The Incidence and Prevention of Ocular Injuries in Orthodontic Practice

1993 ◽  
Vol 20 (4) ◽  
pp. 339-343 ◽  
Author(s):  
A. P. T. Sims ◽  
T. J. Roberts-Harry ◽  
D. P. Roberts-Harry
Keyword(s):  
Ocular Trauma ◽  
Postal Survey ◽  
Operative Procedures ◽  
Acid Etching ◽  
Ocular Injury ◽  
Long Term Effects ◽  
British Standard ◽  
Eye Protection ◽  
Ocular Injuries

A postal survey was conducted to determine the use of eye protection and incidence of ocular trauma in orthodontic practice. One-hundred-and-fifty-nine NHS orthodontic consultants and 203 specialist orthodontic practitioners were surveyed. Two-hundred-and-forty-one(66·5 per cent) replies were received. Some form of eye protection was routinely worn by 66·8 per cent of orthodontists, 64·3 per cent of patients, but only 33·6 per cent of DSAs. Eye protection was not offered to DSAs in 31·9 per cent of practices or to patients in 22·1 per cent. Forty-three per cent of orthodontists reported instances of ocular injury in their practices. The majority of these injuries (n = 104) occurred during debonding or trimming acrylic. Other incidents involved ligating materials, intra-oral polishing, and acid etching. Most injuries (83·5 per cent) were treated in the surgery without any long-term effects. The routine use of goggles or spectacles with side-pieces and plastic lenses, which conform to British Standard BS 2092, is recommended for staff and patients during all operative procedures in orthodontic practice.

scholarly journals Empty Bullet-Related Ocular Injuries During Military Shooting Training: A 20-Year Review

2019 ◽  
Vol 185 (5-6) ◽  
pp. e799-e803 ◽  
Author(s):  
Soner Guven ◽  
Ali Hakan Durukan
Keyword(s):  
Ocular Trauma ◽  
Ocular Injury ◽  
Medicine Department ◽  
Patient Demographics ◽  
School Of Medicine ◽  
Open Globe ◽  
Department Of Ophthalmology ◽  
Protective Eyewear ◽  
Ocular Injuries ◽  
Trauma Scores

Abstract Introduction Empty bullet-related ocular injuries (EBOI) are rare and may result in unfavorable visual outcomes due to both open globe and closed globe injuries. To our knowledge, no reports of such injuries in terms of outcomes have been previously described in the literature. The aim of this study was to describe the treatment performed and ocular outcomes of such injuries. Materials and Methods EBOI of 23 cases were reviewed who were referred to Gulhane School of Medicine Department of Ophthalmology between January 1998 and January 2018. Patient demographics, ocular signs (initial and final), injury types, type and number of interventions, and ocular trauma scores were recorded. Results In total, 23 eyes of the 23 patients with an average age of 22.3 ± 4.54 years (range, 20–41 years) were included in the study. All of the patients were male, and all injuries were due to empty bullets during shooting training. None had ocular protection at the time of ocular injury. Fourteen patients (60.9%) were open globe injuries, whereas nine (39.1%) of them were closed globe injuries. Mean ocular trauma scores category of the cases was 2.52 ± 1.03. The baseline and final visual acuity was 20/200 or better in 21.7% and 69.5% of eyes, respectively. Nineteen eyes (82.7%) had undergone a total of 31 surgeries with a 1.34 ± 0.88 surgery average. Conclusions The prognosis of EBOI is unpredictable and is dependent on the severity of ocular damage. The best treatment option is prevention of EBOI with protective eyewear.

A Clinical Study of the Pattern of Ocular Trauma and Its Visual Outcome among Road Traffic Accident Cases in a Tertiary Care Teaching Institute

2021 ◽  
Vol 8 (03) ◽  
pp. 141-145
Author(s):  
Vinay Kumar Dawson ◽  
Manasvi Dawson
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Visual Outcome ◽  
Post Treatment ◽  
Time Interval ◽  
Ocular Injury ◽  
Road Traffic Accidents ◽  
Open Globe ◽  
Ocular Injuries

BACKGROUND Ocular injuries due to road traffic accidents (RTA) is one of the important causes of ophthalmological morbidity and cause of unilateral blindness. Some of the injuries also result in cosmetic disfigurement. Increased usage of vehicles for transport in recent times has increased the incidence of cases. The primary objective of this study was to understand the epidemiology and pattern of ocular trauma in RTA cases and their visual outcome. METHODS A total of 75 cases was included in the study following the inclusion and exclusion criteria. A detailed history was taken which included information regarding time, location, type and mechanism of injury, use of spectacles, car safety belts, and helmets. The time interval between injury and reporting was recorded. Test of visual acuity was done, ophthalmic examination included the examination of all patients with the slit lamp, 90 D examination, and indirect ophthalmoscopy were done. Ultrasound B scan was done in cases where unclear media prevented fundus examination. RESULTS Ecchymosis of the lids was the commonest type of ocular injury. Out of 15 eyelid laceration cases, 10 cases were with mild partial-thickness tears present and 5 had severe lid tears which required suturing. Most of the patients recovered with good vision in 6 months post-treatment and a few fair results. Analysis of variance (ANOVA) comparison between conservative management and surgical management at the end of 4 months post treatment was done. The P-values were > 0.05 hence, not significant. It indicated that the outcomes were independent of the method of management adopted. CONCLUSIONS The incidence of RTAs is increasing due to an increase in the number of vehicles used by the public. Ocular injuries are more often seen in young men especially those driving two-wheelers without safety devices like helmets. Open globe injuries and cases with previous ocular problems have poor outcomes. KEYWORDS Ocular Trauma, Road Traffic Accidents [RTA], Visual Outcome

Profile of Occupational Ocular Injury in a Tertiary Health Care Centre of Western Odisha - A Prospective Study

2021 ◽  
Vol 8 (15) ◽  
pp. 972-976
Author(s):  
Jayashree Dora ◽  
Sasmita Sahu ◽  
Madhumita Naik ◽  
Deepak Jyot Mohanty ◽  
Rupasri Sethi
Keyword(s):  
Prospective Study ◽  
Ocular Trauma ◽  
Health Concern ◽  
Ocular Injury ◽  
Ophthalmological Examination ◽  
Protective Devices ◽  
Eye Trauma ◽  
Open Globe ◽  
Ocular Injuries ◽  
A Prospective Study

BACKGROUND Occupational ocular injuries are very common in industrial and agricultural workers. These are important and preventable causes of ocular morbidity. Objective of the study was to profile occupational ocular trauma clinicoepidemiologically. METHODS A prospective study was done by collecting data from a standardised questionnaire and complete ophthalmological examination of patients with occupational eye trauma attending VSSIMSAR, Burla, between January 2019 and October 2020. RESULTS Out of 128 cases of work related injuries, males were 85 %. 48 % of the cases were between 21 - 40 years. Out of all cases 66 % injuries were related to industrial work followed by 29 % in agricultural sector and farming. 3 % of cases were due to blast injury. Also there were 3 % cases of chemical conjunctivitis. Most injuries were closed globe (85 %), mostly involving zone 1 (91 %). Open globe injuries were 15 %, majority of them involved zone 2 (47 %). Ocular superficial foreign bodies were the most common clinical entity (60 %), majority of them being metallic in nature (37.5 %). In 4 % cases IOFBs were found. Cornea was the most common ocular structure to get injured (69 %). Out of all cases, 50 % had ocular trauma score (OTS) of 4, and 4 % cases had OTS 2. 48 % of patients presented within 6 hours of injury. 42 % patients were not aware of any eye protective gear at work and 30 % patients were aware but did not use any eye protection. CONCLUSIONS Eye trauma in workplace is an important public health concern in economically productive population. Significant proportion of these injuries is avoidable by using standardised eye protective devices. Attention need to be given for instruction, enforcement of protective eye wear use, and frequent prevention campaigns. KEYWORDS Ocular Trauma, Occupational Ocular Injuries, Eye Protective Devices, Western Odisha

scholarly journals Ocular Air-Gun Injury: 19 Cases

2001 ◽  
Vol 94 (8) ◽  
pp. 396-399 ◽  
Author(s):  
G N Shuttleworth ◽  
P H Galloway
Keyword(s):  
Ocular Injury ◽  
Preventive Action ◽  
Long Term Effects ◽  
Eye Injuries ◽  
The Past ◽  
West Region ◽  
South West ◽  
South Wales ◽  
Air Gun

There have been many calls for preventive action against injuries caused by air-guns. Eye injuries are particularly serious, and we conducted a retrospective study to review their characteristics. Ophthalmic consultants in the south-west region of England and South Wales were asked to recollect any injuries that had resulted from air weapons. Information was recorded on the nature and circumstances of the injury, subsequent management, and long-term effects. 19 cases of ocular injury were identified, sustained at mean age 19.7 years, all in the past decade. 15 of the victims were male. At least 12 shootings were accidental but 2 were deliberate. The injury was self-inflicted in 5 cases, and in 6 the assailant was known to the victim. 9 sustained ruptured globes and 8 had severe contusions. Ultimately 4 individuals required enucleation and 2 evisceration. At last review, visual acuity was no perception of light in 10 (53%) and ‘counting fingers’ or worse in 16. Victims spent an average of nearly 10 days as an inpatient. The characteristics of the incidents that lead to ocular air-weapon injuries are unchanged. Reform of the firearms laws is probably the best way to prevention.

scholarly journals Pattern of Occurrence of Ocular Injuries and their Forensic Aspects

2019 ◽  
Vol 4 (2) ◽  
pp. 692-696
Author(s):  
Sidarth Timsinha ◽  
Suvarna Manjari Kar ◽  
Malshree Ranjeetkar
Keyword(s):  
Ocular Trauma ◽  
Relevant Information ◽  
Cross Sectional Study ◽  
Ocular Injury ◽  
Cross Sectional ◽  
Legal Cases ◽  
Department Of Ophthalmology ◽  
Ocular Injuries ◽  
Forensic Implications ◽  
Trauma Sequelae

Introduction: All penetrating or non-penetrating intentional ocular trauma causing loss of an organ or part of an organ and which have as a consequence the facial disfigurement or post trauma sequelae formation have forensic implications. Objectives: To study the pattern of ocular injuries its forensic implications and meticulous documentation in ocular medicolegal cases. Methodology: This hospital based cross sectional study was carried out by Forensic medicine personnel in Department of Ophthalmology and Emergency Department of Manipal Teaching Hospital Pokhara, Nepal. A total of 251 cases of ocular injury constituted the sample size. Cases were analyzed according to age, sex, type of trauma, causative agent, and manner of injury and ocular injuries having any medicolegal value. All data was evaluated and relevant information were extracted and entered into a database. Results: Male subjects 174 (69.32%) were more susceptible to ocular injuries and age group 21-30 years 66 (26.3%) were more predisposed to ocular injuries. The commonest cause of ocular trauma was due to fall on blunt objects 42(16.73%). The most common site of injury was cornea 120(47.81%) and corneal abrasion 65(54.16) was the most common ocular finding. Accidental manner of injury was observed in majority of the cases 230 (91.60%). Ocular injuries sustained were all simple in nature 251(100%) as a result no fatality was observed following ocular injury. Conclusion: Proper history taking and methodical documentation of injuries not only assist in diagnosis and management of the patient but also holds an evidentiary value in medico legal cases.

scholarly journals Anterior Segment Imaging in Combat Ocular Trauma

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Denise S. Ryan ◽  
Rose K. Sia ◽  
Marcus Colyer ◽  
Richard D. Stutzman ◽  
Keith J. Wroblewski ◽  
...  
Keyword(s):  
Ocular Trauma ◽  
Anterior Segment ◽  
Case Series ◽  
Ocular Injury ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Ocular Imaging ◽  
Ocular Injuries ◽  
Anterior Segment Imaging

Purpose. To evaluate the use of ocular imaging to enhance management and diagnosis of war-related anterior segment ocular injuries.Methods. This study was a prospective observational case series from an ongoing IRB-approved combat ocular trauma tracking study. Subjects with anterior segment ocular injury were imaged, when possible, using anterior segment optical coherence tomography (AS-OCT), confocal microscopy (CM), and slit lamp biomicroscopy.Results. Images captured from participants with combat ocular trauma on different systems provided comprehensive and alternate views of anterior segment injury to investigators.Conclusion. In combat-related trauma of the anterior segment, adjunct image acquisition enhances slit lamp examination and enables real timeIn vivoobservation of the cornea facilitating injury characterization, progression, and management.

scholarly journals Profile of pediatric ocular trauma in mid western hilly region of Nepal

1970 ◽  
Vol 4 (1) ◽  
pp. 134-137 ◽  
Author(s):  
S Dulal ◽  
JB Ale ◽  
YD Sapkota
Keyword(s):  
Medical Records ◽  
Ocular Trauma ◽  
Ocular Injury ◽  
Hilly Region ◽  
Open Globe ◽  
History Of ◽  
Ocular Injuries ◽  
The Himalaya ◽  
Open Globe Injuries ◽  
Conjunctival Hemorrhage

Introduction: Majority of blinding ocular injuries can be prevented. Objective: To describe the epidemiology of ocular trauma in children. Material and methods: A retrospective review of medical records of the patients aged below 16 years who attended the Himalaya Eye Hospital, Pokhara with history of ocular injury. Results: Of 6,829 pediatric patients, 554 (8.1 %) had ocular trauma. The ocular trauma was more prevalent (38.1 %) in the age group of 5 – 10 years followed by 10-15 years (16.6 %). The boys (62 % vs 38 %) were more prone to ocular trauma than girls (RR = 1.7 and 95 % CI = 1.41 - 2.02). Of 554 ocular injuries, 32 (5.8 %) were open globe injuries. Sub-conjunctival hemorrhage was the commonest presenting finding in 96 (17.3 %) subjects. Forty-seven (8.5 %) of them attended the hospital after 15 days of injury. Home was the most common place for trauma (n =204, 36.8%), followed by playground (n = 140, 25.3 %). Conclusion: Children between the ages of 5-10 years are most vulnerable to ocular trauma. Home is the commonest place for ocular injury followed by playground. By adopting some common safety factors or by reducing the ocular injury risks factor, ocular trauma can be greatly reduced. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5865 NEPJOPH 2012; 4(1): 134-137

CLINICAL PROFILE AND VISUAL OUTCOME IN OCULAR INJURIES-AN OBSERVATIONAL STUDY AT TERTIARY CARE CENTRE

2021 ◽  
pp. 45-47
Author(s):  
Paruldeep Chakma ◽  
Phani Kumar Sarkar ◽  
Shivam Gupta
Keyword(s):  
Observational Study ◽  
Ocular Trauma ◽  
Occupational Injuries ◽  
Tertiary Care ◽  
Work Place ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Tertiary Care Centre ◽  
Major Health Problem ◽  
Ocular Injuries

Background: Ocular injury is a major health problem in India, blunt trauma being one of the important causes of ocular morbidity and blindness. Eye injuries are avoidable, if prevention is quiet effective at work place, on the sports eld, and in home. Patients and ophthalmologist must be aware of activities that incur high of eye injury and must take advantage of a protective eye wear that is available, which varies with the need of the patient and when used in proper manner can reduce eye injuries in certain settings by as much as 90 percent. Methods:Ahospital based prospective observational study was conducted at AGMC& GBPHOSPITAL, including 200 patients within 2 years of duration. Patients with ocular injuries were included in this study. Patients who were not willing to participate and patients with pre-existing ocular diseases were excluded. Results: In our study, out of 200 patients 31(15.5%) eyes had lenticular involvement, 12(6%) had angle recession and 36(18%) cases of posterior segment involvement. Conclusion: It is clear from this study that ocular trauma is associated with varying degrees of loss of vision. We can infer that children and young adults are more prone to blunt ocular trauma, occupational injuries and road trafc accidents constitute the main bulk of injuries.

scholarly journals Ocular injuries from gel blasters: not just a harmless toy

2019 ◽  
Vol 12 (6) ◽  
pp. e229629
Author(s):  
Rylan Hayes ◽  
Shuan Dai
Keyword(s):  
Ocular Trauma ◽  
Ocular Complications ◽  
Eye Protection ◽  
Ocular Injuries ◽  
Blunt Ocular Trauma

Gel blasters fire a hydrated gel polymer and are developed to circumvent the restrictions placed on paintball and airsoft guns. Because there are no reported cases of injury caused by gel blasters in the literature, some Australian jurisdictions have categorised them as a toy. Presented here are two cases of potentially blinding blunt ocular trauma which question the misguided notion they are a harmless toy. Two children each with a macrohyphaema were managed at a tertiary ophthalmology centre within 2 weeks of each other after being struck by a gel blaster projectile. Their vision ultimately returned to normal, but both face lifelong risks of ocular complications. These cases highlight the need for vigilance, and the appropriate restriction of powerful weapons, with the inherent need for eye protection when operating any such projectiles reiterated. It is recommended their licensing is made congruous with paintball guns to prevent false reassurance of their safety.

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