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Firework eye injuries from bottle rockets.
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[Sports and eye injuries. Racket sports caused 40%].
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[Eye injuries caused by fireworks].
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[Eye injuries in the dog caused by cat claws].
A retrospective study of ocular cat claw injuries in the dog revealed an over-representation of very young dogs in our case material. Puppies up to the age of 12 weeks have no menace response. Thus, an important protective mechanism is missing in early life. This may be one reason for the frequently occurring severe ocular trauma caused by cat claw injuries in puppies. Older dogs are less likely to sustain such an injury. Cat claw injuries cause corneal and lens capsule perforation with ensuing severe phacoclastic uveitis. In our series phthisis bulbi or secondary glaucoma were the result in 50% of the cases. In large lens capsule tears early lens extraction may prevent severe uveitis and may retain functional vision.
[Eye injuries following fireworks].
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Penetrating eye injury from a metal wedge.
The authors describe a patient with a penetrating ocular injury from a metal wedge, a common hand tool used by road service technicians for the purpose of opening a locked car door. The patient had a penetrating eye injury from a metal wedge when its sharp end released from a car door lock and retracted upward, striking the right eye. No report exists of ocular injury using a metal wedge for its intended purpose of opening a car door lock. The use of polycarbonate lenses might afford some protection.
A survey of severe eye injuries in children.
We reviewed the medical records of 258 children from newborn to 20 years of age who had ocular injuries severe enough to warrant admission to United Hospitals Medical Center, Newark, NJ, over a 3 1/2-year period. In this time there were 1737 pediatric admissions for eye treatment and of these, 258 (14.85%) were directly related to trauma. Only strabismus, with 676 (38.9%) admissions, accounted for more pediatric hospitalizations for eye injuries. Balls, fists, and sticks were the most common causes of injury, and the most common diagnosis was hyphema. The majority of injuries occurred in children between 11 and 15 years of age (31%). Ocular injuries in children above 10 years of age were most commonly sports-related, whereas injuries in the home accounted for the majority of trauma in children younger than 10 years of age.
[Primary pars plana vitrectomy in the treatment of penetrating eye injuries involving intraocular foreign bodies in the vitreous body ].
The method of choice in the treatment of penetrating eye injuries affecting the vitreous body with an intraocular foreign body is in the majority of patients primary pars plana vitrectomy with transvitreal extraction of the foreign body (FB). During the period from April 1999 till September 2000 the authors treated thus at the Ophthalmological Clinic of the General Faculty Hospital and 1st Medical Faculty Charles University Prague 26 eyes of 26 young men with an average age of 34 years. The mean interval between the injury and primary PPV was 8.5 days. The patients were followed up on average for 23.5 months. The entrance of the penetrating injury was in 17 eyes in the cornea or limbus, in 9 eyes in the sclera. In two eyes posttraumatic endophthalmitis developed. The intraocular FB was 6 mm2 in size in 16 eyes and 6-20 mm2 in 10 eyes. In primary PPV we indicated in 14 eyes internal tamponade with gas or silicone oil. On account of late retinal complications which developed as a result of proliferative vitreoretinopathy we indicated in eight eyes PPV reoperation. At the end of the investigation period in 3 eyes inoperable detachment of the retina developed. As the main negative prognostic factor for final visual acuity the authors evaluated a size of the FB greater than 6 mm2, other negative prognostic factors are the scleral entrance injury, complications of the entrance injury (prolapse of the iris, vitreous body, haemophthalmus) and the development of posttraumatic exogenous endophthalmitis.
[Eye injuries in 'paintball'; a modern 'war injury'].
Paintball shooting is played with increasing frequency in the Netherlands. A bullet, filled with paint, shot at 60 m/sec can cause serious damage to the eye. All five patients seen in two years showed a hyphaema. Four out of five patients showed damage of the posterior pole, including vitreous haemorrhage, choroidal rupture, retinal detachment, and sub- or intraretinal haemorrhage. Three out of five patients incurred permanent visual loss, varying from 3/60 to 25/100. Adequate instruction of the participants in the game and proper use of the eye protector will be of help in preventing eye injuries.
Epidemiology of eye injuries in rural Tanzania.
In the developing world, ocular trauma is an important cause of monocular blindness. However, little is known about the epidemiology of eye injuries in rural Africa. This study presents five- year data on hospitalized ocular injuries in a rural region in Tanzania. Data were collected from Mvumi Hospital, a tertiary hospital serving rural Dodoma, and the only hospital during this time period able to care for serious trauma. All in-patient charts from January 1, 1985 to December 31, 1989 were reviewed for cases of ocular trauma who presented within 30 days of injury. Data on demographics, cause of injury, visual acuity, and current diagnosis were abstracted. A total of 157 cases were recorded, of whom 69% were male. A third of the injuries occurred in those less than age 20. Injury with a stick was the most common cause, accounting for 67% of the cases. A third of the cases presented to the hospital 8 or more days after the injury, and most had poor visual acuity in the affected eye. In those age 20 or younger, 82% of females and 67% of males presented with visual acuity <3/60. Ruptured globe and uveitis were the most common diagnosis made at presentation. Preventive ophthalmology efforts in this area should focus on decreasing stick-related ocular injuries and improving rapid access to appropriate care when injuries occur.
Eye injuries in racquet sports.
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Badminton-related eye injuries.
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Maintenance of clean safety lenses helps prevent industrial eye injuries.
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Severe eye injury in an 11-year-old child during threshing--A case report.
A case is reported of severe eye injury in an 11-year-old boy which occurred during threshing in the parents' farmyard. A detailed description of surgical treatment, complications and 7-year follow-up is presented. Despite long lasting treatment and new surgical methods used, the eye became blind. On the basis of our experience we can conclude that adequate adult supervision of children is mandatory during work in farmyards, and this is probably the only way to avoid at least a part of severe injuries which cause great social and economic losses.
EMERGENCY TREATMENT OF EYE INJURIES.
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Sport-related eye trauma: a survey of the presentation of eye injuries to a casualty clinic and the use of protective eye-wear.
The study investigated the workload offered by sport-related trauma to a busy casualty clinic and was carried out in two parts. The first part concerned compiling information about sport-related injuries presenting in 1 year to the outpatient eye clinic at Bradford Royal Infirmary. The second part attempted to investigate the awareness and the use of eye-protectors for squash by the student community of Bradford University, using a questionnaire. The sport-related injuries presenting to the casualty department were classified according to the sport involved. Analysis of the data shows that racquet sports, namely tennis, badminton and squash, jointly formed the highest percentage of presentations. In the case of squash and tennis injuries, follow-up treatment and/or admission to hospital was required in 100% of cases. These injuries could be reduced by wearing adequate eye-protectors. The questionnaire survey showed that only 9% of the squash players wore eye protection whilst playing, of whom 3.37% of the total had suffered lacerating injuries previously. Comparison with previous studies indicates that the pattern of eye injuries presenting to casualty departments, and the awareness of the general public concerning the use of eye-protectors, has not altered in recent years. Unless steps are taken, in terms either of mandatory use of eye-protectors and/or of educating the general public on the possible devastating effects of injury, these preventable injuries will continue to burden already overworked hospital casualty departments, draining both resources and expertise.