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PubMed1973

[Eye injuries].

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Contusions↗
PubMed2000

The eye injury of King Philip II and the skeletal evidence from the royal tomb II at Vergina.

The Royal Tomb II was discovered in Vergina, Greece, in 1977. It contained a male skeleton and a rich array of grave goods. Evidence of trauma supposedly in the orbital bones of the skull has been thought to correspond to an eye injury that King Philip II is historically known to have suffered. However, reexamination of the orbital morphology showed no evidence of such pathology. Therefore, the skeleton does not belong to Philip II. New skeletal evidence shows that the skeleton belongs to King Philip III Arrhidaeus. In this case, the tomb may well contain some of the paraphernalia of Alexander the Great.

Bone and Bones↗
PubMed1991

Eye injuries with metal missiles presenting to an emergency center: a three year study.

The authors retrospectively evaluated 33 eye injuries due to metal missiles in 31 patients presenting to our emergency center over the last 3 years. Injuries occurred most frequently when the patients were grinding metal or working on their cars. The type of metal involved in the injury often dictates the type of ophthalmic reaction that will occur. A discussion of intraocular metallic foreign bodies with an emphasis on electroretinograms and metal analysis is presented.

Adolescent↗
PubMed2001

Pediatric eye injury due to Avena fatua (wild oats).

OBJECTIVE: We report on florid and unusual ophthalmic physical signs in three children where the trauma was caused by seeds from Avena fatua, a grass common in western North America. DESIGN: Case series and literature review. SETTING: Three local emergency departments (ED) during the fall of 1998. PATIENTS OR PARTICIPANTS: Three children reporting to an ED with an acutely painful eye from which the foreign body was identified botanically as Avena fatua. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Symptoms, interventions, duration of problem. RESULTS: Three male children (6, 10, 14 years) presented separately following incidents in which they had sustained direct eye injury. Each child immediately experienced severe pain and profuse watering of the eye. Severe localized edema of the conjunctiva and inflammation was evident with conjunctival vessel injection leading to bleeding, reminiscent of a chemical "burn." Initially, two children appeared to have an eyelash caught behind the lower lid. In both instances, the emergency physicians initially dismissed the possibility of there being a significant foreign body, but because of the severity of the pain, conjunctival vessel injection, and edema, they attempted to remove the "lash." Removal of the foreign body proved difficult in all three cases, requiring far greater traction than anticipated. Intact seedpods had become embedded in the subconjunctival space. Ophthalmic analgesia relieved the pain immediately, but in one child who was treated with topical antibiotic alone, significant pain was experienced for 18 hours, until steroid-antibiotic therapy was instituted. All injuries occurred in late summer when the grass propagates. CONCLUSIONS: The physical signs of scleral vasculitis and conjunctival edema can be mistaken for chemical injury or allergic chemosis, but where a foreign body resembling a hair or eyelash is visible, the presence of a seed-pod retained in the subconjunctival space must be considered, particularly if the patient reports exposure to wild grass. Application of local analgesia, foreign body removal, and steroid-antibiotic treatment is recommended.

Adolescent↗