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At least 433 records · Page 24Linked to original sources

[Perforating eye injuries caused by motor vehicle accidents: cases assisted during the year 1994].

A prospective study of 32 patients with perforating eye injuries caused by motor vehicle accidents, 24.32% of the 131 cases of perforating injuries admitted at the University of São Paulo Medical School Hospital from January to december, 1994 was performed. Most of the accidents occurred at night (68.75%), and in urban areas (65.63%). There were more male victims (65.63%), mostly under 25 years of age (53.13%). None of the victims were using seat belts and those in the front seats were more vulnerable. Safety precautions should be effectively in use in order to reduce frequency and morbidity of these injuries.

Accidents, Traffic↗

Self-inflicted eye injuries and self-inflicted blindness.

The case of a young man, suffering from schizophrenia, who injured his eyes with his hands and blinded himself, is described, along with his rehabilitation program. The classical and contemporary literature on self-inflicted blindness and self-inflicted eye injuries is reviewed and shows a wide range or psychiatric diagnoses and illustrates the inadequacy of attempting to apply oversimplified psychodynamic explanations. In contrast, the reaction to blindness appears to be relatively uniform, leading to the possibility of using established rehabilitation programs.

Adult↗

[Eye injuries during a laser show].

BACKGROUND: Laser injuries are usually described in case reports concerning military personnel or scientists who had an accidental exposition to a laser. Today laser injuries to un-involved persons become more frequent. The potential danger for eye injuries was discussed by Birngruber and Gabel (2) in 1984. PATIENT: A patient presented 4 days after the accident with a monocular decline in vision and a scotoma after being hit by a ray of a discotheque laser. At the time of the accident the patient was standing on the dance floor watching a laser show. From that moment he reported a scotoma on the affected eye. The examination of the patient by an ophthalmologist 3 days later revealed a monocular decline in vision to 0.3 and a scotoma. Reading problems were reported. The fluorescence angiography confirmed the biomicroscopical barely visible line shaped defect next to the foveola which was according to our clinical experience caused by the ray of a laser. The vision defect and the scotoma remained stable during the follow up period. CONCLUSIONS: Before the first use of a show-laser unit it gets approved. Every change of the unit or the change of its position requires a new technical check by authorized institutions. At present many show lasers in use are not met with this requirement. Manipulations to the lasers are easy to perform and improve the intended show effect. The missing control practice provokes eye threatening situations for an enormous number of persons who are not aware of the danger.

Adult↗

Preventing eye injuries--the nurse's role.

Federal estimates report that approximately 2 1/2-3 million people each year are affected by eye injuries and approximately 40,000 of those individuals are permanently blinded as a result of that trauma. The National Society for the Prevention of Blindness believes that 90% of those injuries could be prevented through proper education and recognition of the potential hazards. This presentation will focus on the specific preventive actions that can be taken to decrease the incidence of ocular trauma. Also discussed will be the significant role the ophthalmic registered nurse can play in the prevention of ocular trauma through education of colleagues and community members.

Accident Prevention↗

[Retinal detachment after perforating eye injuries. IV. Anatomic and functional results of cryosurgical procedures].

In the course of ten years the authors operated 69 patients with detachment of the retina (DR) after perforating eye injuries, using cryosurgical methods with silicone episcleral implants. In 37 patients DR developed after simple perforation (group A) and in 32 patients after perforation of the eye with an intraocular foreign body (group B). In all patients the perforation affected the vitreous space. From the total number of patients anatomical apposition of the retina was achieved in 62.3%. A significant difference is the poorer anatomical result of the operation in the group with simple perforations without a foreign body 54.0%, as compared with the group after perforation with a foreign body, 71.9%. The anatomical results were evaluated with regard to the period of DR, aphakia, the characteristic of the retinal defect, the type of LR and the extent of the operation. From the total number of successfully operated patients we recorded the same or better vision in 44.2% and in 51.2% poorer vision, as compared with that after the perforating injury of the eye. Deterioration was caused by the duration of DR, detachment of the macular region, an extensive operation and complications.

Adolescent↗

Penetrating eye injuries in children of the West Bank and Gaza strip.

A retrospective study was carried out on 118 children with penetrating eye injuries. Fifty-three per cent of those without an intraocular foreign body (50/94) achieved a final visual acuity of 6/12 or better, whilst 13% (14/108) required an enucleation. Mixed corneoscleral wounds, vitreous haemorrhage and retinal detachment were bad prognostic features. Important principles of management are discussed.

Adolescent↗