|Year : 1985 | Volume
| Issue : 2 | Page : 95-97
A profile of penetrating eye injuries
JS Saini, AK Mukherjee, SM Dabral, O Moraes
Department of Ophthalmology, Goa Medical College, Panaji, India
J S Saini
Department of Ophthalmology, Postgraduate Institute of Medical Education and Research Chandigarh-12
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Saini J S, Mukherjee A K, Dabral S M, Moraes O. A profile of penetrating eye injuries. Indian J Ophthalmol 1985;33:95-7
|How to cite this URL:|
Saini J S, Mukherjee A K, Dabral S M, Moraes O. A profile of penetrating eye injuries. Indian J Ophthalmol [serial online] 1985 [cited 2020 Sep 29];33:95-7. Available from: http://www.ijo.in/text.asp?1985/33/2/95/30829
Ocular injuries are increasingly becoming cause of permanent and yet avoidable cause of blindness,,. Perforating ocular injuries in particular. carry a high risk of visual morbidity in all age groups,,. Eye injuries are causing concern to Ophthalmologist both in the developed and developing countries,,. In this Communication, authors bring attention to the profile of penetrating injuries of eye as seen in a fast developing coastal part of India.
| Observations|| |
54 patients, varying in age group from 5 years to 62 years were hospitalized with penetrating ocular injuries. Majority of these were males (81-48%). 26 patients (48.14%) were less than 20 years of age. All patients had unicecular injury and the involvement of ocular structures is listed in [Table - 1]. Site of perforation was corneal in 36 cases (66.66%) Corneo-scleral in 15 cases (27.77%) and scleral in 3 cases (5.55%). Concomitant injuries occurred to lids in 13 cases (24.09%), lacrimal apparatus in I case (1.85%), Conjunctiva 23 cases 42.59%), Iris 27 cases (50%), ciliary body 12 cases (22.22%), lens in 28 cases (51.85%). 18 eyes showed hyphema following injury (32.33%). Posterior segment damage in the form of macular oedema, choroidal tear and retinal (detachment) was seen in 20 cases (37.03).
Complete corneal rupture was seen in 6 cases (11.11 %) while another 6 cases (11 .11 %) and corneal tear involving 2/3rd of the cornea. 39 cases (72.22%) has half diameter or less extent of corneal involvement. [Table - 2].
Commonest cause of ocular injury were metallic objects (25.92%), followed by wooden splinters in 13 cases (24.09%). Glass in 9 cases (16.66%) and stone in the form of chips or a fall over stones in 7 cases (12.96%) Miscellaneous objects consisting of gun powder blast, shell chips (fisheries) were the cause of penetrating ocular injuries in 11 cases (10.37%).
Associated injuries to other parts of the body were present in 16 cases (29.62%) [Table - 3].
| Discussion|| |
Many reports on ocular trauma in Ophthalmology literature, are available particularly concerning penetrating injuries, injuries in children or adults and injuries characteristic of a particular environment. Most of these reports are published from the developed industrial nations. Since many eye injuries are related to particular occupations and cultures, the types of injuries in developing countries are not necessarily similar.
Analysis of patients hospitalised for penetrating eye injuries shows that males are more often afflicted at all age groups. This is in conformity with many other reports. 48.14% of patients were under 20 years of age emphasising the vulnerability of younger age as has also been reported by other authors.
In 36 eyes (66.60%) cornea had ruptured while in another 15 eyes (27.75) cornea-scleral rupture had occurred and only in 3 eyes (5.55 %) scleral rupture was seen. It reflects that in our cases, thus injuries mainly penetrated the exposed cornea Indirect injuries resulting in scleral perforations were uncommon.
Concomitant injuries in the eye were lacerations of lid (13 cases) lacrimal canalicular injuries (1 case). conjunctival tears (23 cases), Iris tears (27 cases) ciliary body injury (12 cases), lens injury (28 cases posterior segment damage (20 cases) and hyphaema (18 cases) Primary endophthalmitis was seen in 8 cases due to infection and long delay in seeking medical care. As many as 6-.6% of cases had perforations of cornea involving 1 /2 or more diameter of the cornea indicating the severity of injury in majority of cases.
Metallic injuries (25.92%) were commonest reflecting the high incidence of industrial accidents in this rapidly developing coastal belt. Wooden particles caused eye injury in 24.09% of cases to those mainly involved in forest activity. In 16.66% of cases glass caused injury following road accidents, bursting of carbonated bottles and alcoholic drinks bottles. Due to mining activity quite a few (12.96%) injuries were due to stones. 20.37% of injuries resulted from various other reasons like blasts, car battery explosion, reaps, fish hook, sea shells and animal horn.
Eye trauma occurs fairly frequently in developing countries and constitutes a major health problem. Efforts to prevent ocular injuries should particularly be directed towards improving established domestic habits such as chopping and gathering wood, enforcing industrial safeguards for running machinery and making safe products like carbonated bottles and car batteries. The necessity of seeking professional medical help soon after the injury and the danger of delaying treatment should be stressed, A campaign of this kind however, is difficult to conduct in countries where schooling is not universal and funds are severely limited. However, pooling of resources by all concerned agencies can mount an effective mass movement to educate the public.
| Summary|| |
Among 54 patients with penetrating eyes injuries as many as 81.4% were males and majority (48 14%) belonged to age group less than 20 years. Sources of injury included metal (25.92%), wood splinters (24.07%), Glass (16.66%), stone (12.96%) add others (20.37 %) including gunpowder shell chips, Fish hooks and rope. This communication is an attempt to present a profile of penetrating eyes injuries in a representative coastal region.
| References|| |
Maltzman, B. A. Pruzon, H, Mund, M.L, 1976, Survey Ophthalmol. 21 : 285.
Niranen M., 1978, Acta Opbthalmol (Kbh) 135 (suppl) 1
Wermer, S. 1952, Acta Ophthalmol (Kbh) 30: 67.
Glees, M. and Kleinhaus, K. I.. 1962, Klinische Monastsblatter fur Augengeilblinde 141 : 287.
Niranen, M and Raivie, I, 1981, Brit J. Ophthalmol 65 : 436.
Eagling, E.M, 1976, Brit J. Ophthalmol 60 : 732.
ILsar, M. Chirambe, M, Belkin, M, 1982, Brit J. Ophthalmol 66: 145.
Venkaswamy, G, 1968, National Symposium on injuries of the eye Ahmedabad p. 38
Nair S. K and Chundawat M.S. 1978, East Arch Ophthalmol, 6 :80.
[Table - 1], [Table - 2], [Table - 3]