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At least 487 records · Page 27Linked to original sources

Management of chemical eye injuries with prolonged irrigation.

To study the effect of prolonged irrigation in the treatment of chemical eye injuries we reviewed the case records of 172 patients. Most of the patients were men in working age. The injury was caused by acid in 57 patients (33%). Of the acid burns, 28 were due to AIV solution commonly used in agriculture in Finland, and 27 were due to inorganic acids. Alkaline burns occurred in 64 (37%) patients including 33 cases with natrium hydroxide and 20 cases with mortar and cement burns. Other chemicals including organic solvents and surfactants caused the eye burn in 51 (30%) cases. Fifty three patients mostly with alkaline and acid burns were treated with prolonged irrigation with one liter of physiological saline using intravenous delivery system during 1-2 hours. The extent of damage was smaller, the visual outcome better, and the duration of treatment at the hospital and absence from work were shorter in patients treated with prolonged irrigation than without such treatment.

Accidents, Occupational↗

[Eye injuries caused by an eclipse of the sun].

Two patients with macula damage following sungazing are reported. Visual acuity was damaged, gentle central scotoma in automated perimetry (Octopus) was presented same as lower A wave in ERG and small macular hyperfluorescency in fluorescein angiography. Funduscopy findings were macular changes similar to macular semirupture. In one month all pathologic symptoms disappeared. The only safe prevention is that by Mylar folia that completely prevent eye injury from sungazing.

Adult↗

One year of severe eye injuries in sport.

A one year prospective study was undertaken to assess all sports injuries requiring inpatient treatment at Manchester Royal Eye Hospital. (1 January to 31 December 1987.) Fifty two patients were admitted (25.1% of all admissions due to trauma). Racquet sports accounted for 51.9% of these cases. Eight patients required 12 surgical procedures and there were 3 perforating injuries. Sport is becoming an increasingly important cause of severe eye injury and the encouragement of adequate ocular protection is now a matter of urgency.

Adolescent↗

[Penetrating and perforating eye injuries with foreign bodies during motorized brush-cutting while wearing head protection gear].

BACKGROUND: Protective clothing is prescribed concerning gloves, shoes, protective trousers and a helmet for protection of hearing and the face during brush-cutter work. PATIENTS AND METHODS: Seven patients were observed in a time period from 1994 to 1998. Mostly a nylon head protection had been used. The side of the helmet has no protection shield. The 1- to 4-mm large foreign bodies passed the head protection shield from the side or by entering through the holes of the nylon mesh which may be not small enough to stop the foreign body. A pars plana vitrectomy with foreign body removal was performed after primary wound repair. RESULTS: An endophthalmitis was diagnosed in two patients after primary wound treatment. In these cases, a pars plana vitrectomy and antibiotic instillation was performed. In 5 patients visual acuity increased postoperatively. We measured a postoperative visual acuity from 1/50 to 1.6. The development of proliferative vitreoretinopathy with retinal detachment in 4 patients was the main complication observed after pars plana vitrectomy. CONCLUSIONS: A cosmetically satisfactory appearance of the injured eye was reached by pars plana vitrectomy in all patients. Anatomic and functional success was reached in most of the patients. For prophylaxis, a head-protection seems not safe enough. The additional usage of eye protection glasses may be imperative for the prevention of these eye injuries.

Adult↗