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At least 19 recordsLinked to original sources

Traumatic injuries: office treatment of eye injury. 1. Injury due to foreign materials.

Patients with eye injuries caused by foreign materials are often seen by the primary physician. The causative agents may be foreign objects, noxious liquids or vapors, ultraviolet irradiation, or contact lenses. Injuries caused by foreign bodies that do not penetrate the outer coats of the eye can be treated by the nonspecialist; the intraocular presence of an object requires prompt referral to an ophthalmologist. Ultraviolet light irradiation and contact lenses worn for a prolonged period cause a great deal of pain to the eye but injury is not serious and the eye heals well. Injury from chemicals may be moderate or severe; if pain and functional impairment persist after copious irrigation of the eye with sterile saline solution, the patient should be referred to an ophthalmologist.

Contact Lenses

Shotgun eye injuries. Ocular risk and eye protection efficacy.

BACKGROUND: Little is known about the efficacy of shotgun eye protection. Shotguns can easily propel pellets with enough energy to penetrate the human eye, and a large percentage of shotgun eye injuries occur during shotgun sports such as hunting, trap, skeet, and sporting clays. Many of these injuries are preventable with proper eye protection. Although it is known that polycarbonate is the best lens material for shotgun eye protection, there has been no research that addresses the vision protective system design and its influence on eye protection. METHODS: A field study was performed during which shotshells were fired at 1:1 scale photographs of human faces to determine the risk of ocular trauma. The protective efficacy of three types of polycarbonate protective eye wear (standard industrial safety glasses with snap-on side shields, wrap-around racket sport glasses, and three-piece glasses with integral side shields) was tested by firing shotshells at them at various distances. Both frontal and side protection was evaluated. RESULTS: Results showed that the eye is at a high risk (55% to 100%) of being hit with shot pellets at ranges of 15 to 40 yards. It also was determined that the protective eye wear will give good frontal eye protection from shotgun pellets but integral side shields and a headband are necessary to obtain adequate side protection. CONCLUSION: These findings, coupled with the poor visual prognosis of ocular shotgun injuries, indicate that polycarbonate protective eye wear with integral side shields and headbands should be worn by all involved with shotgun sports.

Eye Injuries, Penetrating

Eye injuries.

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Eye Injuries

Penetration eye injuries in the workplace. The National Eye Trauma System Registry.

Occupational eye injuries are common and preventable. Between 1985 and 1991, there were 635 work-related penetrating eye injuries among the 2939 cases (22%) reported to the National Eye Trauma System Registry by 48 collaborating centers in 28 states and Washington, DC. The median age of the injured workers was 30 years; 75% were younger than 40 years; and 97% were male. The commonest causes of injuries were projectiles (457 cases), sharp objects (166 cases), blunt objects (60 cases), and blasts (22 cases); these terms are not mutually exclusive. Specific objects causing injuries included nails, wire, screwdrivers, and other hand tools. There was evidence of alcohol use by at least 2% of the injured workers. When they were injured, 6% of the workers were wearing safety glasses; 3% were wearing nonsafety eyewear. Posterior segment trauma, which occurred in 63% of the cases, included vitreous hemorrhage (42%), intraocular foreign bodies (35%), and retinal detachment (10%). Hyphema occurred in 35% and traumatic cataract in 32% of the cases. Initial visual acuity after injury was hand motion or worse in 43% of the cases. National Eye Trauma System Registry data are useful to identify strategies to prevent occupational eye injuries such as wider use of safety glasses and improvement in engineering controls.

Accidents, Occupational

Perforating eye injuries caused by occupational accidents treated at Helsinki University Eye Hospital 1970--1977.

This study concerns perforating eye injuries caused by occupational accidents in the years 1970--1977. These injuries represented 40% of all perforations treated during this period at Helsinki University Eye Hospital. The results were compared with the previous series from this hospital for the years 1950--1951 and 1930--1939. Of the patients 92% were males, a slight percentage decrease from the fifties. The youngest age group, 16--25 years, was also the largest (30%). Earlier the next age group, 26--35 years, was largest. The proportion of workers in building construction with eye injuries increased remarkably to 26.6%. Metal workers made up another large group affected by eye perforations (24.5%). Agricultural work lost its importance as the cause of perforations as compared with the previous decades. The commonest cause of eye accidents was still hammering. Flying objects, especially metal splinters, were important causes now as well as in the previous series. Prognosis was much better in the present series than earlier: 60% of patients achieved vision of 0.5 or better, as compared with 40% in the fifties and 20% in the thirties.

Accidents, Occupational

Predictors of blinding or serious eye injury in blunt trauma.

Multivariate analysis was used to identify factors predicting injury and visual outcome in 94 blunt trauma patients evaluated for eye injuries among 6700 admissions to a level I trauma center over a 29-month period. Patients with penetrating eye injuries were excluded from this review. Eye injury was detected in 93% or 87 of the patients evaluated. Seven percent of eye injuries resulted in blindness, 22% were serious (visual acuity between 20/40 and 20/200 or eye injury requiring surgery), and 71% were temporary (final visual acuity of 20/40 or better). The presence of an afferent pupillary defect or a nonreactive pupil was the most important factor in predicting the severity of eye injury (p = 0.0023), followed by facial fractures (p = 0.0084), and no eye opening or eye opening to pain within the Glasgow Coma Scale (p = 0.02). Eye injury is an infrequent complication of blunt trauma. Appropriate consultation for evaluation of this problem can be obtained based on findings from the initial history and screening physical examination.

Adolescent

[Eye injuries in squash].

The characteristics of a type of ball game that has only become popular in the last ten to twenty years, the game of Squash are being described. The causes and degree of possible ocular injuries are based on personal observation and the available literature. The conclusion is that patients presenting respective ocular changes should not attempt to play this hazardous ball game.

Athletic Injuries