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Ophthalmic Injuries
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
An essential part of trauma management in eye injury is the secondary survey, which must be thorough and include a careful assessment of the eyes. If this is difficult, ophthalmic assistance should be sought, since the signs can be subtle and may be missed. If the face is injured, the eye may also be injured, and if the eye and face are injured, the brain may also be injured, particularly with penetrating injury.
Magnetic Resonance Imaging Physics
Published in Debbie Peet, Emma Chung, Practical Medical Physics, 2021
During a typical QC testing session, the MR physicist should first be aware of the safety issues, making sure that they have been screened properly and ensure that they do not carry any MR unsafe items into the MR environment. The physicist would need to correctly position the test object within the centre of scanner bore by checking the orientation using a positioning laser system. It is important not to stare into the laser beam as this could potentially cause mild eye injury. After the test object has been correctly positioned within the centre of the scanner bore, it is necessary to set up the QC sequences that need to be run to acquire data. Usually, MR sequences are set up and saved in the system by an experienced physicist during acceptance testing and these same sequences can then be repeated in subsequent QC sessions. The QA programme might include short daily and weekly QC tests that can be run by the Radiographers, plus annual tests that are much longer but more thorough and run by a Clinical Scientist.
Management of Ophthalmic Injuries by the Forward Surgical Team
Published in Mansoor Khan, David Nott, Fundamentals of Frontline Surgery, 2021
Richard J. Blanch, Johno Breeze, William G. Gensheimer
Diagnosing eye injury or other pathology requires an understanding of it, a thorough history, and examination and pattern recognition. The key pathology to recognise after ocular trauma are chemical injury, open globe injury, orbital compartment syndrome, hyphaemia and retinal detachment or dialysis.
Epidemiological Characteristics of Paediatric Eye Injuries in a Large Metropolitan City in South Korea: A Multicentre, Prospective Study
Published in Ophthalmic Epidemiology, 2022
Jae Wan Cho, Jae Yun Ahn, Hyun Wook Ryoo, Sungbae Moon, Haewon Jung, Won Kee Lee, Jung Ho Kim, Sang-Hun Lee
Table 1 summarises the patients’ demographics and general characteristics. Most children were boys (n = 349, 69.5%), and the male to female ratio was 2.3:1. The median age of the children was 7.0 years (8.0 and 5.0 years for boys and girls, respectively), with a significant between-sex difference (P < .001). The most common age of injury was adolescence and pre-school age in boys (n = 130, 37.2%) and girls (n = 66, 43.1%), respectively (P < .001). Most children were admitted to the emergency room (88.6%). Regarding seasonal occurrences, paediatric eye injuries were most common in autumn (30.9%), followed by spring, summer, and winter. The left, right, and both eyes were affected in 239 (47.6%), 246 (49.0%), and 17 (3.4%) cases, respectively. Only 5 (1.0%) patients were wearing protective eyewear. During sports activities, only 1 out of 69 children wore protective eyewear. The most common injury type was CGI (n = 489, 97.4%), followed by other injuries (n = 11, 2.2%) and OGIs (n = 2, 0.4%). The time of day when the eye injury occurred was 12:00–17:59 and 00:00–05:59 in 198 (39.4%) and 10 (2.0%) patients, respectively. Regarding disposition, 479 (95.4%), 12 (2.4%), and 10 (2.0%) patients were discharged, hospitalised, and underwent emergency surgery, respectively.
Eye Injuries and Related Risk Factors among Workers in Small-scale Industrial Enterprises
Published in Ophthalmic Epidemiology, 2020
Tahra AlMahmoud, Ismail Elkonaisi, Michal Grivna, Ghuwaya AlNuaimi, Fikri M. Abu-Zidan
Work-related eye injury prevention requires multi-faceted interventions and preventive strategies. We recommend the following measures to be implemented in an effort to reduce eye injuries in our setting. First, eye injury awareness campaigns should be conducted in the workers’ native spoken languages. Second, advocating properly fitted10,37 with refractive error correction ingrained PPE. Third, incorporating eye-shield into the content of first aid box at workplace. Fourth, regular monitoring of the PPE availability and its usage, environment safety and practice, and proper machineries functions at workplace.38Fifth, eye safety training for workers prior to joining the workshops. Sixth, developing occupation-specific PPE regulations and considering the reasons for non-compliance. Seventh, we endorse implementation Abu Dhabi Occupational Safety and Health System Framework (OSHAD SF) for small-scale industrial enterprises. Eighth, developing an occupation-specific eye protection with specific requirements based on the risk assessment of the tasks.23Finally, we recommend developing a surveillance system for commercial activities and injuries that can identify problems to guide preventive strategies.
Epidemiologic Characteristics of Work-related Eye Injuries and Risk Factors Associated with Severe Eye Injuries: A Registry-based Multicentre Study
Published in Ophthalmic Epidemiology, 2020
Jae Yun Ahn, Hyun Wook Ryoo, Jung Bae Park, Sungbae Moon, Jae Wan Cho, Dong Ho Park, Won Kee Lee, Jung Ho Kim, Sang Chan Jin, Kyung Woo Lee, Jong-Yeon Kim
We collected demographic data and specifics of eye injury and associated causes, including the department of presentation, involved eye, time of injury, alcohol consumption, use of protective eyewear, type of injury and causative activity, initial and follow-up VA, clinical diagnosis, and ED disposition. Age was categorized into one of the following groups: <30, 30–39, 40–49, 50–59, 60–69, and ≥70 years of age. Alcohol use was described based on a statement from patients or guardians. Protective eyewear use was defined as the use of any eyewear with the objective of preventing injury regardless of the type of protective equipment. Protective eyewear included goggles, face shields, safety glasses, and helmets, and excluded glasses with corrective lenses and sunglasses. Types of eye injuries were classified using the widely used Birmingham Eye Trauma Terminology System (BETTS).12 Initial and final VA was measured as best-corrected VA and classified into five categories: no light perception (NLP), light perception to 4/200, from 5/200 to 19/100, from 20/100 to 20/50, and ≥20/40. All patients with complaints of initial decreased vision or who required medical follow-up were recommended for ophthalmology OPD follow-up to assess final VA. Final VA was defined as the vision at the most recent follow-up visits within 6 months. The clinical diagnosis was categorized using the International Classification of Disease 10th edition and included only diagnostic codes for trauma.