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Serious eye injury in badminton players.

Serious eye injury can occur in badminton players and may become more frequent. The causes and nature of such injuries in this sport in six patients are discussed. All were playing competitive doubles matches. Penetrating eye injury due to a shattered glass spectacle lens occurred. Players should be advised not to wear spectacles with glass lenses. Ocular protection in this sport is desirable, and the forward player should hold the racket in front of the face.

Adolescent↗

[Possible computed tomographic and magnetic resonance tomographic detection of wood foreign bodies following perforating eye injuries].

After perforating eye injury the retention of a foreign body in the orbits has to be excluded. Wooden foreign bodies mostly have negative density on CT, which increases later as a result of granulomatous changes. On MRI, pieces of wood appear with low signal intensity, and only in some cases is a collar-shaped structure recognizable, allowing differentiation from gas. Soon after orbital trauma with splinters of wood, therefore CT allows better differentiation of pieces of wood from intraorbital gas by measurement of their density, whereas MRI, makes it possible to demonstrate wooden foreign bodies in older injuries in spite of granulomatous changes.

Eye Foreign Bodies↗

Serious eye injuries associated with fireworks--United States, 1990-1994.

Eye injuries caused by fireworks are often severe and can cause permanently reduced visual acuity or blindness. Findings from the National Electronic Injury Surveillance System database maintained by the U.S. Consumer Product Safety Commission (CPSC) indicate that approximately 12,000 persons are treated each year in U.S. emergency departments because of fireworks-related injuries; of these, an estimated 20% are eye injuries. To improve characterization of fireworks-related eye injuries, data were analyzed from the United States Eye Injury Registry (USEIR) for July 1990-December 1994 and from the Eye Injury Registry of Alabama (EIRA) for August 1982-July 1989. This report summarizes the findings of these analyses.

Adolescent↗

[Surgical treatment of eye injuries in five-year survey period].

INTRODUCTION: Eye injuries represent one of the biggest problems in eye surgery all around the world, including our country. Treatment of eye injuries demands highly skilled personnel and adequate technical equipment. OBJECTIVE: To show a total number of eye injuries, including the surgical methods used for their treatment. METHODS: In our study, retrospective analysis of all performed surgical methods used in treatment of hospitalized patients in our Clinic during 2000-2004 was carried out. A special attention was paid to pars plana vitrectomy, together with combined anterior-posterior segment procedures. RESULTS: During 2000-2004, a total of 347 pars plana vitrectomy, and 27 traumatic retinal detachments (conventional methods) were performed. In addition, 314 patients with contusion trauma of the eyes were treated. Out of 297 patients with penetrant eye injuries, 196 (66%) had intraocular foreign bodies (IOFB), and 101 (34%) were without IOFB. A total number of endophthalmitis was 34 (8.73%). The number of combined anterior-posterior segment operations during this period was 227. CONCLUSION: Vitreoretinal operations are the most prevailing in treatment of serious eye injuries. Pars plana vitrectomy is also the most common method of surgical treatment of eye injuries.

Eye Injuries↗

Occupational eye injuries in Finland.

In Finland 11.9% of all industrial accidents in 1973 were eye injuries including superficial eye injuries (79.2%), ultraviolet burns of the cornea (3.9%), eye burns (3.6%), blunt ocular trauma (2,5%), wounds (2.4%), and post-traumatic infections (5.8%). Eye injuries constituted 34.3% of all industrial accidents which needed only ambulatory treatment and 17.5% of all industrial accidents causing an absence for 1-2 days. In 1981 2.1% of all compensated industrial accidents (incapacity for work 3 days or more) were eye injuries. Most compensated eye injuries occurred in manufacturing and in construction work (80.4%) and 8.5% occurred in agriculture. The annual incidence rates of compensated accidents to the eyes (accidents X 1 000/number of employees) were highest in several branches of metal industry (4.96-6.88), excavating and foundation work (6.88), and in logging (5.64). Compensated eye injuries were caused by machines (32.8%), hand tools (25.6%), other equipment and constructions (4.8%), work environment (23.6%), chemical substances (10.8%), and other accidents (2.3%).

Accidents, Occupational↗

Penetrating eye injury in war.

The percentage of penetrating eye injuries in war has increased significantly in this century compared with the total number of combat injuries. With the increasing use of fragmentation weapons and possibly laser weapons on the battle-field in the future, the rate of eye injuries may exceed the 13% of the total military injuries found in Operations Desert Storm/Shield. During the Iran-Iraq War (1980-1988), eye injuries revealed that retained foreign bodies and posterior segment injuries have an improved prognosis in future military ophthalmic surgery as a result of modern diagnostic and treatment modalities. Compared with the increasing penetrating eye injuries on the battlefield, advances in ophthalmic surgery are insignificant. Eye armor, such as visors that flip up and down and protect the eyes from laser injury, needs to be developed. Similar eye protection is being developed in civilian sportswear. Penetrating eye injury in the civilian sector is becoming much closer to the military model and is now comparable for several reasons.

Adult↗

The effect of frontal air bags on eye injury patterns in automobile crashes.

OBJECTIVE: To investigate eye injuries resulting from frontal automobile crashes and to determine the effects of frontal air bags. METHODS: The National Automotive Sampling System database files from January 1, 1993, through December 31, 1999, were examined in a 3-part study that included an investigation of 22 236 individual crashes that occurred in the United States. A new 4-level eye injury severity scale that quantifies injuries based on recovery time, need for surgery, and possible loss of sight was developed. RESULTS: Of all occupants who were exposed to an air bag deployment, 3% sustained an eye injury. In contrast, 2% of occupants not exposed to an air bag deployment sustained an eye injury. A closer examination of the type of eye injuries showed that there was a statistically significant increase in the risk of corneal abrasions for occupants who were exposed to an air bag compared with those who were not (P =.03). Of occupants exposed to an air bag deployment, 0.5% sustained a corneal abrasion compared with 0.04% of occupants who were not exposed to an air bag. CONCLUSIONS: Using the new injury levels, it was shown that although occupants exposed to an air bag deployment had a higher risk of sustaining minor eye injuries, the air bag appears to have provided a beneficial exchange by reducing the number of severe eye injuries.

Accidents, Traffic↗

Penetrating eye injuries in young children.

BACKGROUND: Penetrating eye injuries remain an important cause of blindness among children. METHODS: Thirty consecutive children, nine years of age or younger, were treated for penetrating eye injuries. Twenty-two (73%) of those patients studied were male and 8 (17%) were female. The average age of the patients was 4.6 years. Sharp objects accounted for the majority of injuries (83%). Twenty (66%) eyes required only primary repair and 10 (33%) eyes required secondary lensectomy and vitreous surgery, which was done within 10 days of the primary repair. Length of follow-up ranged from 6 months to 48 months, and 5 patients were lost to follow-up. RESULTS: Visual acuity of 20/40 or better was achieved in 13 (72%) of the 18 patients requiring only primary repair. Stereopsis was present in 13 (87%) of these patients. Of those patients that underwent secondary lensectomy with anterior or pars plana vitrectomy, 42% had visual acuity of 20/100 or better. None had stereopsis. CONCLUSION: Young children with penetrating eye injuries requiring only primary repair may achieve excellent visual recovery, whereas those with traumatic cataract necessitating lensectomy and vitreous surgery have a less favorable outcome because of more severe injury and subsequent amblyopia.

Amblyopia↗

Incidence of emergency department-treated eye injury in the United States.

OBJECTIVE: To present the descriptive epidemiology of emergency department-treated eye injury in the United States. METHODS: Data from the Consumer Product Safety Commission's National Electronic Injury Surveillance System All Injury Program was used to estimate the number of patients treated in US emergency departments for eye injuries. Eye injury rates were calculated according to age, sex, and race, and characteristics of the injury event were determined. RESULTS: The rate of emergency department-treated eye injury in the United States is 3.15 per 1000 population (95% confidence interval, 2.66-3.63). Rates were highest among those in their 20s and 30s, among males, and among American Indians and African Americans. The majority of injuries occurred in the home, and contusions and abrasions were the most common types of injury. CONCLUSION: This study documents the burden of eye injury in the United States and identifies areas wherein future research activities should be directed.

Adolescent↗

Prevention and treatment of common eye injuries in sports.

Sports have become increasingly popular and account for numerous eye injuries each year. The sports that most commonly cause eye injuries, in order of decreasing frequency, are basketball, water sports, baseball, and racquet sports. Sports are classified as low risk, high risk, and very high risk. Sports-related eye injuries are blunt, penetrating, and radiation injuries. The use of eye protection has helped to reduce the number and severity of eye injuries. The American Society for Testing and Materials has established performance standards for selected eyewear. Consultation with an eye care professional is recommended for fitting protective eyewear. The functionally one-eyed, or monocular, athlete should take extra precautions. A preparticipation eye examination is helpful in identifying persons who may be at increased risk for eye injury. Sports-related eye injuries should be evaluated on site with an adequate examination of the eye and adnexa. Minor eye injuries may be treated on site. The team physician must know which injuries require immediate referral to an ophthalmologist and the guidelines for returning an athlete to competition.

Athletic Injuries↗

Work-related eye injuries treated in hospital emergency departments in the US.

BACKGROUND: Eye injuries account for 3.3% of all occupational injuries resulting in lost workdays in private industry in the United States. Work-related eye injuries among individuals 15 years of age and older treated in hospital emergency departments (EDs) in the United States in 1999 were investigated in this study. METHODS: Work-related eye injuries treated in hospital EDs in the US were identified from the Work-Related Injury Statistics Query System (Work-RISQS). National estimates of the numbers and rates per 10,000 full-time worker equivalents (FTE) of work-related eye injuries were determined by gender and age. The characteristics of these injuries were described, including the injury event, the main source of injury, injury diagnosis, and the disposition of the injured patient. RESULTS: In 1999, there were approximately 280,000 (95% confidence interval (CIs) +/- 66,400) work-related eye injuries treated in hospital EDs, with individuals 20-34 years of age at highest risk for work-related eye injury. Foreign-bodies in the eye and chemical burns were among the most common types of work-related eye injuries. CONCLUSIONS: The findings of this study underscore the need for use of appropriate eye protection and implementation, and enforcement of eye protection policies in the workplace to prevent work-related eye injuries.

Adolescent↗