Ocular trauma is a major cause of ocular morbidity and a leading cause of monocular visual loss. Oct 23, 2015 globe rupture occurs when the integrity of the outer membranes of the eye is disrupted by blunt or penetrating trauma. Traumatic lens dislocation international journal of. Birmingham eye trauma terminology system betts this comprehensive, standardized system of eye trauma terms,should be utilized when reporting to useir. According to the ocular trauma score, out of all the prognostic indicators for visual outcome, poor initial visual. The overall ocular trauma incidence was 88100 000 and for the hospitalized 6100 000 populationyear. Trauma is the obvious cause with lacerations, penetrating injuries, and most cases of proptosis, but caution is advised when assuming trauma in other instances. A prospective, populationbased, observational study of patients with ocular trauma admitted to hospital in scotland. Download textbook of ocular trauma pdf download medical. Arranged by ocular anatomy and subspecialty, with a detailed index permitting the reader to locate a discussion involving a specific type of ocular injury, this text covers ocular trauma in the pediatric and adult patient with medical and surgical treatment options, as well as potential complications. Prevalence of visual impairment after blunt ocular. Mar 28, 2017 nepal was struck by a massive earthquake on the 25th april 2015 and major aftershock on the 12th of may 2015, resulting in widespread devastation with a death toll in the thousands. Management of traumatic cataract american academy of. Haloes, nausea and vomiting common acute rise in intraocular pressure normal 1218 mmhg, can be up to 60sin angleclosure glaucoma reduced visual acuity red eye, hazy cornea and the iris is not clearly visible pupil is fixed or semidilated, unreactive to light.
Characterize ocular trauma and visual outcomes from firework injuries at a level i trauma center. Thermal ocular burns are relatively common in warfare. To report trends in serious, sightthreatening ocular trauma in scotland. Pdf profile and management of ocular trauma researchgate. Eye education for emergency clinicians 17 penetrating eye injury cont eye exam in pei cursory if injury is obvious otherwise va, slit. Ebook ocular traumatology as pdf download portable. Pdf the impact of ocular trauma during the nepal earthquake in.
Consider the client who is adamant their pet hit its head on. This book provides stateoftheart information for ophthalmologists and other clinicians facing tough cases, helping them to. Pdf on nov 28, 2017, franklyn alain abreu perdomo and others published trauma ocular find, read and cite all the research you need on researchgate. Ocular trauma ocular trauma monika kapoor ms monika kapoor ms, rohan chawla frcs glasg, koushik tripathy md, ravi bypareddy md, babulal kumawat md, subodh kumar singh md, pradeep venkatesh md, rajpal vohra md, yog raj sharma ms dr. A coloracao por fluoresceina vai indicar um defeito epitelial figura 1. Pdf background nepal was struck by a massive earthquake on the 25th april 2015 and major aftershock on the 12th of may 2015, resulting in widespread. Retinal and optic nerve injury following closed eye trauma are currently untreatable, but neuroprotective and neuroregenerative agents are being developed to improve outcomes. This became established as a standardised terminology used to describe and share eye injury information, and it has been particularly useful in the management of trauma cases in a multidisciplinary environment pages 4243. Prompt recognition and treatment of, as well as ophthalmologic consultation for, ocular emergencies is crucial to reduce the risk of permanent vision loss.
Most of the patients who visited the hospital for ocular trauma had dropped their education at primary school 59. Ocular trauma eye education for emergency clinicians education session five. Rajendra prasad centre for ophthalmic sciences, all india institute of medical sciences, new delhi. Nepal was struck by a massive earthquake on the 25th april 2015 and major aftershock on the 12th of may 2015, resulting in widespread devastation with a death toll in the thousands. International journal of scientific study july 2015 vol 3 issue 4. Globe rupture occurs when the integrity of the outer membranes of the eye is disrupted by blunt or penetrating trauma. Direct ocular trauma results in different degrees of damage and often loss of the eye. Aug 07, 2015 introduction it is said that eyes are window to the soul and to the outer world. We collected information on patients who underwent as from 1 january 2015 to 31 december 2017, summarized the causes of ambulatory hospitalization, and analysed the type of initial surgical procedure and the reasons for 31. Ocular trauma, although not an everyday encounter for many ophthalmologists, is a serious problem for our health system and economy. Ocular ultrasound use by non ophthalmologists in trauma january 12, 2015 vce staff vision center of excellence because ocular injury requires expert care and treatment by an ophthalmologist exclusively, the primary role of the nonophthalmologist is to suspect and identify an ocular injury that requires further care and to expedite transfer. Apr 21, 2017 ocular trauma is the second leading cause of visual impairment in the united states.
Understand the principles of management of ocular trauma. Ocular trauma epidemiology jama ophthalmology jama. It is estimated that over 2 million eye injuries occur in the usa each year. The file extension pdf and ranks to the documents category. Pointofcare ultrasound has been widely used by clinicians, particularly those in emergency care settings. In the united states only four populationbased studies of eye injuries. Unplanned readmission after ocular trauma ambulatory. Nutritional sciences, biology, biochemistry, cell bioliogy. Eye trauma is the main cause of monocular blindness in many countries, having an immense impact on the individual, their family and the community. Jillian grasso, clinical nurse consultant, ophthalmology janet long, clinical nurse consultant community liaison, ophthalmology. The aim of this study was to determine the types of ocular injuries sustained in the earthquake in. This crosssectional survey and qualitative study assesses injury epidemiology in cameroon using populationrepresentative data, identifies the barriers to use of formal health care, and determines the association between use of care and economic outcomes among participants in.
In addition, the patient declared that he had chronic visual loss in his lefteye. The aim of this study was to determine the types of ocular injuries sustained in the earthquake in nepal. Up to onefifth of adults will experience ocular trauma at some point in their lives. Ocular injuries, even minor types, may result in significant economic burdens to families and countries due to time lost from work, or school and family care giving, expensive hospitalization, specialist visit and treatment, prolonged followup and visual rehabilitation 4. Prevalence of visual impairment after blunt ocular trauma in a. Caracteristicas clinicas y epidemiologicas del trauma ocular en. Aspects of ocular war injuries robert ah scott, richard. The impact of ocular trauma during the nepal earthquake in 2015 nepal was struck by a massive earthquake on the 25th april 2015 and major aftershock on the 12th of may 2015, resulting in widespread devastation with a death toll in the thousands. Pdf on jan 1, 2015, mehul shah and others published profile and management of ocular trauma find, read and cite all the research you. The impact of ocular trauma during the nepal earthquake in 2015 e. Nov 18, 2008 managing serious cases of ocular trauma three ophthalmologists share their experience and offer advice for diagnosing and treating severe injuries to the globe and orbit. From this, they developed the ocular trauma score ots, which is used to predict the visual outcome of patients. Prevention of blindness america estimated that 35% of the estimated 2. In the 1970s eye injuries were recognized as a growing problem based on the experience in the arabisraeli wars of 1967 and 1973.
Current concepts in the epidemiology and management of battlefield head, face and neck trauma. Guia clinica trauma ocular by hugo enrique c on prezi. Ocular trauma score pdf ocular trauma score ots table 2. Occupation and ocular trauma distribution of patients treated at hawassa university, referral hospital, from august 01, 2014 to july 31, 2015 n 335. The impact of ocular trauma during the nepal earthquake in 2015 article pdf available in bmc ophthalmology 201717. Blunt trauma inflicted with fingers, fists, or implements, such as belts or straps, are possible mechanisms of nonaccidental injury to the ocular adnexa or anterior segment. The development of glaucoma can occur soon after ocular trauma or may develop over the course of months to years. Any fullthickness injury to the cornea, sclera, or both is considered an.
Use the download button below or simple online reader. Most eye health workers are involved in managing trauma. Human amniotic membrane can be used to promote this. World eye injury registry graefes archives american academy of ophthalmology klinische monatsblatter international society of ocular trauma ophthalmology retina society united. A 44yearold male who sustained a blunt ocular trauma resulting in acute vision loss due to posterior dislocation of the crystalline lens identified by pointofcare ultrasound is described in the study. Eye education for emergency clinicians 2 these presentations have been. In his medical history, he had a blunt trauma and underwent a primary penetrating surgery of his righteye a year previously.
Abusive head traumashaken baby syndrome 2015 american. The ocular trauma score ots provides a single probability estimate that an eye trauma patient will obtain by 6 months after the injury. Ebook ocular traumatology as pdf download portable document. Trauma ocular avaliacao e tratamento dos ferimentos oculares. The impact of ocular trauma during the nepal earthquake in 2015. Ocular trauma epidemiology jama ophthalmology jama network.
Review the keys to diagnosing and managing eight potentially devastating eye injuries. Ocular ultrasound use by non ophthalmologists in trauma. The burden of ocular trauma resulting from the recent earthquakes in nepal has not been described thus far. Similar to the betts, the ots model covers the description of both open and closedglobe eye injuries.
It is easy to use, as the six predictive factors a to f are readily assessed, and it can give realistic expectations of the visual potential of an openglobe injury. The pattern, presentation and risk factors of ocular trauma. Managing serious cases of ocular trauma three ophthalmologists share their experience and offer advice for diagnosing and treating severe injuries to the globe and orbit. A 12yearold male child presented to the outpatient department in our institute with a history of injury in. Ocular traumas in working age adults in finland helsinki. Usu ocular trauma course critical for teaching advanced eye surgery and maintaining readiness col. Ocular trauma, both penetrating and nonpenetrating, is an important cause of visual loss and disability, with up to 90,000 injuries per year in the united states resulting in some degree of visual impairment. We included all new patients with a work toolrelated eye injury.
Eye education for emergency clinicians 3 aims and objectives on completion of this session you will be able to. Ocular trauma is a major cause of preventable monocular blindness and visual impairment in the world, especially in the developing countries ocular trauma and resultant loss of vision leads to psychological, economical and professional crippling of the patient. Introduction it is said that eyes are window to the soul and to the outer world. A thorough understanding of ocularoptic nerve anatomy and traumatic pathology is fundamental in the accurate and efficient interpretation of emergency neuroradiology. The treatment goal is to minimise limbal stem cell damage. Ocular traumatology top results of your surfing ocular traumatology start download portable document format pdf and ebooks electronic books free online rating news 20162017 is books that can provide inspiration, insight, knowledge to the reader.
University of wisconsinmadison athletics department. Traumatic ocular injuries account for a substantial number of emergency department visits annually and represent a significant source of patient disability. Unplanned readmission after ocular trauma ambulatory surgery. The impact of ocular trauma during the nepal earthquake in. Ocular trauma there is document ocular trauma available here for reading and downloading. Oct 20, 2015 ocular trauma there is document ocular trauma available here for reading and downloading.
Table 1 presents gender distribution and ocular trauma incidence in different age groups. Periorbital ecchymosis, subconjunctival hemorrhage, and hyphema should raise suspicion of recent abuse if the explanation provided is questionable, particularly in infants. Usu ocular trauma course critical for teaching advanced. Randall beatty, 332nd expeditionary medical operations squadron ophthalmologist and orbital oculoplastics specialist, operates on a trauma patient who sustained extensive eye injures during a combat operation in iraq. Included as part of the 4 credits, this cme activity is eligible for 4 trauma cme credits and 0. This crosssectional survey and qualitative study assesses injury epidemiology in cameroon using populationrepresentative data, identifies the barriers to use of formal health care, and determines the association between use of care and economic outcomes among participants in a communitybased survey.
Eye education for emergency clinicians 2 these presentations have been prepared by. The highest incidence of eye trauma was in age group 3145 and the lowest in age group 4660 table 1. A calm, thorough evaluation of ocular trauma can determine the best course of action. O tratamento e com antibiotico e oclusao ocular por um dia. The pattern, presentation and risk factors of ocular. Ocular trauma is the second leading cause of visual impairment in the united states.
About 3040% of monocular blindness is due to ocular trauma 2, 3. Evidencebased recommendations for diagnosis and treatment of ocular trauma. As an instrument to predict the final visual acuity after eye trauma, it has often been used as an aid in counseling adult patients with eye injury and to assist in identifying severe ocular injuries with a. Pointofcare ultrasound with a high lineararray transducer was used to gain. Next, the ocular trauma classification group analysed more than 100 variables for over 2,500 eye injuries recorded in the united statesand hungarian eye injury registries in order to identify the best predictors of outcome at 6 months after injury.
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