The Life and Death of Lord Nelson: The Leader, the Patient, the Legend.

Admiral Lord Horatio Nelson is perhaps the most renowned naval commander, who allowed Britain to have dominion over the sea for 100 years after his victory at the Battle of Trafalgar. He was able to do so despite suffering from a multitude of communicable diseases and traumatic injuries, including the functional loss of his right eye, amputation of his right arm, scalp laceration, head injury, and finally a spinal injury. These injuries had permanent consequences but did not stop him from leading the charge and allowing the British to defeat the French and Spanish fleets in the decisive Battle of Trafalgar.

Lesiones oftálmicas en La Ilíada de Homero / Ophthalmic injuries in The Iliad of Homer

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Eye Injuries across history and the evolution of eye protection.

PURPOSE: To describe the history of eye injuries and the consequent evolution of eye protection. METHODS: A comprehensive search of Medline and the grey literature using the terms 'ocular trauma' and 'eye protection' or 'injury prevention' and 'history'. References were used to identify other relevant publications. Publications were classified according to the setting of eye injury: occupational, recreational or combat-related. RESULTS: Eye protection has been described in a wide range of sources, including in literature and art. With advances in eye protection material and design, as well as government and societal promotion of appropriate eye protection usage in the workplace, the epidemiology of ocular trauma has changed over time. In developed countries, the use of eye protection in the workplace has reduced the proportion of occupation-related eye injuries over the last century, with a higher proportion occurring during sports or at home. New protection devices and policies have evolved to meet this change. CONCLUSION: Vision loss has broad implications for the individual and for society and despite available prevention strategies, ocular trauma is a significant cause of preventable monocular and bilateral vision loss. The use of appropriate eye protection has reduced the burden of ocular trauma. History provides lessons for informing current eye protection and eye injury prevention strategies.

Photic maculopathy: A review of the literature (I). / Maculopatía fótica: revisión de la literatura (I).

The human retina, as transducer of light energy, is especially exposed to light toxicity. Solar maculopathy has been the only form of photic maculopathy for millennia, often secondary to the observation of an eclipse. During the last century, technological advances have led to the appearance of new forms of photic maculopathy, related to the exposure to new forms of artificial light, such as welding devices and lasers. In recent years, the general use of laser pointers has led to an upturn in interest in this pathology. The aim of this review is to offer an integrated view of the different types of photic maculopathy. Due to the extension of this topic, the review is presented divided into two parts. In this first part solar maculopathy and welding arc maculopathy are presented.

How Protective Eyewear Has Changed Dramatically Over the Decades.

Today's safety eyewear can be so lightweight and comfortable that at times workers don't even notice they are wearing it once it's on.

Lesiones oculares provocadas por el gas mostaza (sulfuro de dicloroetilo) durante la I Guerra Mundial: clínica, terapéutica y secuelas / Eye injuries caused by mustard gas (dichloroethyl sulphide) during the 1st World War: clinical, therapeutica and sequelae

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Cuidados oftalmológicos en la Guerra de Vietnam, medio siglo después. Datos obtenidos del Ejército Estadounidense / Ophthalmic care in the Vietnam War, half a century later. Data obtained from United States Army

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The effects of World War I upon French ophthalmology.

Among the health emergency of World War 1, the one relating to the visual organs injuries is one of the most serious. The use of weapons of new type (grenades, shells, shrapnel) that produce chips that are projected on faces, brings the number of soldiers eye injured to an already impressive quantity at the end of the first year of conflict. This emergency is completely unexpected and it is particularly serious because this kind of trauma was extremely disabling. This situation cause a reaction by French ophthalmologists who start working to improve the organization of assistance, to administer effective treatments and surgery, and even on some issues beyond the medical field (legislation, assistance for war blinds). This article presents the main issues that French ophthalmologists have had to confront with during the Great War and, through this, to question the impact of the First World War on the development of ophthalmology as a medical specialty.

Una herida ocular que supuso la muerte de un rey en la boda de Felipe II e Isabel de Valois / An eye wound that led to the death of a king in the wedding of Philip II and Elizabeth of Valois

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Historical perspective on effects and treatment of sulfur mustard injuries.

Sulfur mustard (2,2'-dichlorodiethyl sulfide; SM) is a potent vesicating chemical warfare agent that poses a continuing threat to both military and civilian populations. Significant SM injuries can take several months to heal, necessitate lengthy hospitalizations, and result in long-term complications affecting the skin, eyes, and lungs. This report summarizes initial and ongoing (chronic) clinical findings from SM casualties from the Iran-Iraq War (1980-1988), with an emphasis on cutaneous injury. In addition, we describe the cutaneous manifestations and treatment of several men recently and accidentally exposed to SM in the United States. Common, chronic cutaneous problems being reported in the Iranian casualties include pruritis (the primary complaint), burning, pain, redness, desquamation, hyperpigmentation, hypopigmentation, erythematous papular rash, xerosis, multiple cherry angiomas, atrophy, dermal scarring, hypertrophy, and sensitivity to mechanical injury with recurrent blistering and ulceration. Chronic ocular problems include keratitis, photophobia, persistent tearing, sensation of foreign body, corneal thinning and ulceration, vasculitis of the cornea and conjunctiva, and limbal stem cell deficiency. Chronic pulmonary problems include decreases in lung function, bronchitis with hyper-reactive airways, bronchiolitis, bronchiectasis, stenosis of the trachea and other large airways, emphysema, pulmonary fibrosis, decreased total lung capacity, and increased incidences of lung cancer, pulmonary infections, and tuberculosis. There are currently no standardized or optimized methods of casualty management; current treatment strategy consists of symptomatic management and is designed to relieve symptoms, prevent infections, and promote healing. New strategies are needed to provide for optimal and rapid healing, with the goals of (a) returning damaged tissue to optimal appearance and normal function in the shortest period of time, and (b) ameliorating chronic effects. Further experimental research and clinical trials will be needed to prevent or mitigate the acute clinical effects of SM exposure and to reduce or eliminate the long-term manifestations.