be extended as a general requirement for all players.

Adult↗

Bilateral eye injuries from motor vehicle trauma.

Three patients admitted after motor vehicle accident trauma are presented. Each had bilateral eye injuries with significant but variable visual loss. Common features to each were alcohol intoxication and lack of use of seatbelts, and each was young and male. New microsurgical ophthalmological techniques as well as a multidisciplinary surgical approach to these types of injuries are emphasized.

Accidents, Traffic↗

[Eye injuries caused by Gotcha games].

BACKGROUND Gotcha has become a new leisure-time activity among young people. The high speed dye bullets are threatening the eyes unless using safety goggles. PATIENTS In the last 1 1/2 years there were three young patients treated in our clinic because of serious eye injuries. They were under 18 years old and they had borrowed the weapons from adults. None had used safety goggles. We were able to show the suitability of goggles by own experiments. CONCLUSIONS Therefore we demand, that Gotcha playing must be allowed only to adults who are wearing safety goggles.

Adolescent↗

Complete and core vitrectomies in the treatment of experimental posterior penetrating eye injury in the rhesus monkey. I. Clinical features.

A controlled trial of pars plana vitrectomy for posterior penetrating eye injury was done in a group of rhesus monkeys to compare the results of limited (core) and complete vitrectomies performed one day and two weeks after injury. Although core vitrectomy was technically easier and led to fewer operative complications, the frequency of traction retinal detachment was significantly higher than after a complete vitrectomy. There was no significant difference between eyes operated on one day or two weeks after injury.

Animals↗

[Eye injuries caused by a defective high pressure hose in mines. An analyse in 50 cases (author's transl)].

We analyse eye injuries in 50 miners who came to our Eye Hospital following an accident involving a defective high pressure hose. Depending on the nature of the accident we can distinguish 3 types, correlating with the severity of the injury. The majority of cases presented primarily as blunt bulbus traumata. Severe sequelae consisted of lens opacities and retinal damage. We discuss methods of prevention.

Accidents, Occupational↗

Contusional eye injuries: retinal and choroidal lesions.

The fundi of 114 patients were evaluated one to 14 years following contusional eye injury. Most injuries to children occurred at sport and play. Domestic and civil assaults, sporting injuries and industrial accidents were common. Males in the second and third decades of life were predominantly affected. Iris tears, pupillary abnormalities and angle recession were typically associated with the fundal lesions. Contusional injuries of the retina and choroid were found in 92 patients and were graded according to their location, extent and severity. Twenty-six patients (grade 1) had focal or diffuse disturbances of the inner or outer retina. In 15 patients the lesions predominantly affected the receptor-retinal pigment epithelial layers and in six patients there were associated breaks in Bruch's membrane. Five further patients had atrophic inner retinal alterations and lamellar holes at the macula. Most patients in this group retained good visual function. Thirty-six patients (grade 2) had single or multiple choroidal tears. In 21 instances the outer retina was primarily involved; however, in 15 cases there was associated inner retinal damage. Only three patients developed subretinal neovascularisation. Sixteen patients (grade 3) had extensive areas of chorioretinal atrophy associated with retinal pigment epithelial atrophy, proliferation, plaque and membrane formation. Fourteen patients (grade 4) developed retinal holes or tears and 10 proceeded to retinal detachment two weeks to 14 years following injury. Contusional retinal and choroidal lesions have an unfavourable visual prognosis, only 38.6% of patients regaining a visual acuity of 6/12 or better.

Adolescent↗

A study of perforating eye injuries at the Ophthalmology Department, National University of Malaysia.

One hundred and sixty seven (167) perforating eye injuries involving 159 patients were analyzed in a retrospective study over a three-year period. The degree of blindness and their associated factors were determined. Most patients were in the first three decades of life and were males. One hundred and seven (64%) eyes had vision of 3/60 or worse at initial assessment. Of these only 45% of eyes had improved vision to 6/36 or better at six months of follow-up. Fifty-five per cent of eyes were blind. The only significant associated factor identified was the extent of injury. Age, time interval and mechanism of injury were not significant factors.

Adolescent↗