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1.
Br J Sports Med ; 54(1): 23-26, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30988018

RESUMO

OBJECTIVES: To describe ocular injuries caused by badminton and to explore the implications for future prevention strategies. METHODS: We enrolled 85 patients with ocular trauma caused by badminton. Information collected from patients included type of game, instigator, instrument of injury and lessons in badminton from a professional, and ocular trauma information such as type of injury, treatment and final outcomes. RESULTS: The 85 patients (52 men, 33 women) were aged 15-65 years with an average age of 42.9 (±10.7) years. In 60 cases the player was hit by a shuttlecock and in 25 the player was hit by a racquet. 73 cases occurred in doubles matches and 10 in singles matches. In 31 cases the trauma was caused by an opponent and in 52 cases by a partner; 2 cases involved bystanders, not players. About 70% (43/61) of the injured and 82% (40/49) of the instigators had not received badminton lessons from a professional. 80 injuries were non-penetrating and 5 were penetrating. There were 58 cases with hyphaema, 36 with secondary glaucoma, 23 with lens subluxation and 2 with retinal detachment. Surgery comprised phacoemulsification or lensectomy and vitrectomy in 16 cases, silicone oil tamponade in 2 cases, trabeculectomy in 3 cases and direct cyclopexy in 5 cases. CONCLUSION: The vast majority of the badminton related eye injuries occurred among doubles players and were instigated by the injured person's partner. Non-penetrating injury was more frequent; penetrating injury was usually more serious. We recommend that badminton players use protective eyewear and receive safety education and professional coaching/instruction on techniques to protect against serious eye injuries.


Assuntos
Traumatismos Oculares/etiologia , Traumatismos Oculares/prevenção & controle , Esportes com Raquete/lesões , Adolescente , Adulto , Traumatismos Oculares/complicações , Traumatismos Oculares/cirurgia , Ferimentos Oculares Penetrantes/complicações , Ferimentos Oculares Penetrantes/etiologia , Ferimentos Oculares Penetrantes/prevenção & controle , Ferimentos Oculares Penetrantes/cirurgia , Dispositivos de Proteção dos Olhos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/etiologia , Ferimentos não Penetrantes/prevenção & controle , Ferimentos não Penetrantes/cirurgia , Adulto Jovem
3.
Ophthalmic Surg Lasers Imaging Retina ; 50(7): 466-467, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-31344249

RESUMO

Complications of posterior sub-Tenon's steroid injections like glaucoma, cataract, sub-conjunctival hemorrhage and ptosis are well known. The authors present this photo essay to highlight a rare but serious complication of globe perforation secondary to posterior sub-Tenon's triamcinolone injection and describe its management. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:466-467.].


Assuntos
Ferimentos Oculares Penetrantes/etiologia , Glucocorticoides/administração & dosagem , Injeções Intraoculares/efeitos adversos , Erros Médicos , Triancinolona Acetonida/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade
6.
BMC Ophthalmol ; 19(1): 26, 2019 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-30665380

RESUMO

BACKGROUND: A few case reports have described accidental eye injuries caused by fish hooks. The severity of ocular injuries is dependent on the involved ocular structures. Severe ocular injuries due to fish hooks are rare. We describe open globe and penetrating eyelid injuries from fish hooks at the Baltic Sea. METHODS: Nine patients with traumatic ocular injuries caused by fish hooks were included. The following parameters were evaluated: severity of injury, best corrected visual acuity at admission and last follow-up, and surgical treatment. RESULTS: All nine patients were male. Age ranged between 7 and 51 years with a median of 13 years. Sixty-seven percent of the patients were children. Four of the nine patients were 9 years or younger. In 5 eyes (55%) the injury was limited to the eyelid. An open globe injury was found in 4 patients (45%). The mean follow-up was 16.7 ± 32.8 months. All patients required surgical treatment. The number of operations ranged from 1 to 3, with a mean of 1.4. At admission and last follow-up, patients with eyelid injuries showed a median best corrected visual acuity (BCVA) of logMAR 0.0. Patients with open globe injuries showed a median best corrected visual acuity of logMAR 1.5 at admission, and of logMAR 0.6 at last follow-up. CONCLUSIONS: Nearly half of the patients suffered severe penetrating injuries. Especially children misjudge the risk potential of fishing due to their lack of experience. Fishing glasses should be worn not only for UV protection, but also as injury prevention strategy.


Assuntos
Corpos Estranhos no Olho/etiologia , Ferimentos Oculares Penetrantes/etiologia , Recreação , Adolescente , Adulto , Criança , Corpos Estranhos no Olho/fisiopatologia , Corpos Estranhos no Olho/cirurgia , Ferimentos Oculares Penetrantes/fisiopatologia , Ferimentos Oculares Penetrantes/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Acuidade Visual/fisiologia , Adulto Jovem
7.
Am J Emerg Med ; 37(3): 427-432, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-29887192

RESUMO

PURPOSE: While generally reducing morbidity and mortality, TASER® electrical weapons have risks associated with their usage, including burn injuries and head and cervical trauma associated with uncontrolled falls. The primary non-fatal complications appear to be significant eye injury but no analysis of the mechanisms or suggested treatments has been published. METHODS: We used a biomechanical model to predict the risk of eye injury as a function of distance from the weapon muzzle to the eye. We compared our model results to recently published epidemiological findings. We also describe the typical presentation and suggest treatment options. RESULTS: The globe rupture model predicted that a globe rupture can be expected (50% risk) when the eye is within 6 m of the muzzle and decreases rapidly beyond that. This critical distance is 9 m for lens and retinal damage which is approximately the range of the most common probe cartridges. Beyond 9 m, hyphema is expected along with a perforation by the dart portion of the probe. Our prediction of globe rupture out to 6 m (out of a typical range of 9 m) is consistent with the published risk of enucleation or unilateral blindness being 69 ±â€¯18%, with an eye penetration. CONCLUSIONS: Significant eye injury is expected from a penetration by an electrical weapon probe at close range. The risk decreases rapidly at extended distances from the muzzle. Not all penetrating globe injuries from electrical weapon probes will result in blindness.


Assuntos
Lesões por Armas de Eletrochoque/patologia , Ferimentos Oculares Penetrantes/patologia , Adolescente , Adulto , Fenômenos Biomecânicos , Cegueira/etiologia , Cegueira/patologia , Enucleação Ocular , Ferimentos Oculares Penetrantes/etiologia , Feminino , Balística Forense , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Polícia/legislação & jurisprudência , Estados Unidos , Adulto Jovem
8.
Orbit ; 38(3): 233-235, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29461922

RESUMO

A 9-year-old girl was reviewed by a tertiary ophthalmology service after being hit in her right upper eyelid by a fish whilst swimming. Initial wound exploration demonstrated fish scales in the wound. She was first treated conservatively with washout of the 5-mm wound and was discharged with oral ciprofloxacin. Five days later, the patient re-presented with a worsened ptosis due to periorbital swelling. Ultrasound of the upper lid demonstrated a foreign body in the upper lid. The patient was taken to theatre and, with the assistance of intraoperative ultrasound, the jaws of a needle fish were removed from the upper lid. The case highlights the importance of ultrasound and its intraoperative utility in cases of trauma and a suspicion of retained foreign bodies as well as the potential danger of fish injuries off the West Australian coast.


Assuntos
Beloniformes/lesões , Corpos Estranhos no Olho/etiologia , Ferimentos Oculares Penetrantes/etiologia , Pálpebras/lesões , Animais , Austrália , Criança , Corpos Estranhos no Olho/diagnóstico por imagem , Corpos Estranhos no Olho/cirurgia , Ferimentos Oculares Penetrantes/diagnóstico por imagem , Ferimentos Oculares Penetrantes/cirurgia , Pálpebras/diagnóstico por imagem , Feminino , Humanos , Ultrassonografia
9.
Eur J Ophthalmol ; 29(1): 23-27, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29609478

RESUMO

INTRODUCTION:: To report visual outcomes and risk factors of pediatric traumatic cataracts in a tertiary care referral center in northern India. METHODS:: We analyzed medical records of traumatic cataracts in the pediatric age group (1-15 years) operated for cataract surgery with or without posterior chamber intraocular lens implantation with or without primary posterior capsulotomy with anterior vitrectomy between 2004 and 2012. Causative agents, types of trauma, demographic factors, surgical interventions, complications, and visual acuity were recorded and compared among different groups. RESULTS:: A total of 147 children were documented to have undergone cataract surgery for traumatic cataract in the study period, male-to-female ratio being approximately 5:1. Mean age was 7.67 ± 3.30 years (range, 1-15 years). Type of primary insult was penetrating injury in 100 (68%) patients and blunt trauma in 47 (32%) patients. Mean interval between injury and cataract surgery in penetrating injury cases was 3.84 ± 7.05 months and in the blunt injury cases was 6.28 ± 11.13 months. Preoperatively, only 110 patients were cooperative for visual acuity. Out of them, none had vision better than 6/18 and only 21 patients (19.9%) had vision of ≥6/60. Visual acuity of 6/18 or better (was considered good visual outcome) was achieved by 87.9%, 97.3%, and 97.9% at 1, 6, and 36 months, postoperatively. Eyes which underwent primary posterior capsulotomy and anterior vitrectomy during cataract surgery showed statistically better visual outcome than those without it. CONCLUSION:: Phacoaspiration with posterior chamber intraocular lens implantation along with primary posterior capsulotomy and anterior vitrectomy and timely introduction of amblyopia therapy helped in gaining good visual outcome in pediatric traumatic cataract patients irrespective of the age of presentation and the type of injury.


Assuntos
Catarata/etiologia , Ferimentos Oculares Penetrantes/etiologia , Implante de Lente Intraocular , Cristalino/lesões , Facoemulsificação , Acuidade Visual/fisiologia , Adolescente , Catarata/fisiopatologia , Criança , Pré-Escolar , Ferimentos Oculares Penetrantes/fisiopatologia , Ferimentos Oculares Penetrantes/cirurgia , Feminino , Humanos , Lactente , Masculino , Vitrectomia
10.
N Z Vet J ; 67(1): 46-51, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30198394

RESUMO

CASE HISTORY Thirteen cats developed ophthalmic complications following dental procedures in Australia and New Zealand between December 2014 and February 2018. All cats had at least one maxillary tooth extracted and some received a transoral maxillary nerve block. CLINICAL FINDINGS Ocular signs were identified at a median of 1.5 (min 0, max 14) days following elective dental procedures and included fibrin in the anterior chamber, aqueous flare, vision loss and miosis. Response to medical management was poor overall, with 7/13 (54%) cats undergoing subsequent enucleation and one cat was subjected to euthanasia shortly after the dental procedure due to ocular disease. The remaining five cats were managed medically. Of these, four exhibited signs of persistent inflammation at the last ophthalmic assessment, and one was subsequently subjected to euthanasia due to reasons unrelated to ocular health. Active inflammation resolved in one cat, however the lesions caused by previous inflammation persisted. PATHOLOGICAL FINDINGS Assessment of six enucleated globes showed a variety of pathological changes, with marked fibrinous exudation and suppurative inflammation as predominant features. A scleral penetration site was identified in three globes. Four globes had lens capsule rupture and phacoclastic uveitis. DIAGNOSIS Endophthalmitis following iatrogenic globe penetration during routine dental procedures. CLINICAL RELEVANCE This case series demonstrates that globe penetration during dental procedures carries a poor prognosis for the eye. Clinicians should be aware of the risks of ocular trauma during dental procedures in cats and great care should be taken to avoid ocular penetration, particularly during tooth extractions. Transoral maxillary nerve blocks should be avoided or used with extreme caution in cats.


Assuntos
Doenças do Gato/etiologia , Endoftalmite/veterinária , Enucleação Ocular/veterinária , Ferimentos Oculares Penetrantes/veterinária , Bloqueio Nervoso/veterinária , Extração Dentária/veterinária , Animais , Austrália , Gatos , Odontologia/métodos , Odontologia/veterinária , Endoftalmite/complicações , Eutanásia Animal , Oftalmopatias/complicações , Oftalmopatias/veterinária , Enucleação Ocular/efeitos adversos , Ferimentos Oculares Penetrantes/complicações , Ferimentos Oculares Penetrantes/etiologia , Feminino , Masculino , Bloqueio Nervoso/efeitos adversos , Nova Zelândia , Extração Dentária/efeitos adversos , Extração Dentária/métodos
11.
Eur J Ophthalmol ; 29(5): NP14-NP17, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30284472

RESUMO

AIM: To present a case with a large traumatic macular hole that we repaired with a retinal graft. CASE DESCRIPTION: A 24-year-old male patient presented with corneal penetration and an intraocular foreign body caused by a work accident. Vitrectomy and intraocular foreign body removal were performed. One month after the surgery, the patient had macula on retinal detachment in the nasal and superior quadrant. In addition, a giant macular hole was formed. However, the macula was atrophic because of the trauma, and we could not repair the hole with classic macular hole surgery techniques. For this reason, we used a retinal graft to cover the macular hole, and we observed that the hole was closed in follow-up visits. CONCLUSION: Retinal grafts can be used in patients with giant macular holes. They may be useful especially in patients with atrophic macula in trauma cases.


Assuntos
Lesões da Córnea/cirurgia , Corpos Estranhos no Olho/cirurgia , Ferimentos Oculares Penetrantes/cirurgia , Traumatismos Ocupacionais , Retina/transplante , Perfurações Retinianas/cirurgia , Lesões da Córnea/etiologia , Tamponamento Interno , Corpos Estranhos no Olho/etiologia , Ferimentos Oculares Penetrantes/etiologia , Humanos , Macula Lutea , Masculino , Descolamento Retiniano/etiologia , Descolamento Retiniano/cirurgia , Perfurações Retinianas/etiologia , Óleos de Silicone , Acuidade Visual/fisiologia , Vitrectomia/métodos , Adulto Jovem
12.
J Fr Ophtalmol ; 42(1): 37-43, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30559016

RESUMO

PURPOSE: To describe the ocular findings and management of Hymenoptera insect stings. METHODS: We treated and followed 8 patients with ocular Hymenoptera stings. All patients were admitted through emergencies and hospitalized at the Hedi Rays eye institute in Tunis. RESULTS: The site of the sting was the cornea in 5 cases, limbus in one case, conjunctiva in one case and upper lid in the last case. Retained stingers were objectified in 4 cases. Immediate surgical extraction carried out in all cases. We also followed one case of post-sting Adie's syndrome and one case of retrobulbar optic neuritis. The sting was conjunctival in one case and palpebral in the other case. Corticosteroids were ineffective in these two cases. CONCLUSION: Ocular Hymenoptera stings are rare environmental accidents. They may cause various severe ocular complications. Early management, adapted to the clinical manifestations, is the key to a good outcome.


Assuntos
Ferimentos Oculares Penetrantes/etiologia , Ferimentos Oculares Penetrantes/terapia , Himenópteros , Mordeduras e Picadas de Insetos/complicações , Mordeduras e Picadas de Insetos/terapia , Corticosteroides/administração & dosagem , Adulto , Animais , Ciclosporina/administração & dosagem , Ferimentos Oculares Penetrantes/patologia , Feminino , Humanos , Mordeduras e Picadas de Insetos/patologia , Masculino , Soluções Oftálmicas , Estudos Retrospectivos , Tunísia
13.
J Cataract Refract Surg ; 45(1): 8-10, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30391155

RESUMO

We describe a technique for pediatric traumatic cataract management in cases in which part of the anterior capsule has been ruptured. The technique requires creating a 2-incision push-pull capsulorhexis in the intact anterior capsule. The capsulorhexis is made in a manner that converts the edge of the ruptured anterior capsule into a band of capsule that holds the intraocular lens (IOL) in the bag, reducing the incidence of early, intermediate, or late postoperative lens-iris capture. It also reduces the chances of IOL displacement.


Assuntos
Ruptura da Cápsula Anterior do Olho/cirurgia , Capsulorrexe/métodos , Extração de Catarata/métodos , Catarata/etiologia , Ferimentos Oculares Penetrantes/cirurgia , Cristalino/lesões , Ferimentos não Penetrantes/cirurgia , Adolescente , Ruptura da Cápsula Anterior do Olho/etiologia , Criança , Pré-Escolar , Corantes/administração & dosagem , Ferimentos Oculares Penetrantes/etiologia , Humanos , Implante de Lente Intraocular , Azul Tripano/administração & dosagem , Viscossuplementos/provisão & distribução , Acuidade Visual/fisiologia , Vitrectomia/métodos , Ferimentos não Penetrantes/etiologia
14.
J Craniofac Surg ; 29(7): e679-e680, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30106813

RESUMO

This study describes a 68-year-old man who was presented to the emergency department with left orbital cavity penetration by his eyeglasses. The eyeglasses had entered the orbit and at presentation his eyesight could not be measured. The foreign body was extracted carefully and panfacial bone fractures were then reduced through lateral rhinotomy combined with a lip-splitting incision. When planning removal of an unusual foreign body from the orbital cavity, care should be taken not to injure the optic nerve, periorbital musculatures, or the eyeball.


Assuntos
Ferimentos Oculares Penetrantes/cirurgia , Óculos/efeitos adversos , Corpos Estranhos/cirurgia , Fraturas Orbitárias/cirurgia , Idoso , Blefaroptose/etiologia , Blefaroptose/cirurgia , Ferimentos Oculares Penetrantes/etiologia , Corpos Estranhos/complicações , Humanos , Masculino , Fraturas Orbitárias/etiologia
18.
Graefes Arch Clin Exp Ophthalmol ; 256(7): 1347-1352, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29546473

RESUMO

PURPOSE: To investigate the clinical characteristics and visual outcomes in patients with fall-related open globe injuries and to evaluate differences between fall-related and non-fall-related open globe injuries in Japan. METHODS: A retrospective review of patients with open globe injury who presented to Japan-Clinical Research of Study (J-CREST) hospitals between 2005 and 2015 was enrolled. Clinical information including age, sex, initial visual acuity, final visual acuity, type of injury, status of the crystalline lens, zone of injury, wound length, presence of retinal detachment, proliferative vitreoretinopathy, expulsive hemorrhage, and endophthalmitis was recorded. RESULTS: A total of 374 eyes were enrolled, of which 120 (32.1%) suffered from fall-related injury with average age of 73.7 ± 15.9 years (range, 11-101 years). A majority of patients were female (55.8%). Of 120 patients with fall-related injury, 109 (90.8%) presented with rupture and 11 (9.2%) with laceration. A multiple regression analysis revealed that final visual acuity was significantly associated with initial visual acuity (r = 0.99, P < 0.001). Compared to non-fall-related open globe injuries, fall-related open globe injuries were associated with elderly age, female sex, poorer initial and final visual acuity, rupture, absence of the lens, larger wound size, retinal detachment, expulsive hemorrhage, and absence of endophthalmitis (P < 0.01). CONCLUSIONS: Fall-related open globe injuries were more frequent in elderly female and accompanied by larger wound lengths and severer ocular complications. Visual outcomes in patients with fall-related open globe injuries were related to initial visual acuity.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Ferimentos Oculares Penetrantes/etiologia , Medição de Risco/métodos , Acuidade Visual , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Ferimentos Oculares Penetrantes/diagnóstico , Ferimentos Oculares Penetrantes/epidemiologia , Feminino , Seguimentos , Humanos , Incidência , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Ruptura , Distribuição por Sexo , Índices de Gravidade do Trauma , Adulto Jovem
19.
J AAPOS ; 22(3): 237-238, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29548836

RESUMO

Drones are increasingly being used by children and adults recreationally and commercially. The propeller blades when spinning at high speeds may cause serious harm to the eye and orbital structures. We report 2 cases of injuries to the eye and orbital structures caused by drones.


Assuntos
Lesões da Córnea/etiologia , Ferimentos Oculares Penetrantes/etiologia , Pálpebras/lesões , Sistemas Homem-Máquina , Traumatismo Múltiplo/etiologia , Órbita/lesões , Jogos e Brinquedos/lesões , Criança , Lesões da Córnea/diagnóstico , Lesões da Córnea/cirurgia , Ferimentos Oculares Penetrantes/diagnóstico por imagem , Feminino , Humanos , Lactente , Masculino , Traumatismo Múltiplo/diagnóstico por imagem , Ultrassonografia
20.
J AAPOS ; 22(5): 399-400.e1, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29574138

RESUMO

We report the case of a 6-year-old girl with a penetrating ocular injury caused by a Burmese python. She received intravenous cefazolin before presenting and was treated thereafter with daily topical antibiotics and atropine. Six weeks after injury, she underwent cataract extraction and sulcus implantation of an intraocular lens and iris synechiolysis, with postoperative patching. Final visual outcome was excellent despite no globe repair was performed.


Assuntos
Boidae , Catarata/etiologia , Lesões da Córnea/etiologia , Ferimentos Oculares Penetrantes/etiologia , Cristalino/patologia , Mordeduras de Serpentes/complicações , Animais , Extração de Catarata , Criança , Feminino , Humanos , Implante de Lente Intraocular
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