scispace - formally typeset
Search or ask a question

Showing papers on "Eye injuries published in 1982"


Journal ArticleDOI
TL;DR: The anterior segments of 212 eyes were evaluated one to 14 years after contusional eye injuries, finding that functional corneal sequelae were rare, but occasionally cornea opacities masked perforating injuries.
Abstract: The anterior segments of 212 eyes (205 patients) were evaluated one to 14 years after contusional eye injuries. Anterior chamber angle recession was the commonest complication, occurring in 153 of 190 eyes examined (80.5%). However, only one patient developed ocular hypertension. Iris abnormalities were found in 37.3% of eye injured, the most common abnormalities being marginal tears and pupillary defects. Cataract or lens dislocation attributable to trauma occurred in 24.5% of eyes, but most lens opacities were localised, stationary, and not associated with significant loss of vision. 15.4% of eyes developing lens opacities had cataract extraction within 18 months of the injury. Functional corneal sequelae were rare, but occasionally corneal opacities masked perforating injuries.

109 citations


Journal ArticleDOI
TL;DR: Results of the survey show that eye trauma is a relatively common problem in this developing country, occurring most frequently in children, young adults, and males, during the period of January 1976 to December 1977.
Abstract: A survey was made of 205 patients admitted to hospital for ocular trauma in Malawi in south-east Africa from January 1976 to December 1977. Results of the survey show that eye trauma is a relatively common problem in this developing country, occurring most frequently in children, young adults, and males. Most eye injuries in Malawi occurred under domestic circumstances; the major cause of ocular trauma was associated with chopping and gathering wood. Industrial injuries were rare. The most common injury was contusion and the most frequent complication was traumatic cataract. Most treated eyes retained useful vision.

56 citations


Journal ArticleDOI
TL;DR: Four children with self-inflicted ocular injuries ranging from corneal lacerations to vitreous hemorrhage and retinal detachment were treated and one child, a 14-year-old boy with tuberous sclerosis, became blind.

28 citations


Journal ArticleDOI
TL;DR: The ball caused 90% of the most serious racquetball injuries and 67% of those in squash, and players who wear prescription lenses are particularly at risk during play, because the glasses cannot withstand balls and rackets traveling at speeds of up to 127 mph.
Abstract: In brief From the summer of 1978 to May 1981 there were 154 eye injuries from squash and 91 from racquetball reported to the eye surgeons of Canada. The ball caused 90% of the most serious racquetball injuries and 67% of those in squash. Fifty-two players reported eye injuries that occurred while wearing open eye guards. Only two injuries occurred involving protectors with plastic in front of the eye. Players who wear prescription lenses are particularly at risk during play, because the glasses cannot withstand balls and rackets traveling at speeds of up to 127 mph.

27 citations


Journal ArticleDOI
TL;DR: The main histological features observed after an experimental posterior contusion injury in the pig eye were haemorrhage from the choroidal vessels into the subretinal space and into the vitreous, uveal vessel dilatation, and an inflammatory reaction.
Abstract: The main histological features observed after an experimental posterior contusion injury in the pig eye were haemorrhage from the choroidal vessels into the subretinal space and into the vitreous, uveal vessel dilatation, and an inflammatory reaction. These changes resolved during the first 2 weeks, and the subretinal haemorrhage was replaced by a fibrocellular membrane. The addition of a posterior penetrating injury resulted in fibrocellular proliferation at the wound site 6 days after injury and in formation of vitreoretinal traction membranes and subsequent traction retinal detachment. Posterior vitreous separation did not occur.

25 citations


Journal ArticleDOI
TL;DR: An 18-year-old engineer was measuring the charge of a car battery which had been on overnight trickle charge, when there was a spark and the battery exploded, injuring his left eye, and examination revealed vitreous and retinal haemorrhage inferiorly and a full thickness macular hole.
Abstract: CASE I An 18-year-old engineer was measuring the charge of a car battery which had been on overnight trickle charge, when there was a spark and the battery exploded, injuring his left eye. On examination the corrected visual acuity was found to be 6/4 R and 6/24 L. There was an extensive acid burn of the left conjunctiva and cornea and a secondary uveitis. Intraocular pressure was 37 mm/Hg. The fundus was not clearly seen. He was treated with irrigation, topical steroids, and oral acetazolamide. Three days later the anterior segment had healed but the left visual acuity had deteriorated to 6/60. Examination revealed vitreous and retinal haemorrhage inferiorly and a full thickness macular hole (Fig. 1).

16 citations


Journal ArticleDOI
TL;DR: A retrospective three-year study of lid and ocular burn injuries in a regional burn center revealed no major complications.
Abstract: A retrospective three-year study of lid and ocular burn injuries in a regional burn center revealed no major complications. The management program was based on cooperation between the burn unit and ophthalmological staff and included: 1. A high index of suspicion for eye injuries of the burned patient; 2. Early ophthalmologic consultation and examination; 3. Aggressive early treatment; 4. Rigorous follow-up and re-examination; and 5. Multiple and frequent grafting of lids, as needed.

13 citations


Journal ArticleDOI
TL;DR: The percentage cell density change was recorded as a direct comparison between the traumatised and normal eyes, none of which showed any sympathetic inflammation.
Abstract: Twenty-five patients were studied, who had attended the Birmingham and Midland Eye Hospital or associated hospital units. They ranged in age from 12 to 77 (mean 32 2) years and the corneal endothelium was studied from 3 months to 15-5 years (mean 25-7 months). Both eyes of each patient were photographed, 3 or more exposures being taken of each eye, with the Heyer-Schulte specular microscope; fixed-frame counts were made from black-and-white enlargements. The percentage cell density change was recorded as a direct comparison between the traumatised and normal eyes, none of which showed any sympathetic inflammation.

12 citations


Journal ArticleDOI
TL;DR: Because resolution occurred within two weeks in all three cases, surgical intervention was unnecessary, and both hypotony and shallowing of the anterior chamber, which is rare, may result from localized uveal effusion that is clinically undetectable.

11 citations


Journal ArticleDOI
TL;DR: A young man who repeatedly injured his left eye was diagnosed with borderline personality disorder and similar similarities to other reported patients who injured their eyes, to "wrist-cutters", and to "delicate self- cutters" are discussed.
Abstract: The case is described of a young man who repeatedly injured his left eye There was a history of previous deliberate self-injury and of childhood epilepsy A diagnosis of borderline personality disorder was made Similarities to other reported patients who injured their eyes, to "wrist-cutters," and to "delicate self-cutters" are discussed Language: en

10 citations


Journal Article
TL;DR: Assessment of available eye protectors for racquet sports eye injuries revealed that open-type protectors can be penetrated by balls and some closed- type protectors are not sufficiently sturdy.
Abstract: Racquet sports eye injuries have increased steadily in recent years. To determine the magnitude of the problem, the Canadian Ophthalmological Society (COS) Athletic Eye Injury Committee has sent questionnaires to COS members since 1976 to be completed for all racquet sports eye injuries treated. In the first year of the questionnaire 48 injuries were reported, including three legally blind eyes. From July 1978 to May 1981, 154 squash and 91 racquetball eye injuries were reported. Half the injured players required hospitalization and surgery was frequent; some players had permanent vision loss. These findings led to assessment of available eye protectors. Open-type protectors can be penetrated by balls and some closed-type protectors are not sufficiently sturdy. Steps are underway to write a Canadian standard for racquet sports eye protectors. Meanwhile the public must be informed of the danger of racquet sports eye injuries and the importance of wearing closed-type protectors.



Journal Article
TL;DR: Most cosmetic problems follow perforating eye injuries and include corneal leucomata, iris and pupillary abnormalities, cataract, phthisis bulbi and enucleation, while Cosmetic defects secondary to contusional injuries are uncommon and mostly due to iris abnormalities and cataracts.
Abstract: Injuries to the eye, both contusional and perforating, have a considerable visual morbidity not the least of which is a cosmetically unacceptable eye. Meticulous primary surgical repair and judicious secondary reconstruction of the eye may not only preserve visual functions but substantially improve the patient's appearance. Most cosmetic problems follow perforating eye injuries and include corneal leucomata, iris and pupillary abnormalities, cataract, phthisis bulbi and enucleation. Oculo-motor abnormalities, particularly divergent squint, are common where substantial loss of vision has occurred in one or both eyes. In the series reported 215 eyes were enucleated secondary to ocular trauma over a 10 year period (2,162 injured eyes), the vast majority following perforating injury. The risk of sympathetic ophthalmia was the reason for enucleation in 50.7 per cent of cases although sympathetic ophthalmia was identified in only two instances. Cosmetic defects secondary to contusional injuries are uncommon and mostly due to iris abnormalities and cataract.


01 Jan 1982
TL;DR: The results of a survey of 50 cases of endophthalmitis following surgery, trauma, corneal ulcers, or of endogenous origin are described, and in one case where the vitrectomy and antibiotic therapy was performed early, the patient attained good vision.
Abstract: The results of a survey of 50 cases of endophthalmitis following surgery, trauma, corneal ulcers, or of endogenous origin are described. Most of the post-surgical cases followed intracapsular cataract surgery and in 48.1% of the eyes, the predominant organisms were gram positive bacteria. In cases where the infected eyes were treated with topical, intravenous and subconjunctival injections of antibiotics, 57.2% of the eyes were lost; however, in 6 cases, where vitrectomy and intravitreal injection of antibiotics was performed, only 1 of the 6 eyes was lost (16.6%). In this eye, however, the vitreous removal and antibiotic injection was done in advanced stage of the disease. In one case where the vitrectomy and antibiotic therapy was performed early, the patient attained good vision.

Journal ArticleDOI
TL;DR: From 1978 to 1981 total of 122 perforating eye injuries were treated in the eye department of the Salzburg provincial clinic, in 25% of the cases treated the opacified lens had to be removed, and it was possible to restore binocular vision by appropriate measures.
Abstract: From 1978 to 1981 total of 122 perforating eye injuries were treated in the eye department of the Salzburg provincial clinic. In 25% of the cases treated the opacified lens had to be removed. The authors followed up 35 patients with unilateral post-traumatic aphakia. Of these, 27 proved suitable candidates for contact lenses. Visual function was good in 15 patients, but reduced in 12 due to post-traumatic changes. Ten patients achieved binocular vision, while in 12 it was possible to restore binocular vision by appropriate measures. The paper deals particular with the restoration of binocular vision and maintenance of binocular function in cases of unilateral post-traumatic aphakia.


Journal ArticleDOI
TL;DR: A varsity defensive tackle sustained a giant inferior retinal tear with a partially detached retina when another player's thumb went through his face mask, and the retina was surgically repaired.
Abstract: In brief Although catastrophic eye injuries are rare in collegiate football, this varsity defensive tackle sustained a giant inferior retinal tear with a partially detached retina when another player's thumb went through his face mask. The retina was surgically repaired, and the player's vision in that eye is 20/20 with a contact lens. He continues to play football as an offensive tackle.


Journal ArticleDOI
TL;DR: In this article, the critical aspects of an ophthalmic evaluation are detailed to enable the surgeon to promptly recognize eye signs that signal a need for specialized Ophthalmic medical or surgical management.

Journal Article
TL;DR: Besides these wounds, the eyes show corneal and scleral perforations, loss of lens and iris as demonstrated by some victims of traffic accidents.
Abstract: Severe injuries of the eyes and the periocular region may happen to those people, not secured by a safety belt, while the head crashes against the windshield in case of a car accident. These injuries typically run across the nose, the front and the eyelids, while other parts of the face are often not involved. Besides these wounds, the eyes show corneal and scleral perforations, loss of lens and iris as demonstrated by some victims of traffic accidents. Studies have shown that the most serious head- and eye-injuries occur to people in a frontal collision, which is the most common type of collision. On the other hand, the risk to be injured at the head or the eyes in a frontal collision while using the safety belt is under 1%. Language: de