The impact of ocular trauma during the nepal earthquake in 2015 article pdf available in bmc ophthalmology 201717. Traumatic ocular injuries account for a substantial number of emergency department visits annually and represent a significant source of patient disability. Management of traumatic cataract american academy of. 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. Eye education for emergency clinicians 17 penetrating eye injury cont eye exam in pei cursory if injury is obvious otherwise va, slit. Periorbital ecchymosis, subconjunctival hemorrhage, and hyphema should raise suspicion of recent abuse if the explanation provided is questionable, particularly in infants.
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. The highest incidence of eye trauma was in age group 3145 and the lowest in age group 4660 table 1. Nutritional sciences, biology, biochemistry, cell bioliogy. Prevalence of visual impairment after blunt ocular. 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 aim of this study was to determine the types of ocular injuries sustained in the earthquake in nepal. The ocular trauma department started to perform as in around mid. Prevalence of visual impairment after blunt ocular trauma in a. Ocular trauma epidemiology jama ophthalmology jama. A coloracao por fluoresceina vai indicar um defeito epitelial figura 1. Review the keys to diagnosing and managing eight potentially devastating eye injuries. In the 1970s eye injuries were recognized as a growing problem based on the experience in the arabisraeli wars of 1967 and 1973. 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.
Download textbook of ocular trauma pdf download medical. 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. A prospective, populationbased, observational study of patients with ocular trauma admitted to hospital in scotland. Prompt recognition and treatment of, as well as ophthalmologic consultation for, ocular emergencies is crucial to reduce the risk of permanent vision loss. In his medical history, he had a blunt trauma and underwent a primary penetrating surgery of his righteye a year previously. The treatment goal is to minimise limbal stem cell damage. Table 1 presents gender distribution and ocular trauma incidence in different age groups. 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.
Pointofcare ultrasound has been widely used by clinicians, particularly those in emergency care settings. The pattern, presentation and risk factors of ocular trauma. In addition, the patient declared that he had chronic visual loss in his lefteye. International journal of scientific study july 2015 vol 3 issue 4. Direct ocular trauma results in different degrees of damage and often loss of the eye. Ocular trauma eye education for emergency clinicians education session five. 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. Retinal and optic nerve injury following closed eye trauma are currently untreatable, but neuroprotective and neuroregenerative agents are being developed to improve outcomes. Thermal ocular burns are relatively common in warfare. Included as part of the 4 credits, this cme activity is eligible for 4 trauma cme credits and 0. Consider the client who is adamant their pet hit its head on. Pointofcare ultrasound with a high lineararray transducer was used to gain. Ebook ocular traumatology as pdf download portable document.
Pdf the impact of ocular trauma during the nepal earthquake in. Ocular ultrasound use by non ophthalmologists in trauma. Ocular trauma is a major cause of ocular morbidity and a leading cause of monocular visual loss. Ocular trauma there is document ocular trauma available here for reading and downloading. To report trends in serious, sightthreatening ocular trauma in scotland. This book provides stateoftheart information for ophthalmologists and other clinicians facing tough cases, helping them to. Abusive head traumashaken baby syndrome 2015 american.
Unplanned readmission after ocular trauma ambulatory. The ocular trauma score ots provides a single probability estimate that an eye trauma patient will obtain by 6 months after the injury. The impact of ocular trauma during the nepal earthquake in. Trauma is the obvious cause with lacerations, penetrating injuries, and most cases of proptosis, but caution is advised when assuming trauma in other instances. 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. Oct 23, 2015 globe rupture occurs when the integrity of the outer membranes of the eye is disrupted by blunt or penetrating trauma. Understand the principles of management of ocular trauma. It is estimated that over 2 million eye injuries occur in the usa each year. Ocular traumas in working age adults in finland helsinki. Traumatic lens dislocation international journal of. World eye injury registry graefes archives american academy of ophthalmology klinische monatsblatter international society of ocular trauma ophthalmology retina society united. A thorough understanding of ocular optic nerve anatomy and traumatic pathology is fundamental in the accurate and efficient interpretation of emergency neuroradiology. Jun 29, 2014 about 3040% of monocular blindness is due to ocular trauma 2, 3. Use the download button below or simple online reader.
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. Evidencebased recommendations for diagnosis and treatment of ocular trauma. 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. The development of glaucoma can occur soon after ocular trauma or may develop over the course of months to years. 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. 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. O tratamento e com antibiotico e oclusao ocular por um dia. The burden of ocular trauma resulting from the recent earthquakes in nepal has not been described thus far. 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. Ocular trauma score pdf ocular trauma score ots table 2. 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. 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. Prevention of blindness america estimated that 35% of the estimated 2. Occupation and ocular trauma distribution of patients treated at hawassa university, referral hospital, from august 01, 2014 to july 31, 2015 n 335.
Up to onefifth of adults will experience ocular trauma at some point in their lives. Most eye health workers are involved in managing trauma. Similar to the betts, the ots model covers the description of both open and closedglobe eye injuries. Human amniotic membrane can be used to promote this. A calm, thorough evaluation of ocular trauma can determine the best course of action. The aim of this study was to determine the types of ocular injuries sustained in the earthquake in. Birmingham eye trauma terminology system betts this comprehensive, standardized system of eye trauma terms,should be utilized when reporting to useir. However, there is a lin5 chance that the score may be wrong, so its use to justify primary. According to the ocular trauma score, out of all the prognostic indicators for visual outcome, poor initial visual. Unplanned readmission after ocular trauma ambulatory surgery.
About 3040% of monocular blindness is due to ocular trauma 2, 3. Guia clinica trauma ocular by hugo enrique c on prezi. 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. Usu ocular trauma course critical for teaching advanced. Any fullthickness injury to the cornea, sclera, or both is considered an. The impact of ocular trauma during the nepal earthquake in 2015. A thorough understanding of ocularoptic nerve anatomy and traumatic pathology is fundamental in the accurate and efficient interpretation of emergency neuroradiology. 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. Aspects of ocular war injuries robert ah scott, richard. University of wisconsinmadison athletics department. Apr 21, 2017 ocular trauma is the second leading cause of visual impairment in the united states. 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.
We included all new patients with a work toolrelated eye injury. Usu ocular trauma course critical for teaching advanced eye. 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. 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. Characterize ocular trauma and visual outcomes from firework injuries at a level i trauma center. Rajendra prasad centre for ophthalmic sciences, all india institute of medical sciences, new delhi. 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. Most of the patients who visited the hospital for ocular trauma had dropped their education at primary school 59.
Current concepts in the epidemiology and management of battlefield head, face and neck trauma. The pattern, presentation and risk factors of ocular. Caracteristicas clinicas y epidemiologicas del trauma ocular en. Eye education for emergency clinicians 3 aims and objectives on completion of this session you will be able to. Pdf profile and management of ocular trauma researchgate. Introduction it is said that eyes are window to the soul and to the outer world. Eye education for emergency clinicians 2 these presentations have been.
The file extension pdf and ranks to the documents category. Eye trauma is the main cause of monocular blindness in many countries, having an immense impact on the individual, their family and the community. The overall ocular trauma incidence was 88100 000 and for the hospitalized 6100 000 populationyear. Trauma ocular avaliacao e tratamento dos ferimentos oculares. 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. Aug 07, 2015 introduction it is said that eyes are window to the soul and to the outer world. Globe rupture occurs when the integrity of the outer membranes of the eye is disrupted by blunt or penetrating trauma.
A 12yearold male child presented to the outpatient department in our institute with a history of injury in. Eye education for emergency clinicians 2 these presentations have been prepared by. 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. 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. 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. 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. Jillian grasso, clinical nurse consultant, ophthalmology janet long, clinical nurse consultant community liaison, ophthalmology. In the united states only four populationbased studies of eye injuries. From this, they developed the ocular trauma score ots, which is used to predict the visual outcome of patients. Ocular trauma epidemiology jama ophthalmology jama network.
Ocular trauma, although not an everyday encounter for many ophthalmologists, is a serious problem for our health system and economy. Ebook ocular traumatology as pdf download portable. Oct 20, 2015 ocular trauma there is document ocular trauma available here for reading and downloading. The impact of ocular trauma during the nepal earthquake in 2015 e. Usu ocular trauma course critical for teaching advanced eye surgery and maintaining readiness col.
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