The ocular pathology occurs for most forensics, not specialists in it, a major problem in establishing the. About 3040% of monocular blindness is due to ocular trauma 2, 3. However, there is a lin5 chance that the score may be wrong, so its use to justify primary. Aug 07, 2015 introduction it is said that eyes are window to the soul and to the outer world. Here is a 32 yearsold patient diagnosed with open globe ocular trauma in zone i, with intraocular foreign body in his right eye resulting from the cleaning of a cable without using the protection goggles.
It generally occurs in young adults, with good visual acuity at the beginning of the traumatic event, which may be affected by the trauma severity, the ocular structures. Most eyerelated hospital admissions result from trauma, 90% of which are believed to be preventable4. 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. Pdf on nov 28, 2017, franklyn alain abreu perdomo and others published trauma ocular. According to the ocular trauma score, out of all the prognostic indicators for visual outcome, poor initial visual. A brief summary of the current terms and definitions.
The ocular trauma cases were evaluated by gender, age, origin, trauma type and treatment performed. Ocular trauma is considered one of the common diseases that imply visual rehabilitation. Most eyerelated hospital admissions result from trauma, 90% of which are. Programs of education and prevention for ocular trauma in childhood are necessary. A 12yearold male child presented to the outpatient department in our institute with a history of injury in. Although ocular trauma by intraorbital foreign body is rare in the pediatric population, it is an emergency when it occurs. In the united states only four populationbased studies of eye injuries. Apr 21, 2017 ocular trauma is the second leading cause of visual impairment in the united states. From a physiopathological perspective, there is an increase in orbital pressure and, therefore, in its structures. World eye injury registry graefes archives american academy of ophthalmology klinische monatsblatter international society of ocular trauma ophthalmology retina society united.
The objective of this article was to point out the importance of rehabilitation in patients with ocular trauma and to encourage all the. To determine the results of the application of the ocular trauma score as a tool for visual prognosis in traumatisms. Ocular trauma epidemiology jama ophthalmology jama network. The effects of depowered airbags on eye injuries in frontal automobile crashes. Similar to the betts, the ots model covers the description of both open and closedglobe eye injuries. Eye education for emergency clinicians 3 aims and objectives on completion of this session you will be able to. The most frequent age was 20 to 39 yearold young male in 90 cases 58. Ocular trauma score in childhood open globe injuries. Eye education for emergency clinicians 2 these presentations have been. 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.
Os traumas oculares podem ser mecanicos, quimicos, eletricos ou termicos. Trauma ocular a globo abierto con cuerpo extrano intraocular. Ocular trauma has been an important cause of hospitalization in pediatric patients and corresponds to a significant amblyopic inductor factor 45. Fisiopatologia del trauma craneoencefalico scielo colombia. The ocular trauma is an important cause of ophthalmological morbidity in the world with significant socioeconomic implications for the patient and its relatives. Review the keys to diagnosing and managing eight potentially devastating eye injuries. Introduction it is said that eyes are window to the soul and to the outer world.
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. Ocular trauma is an important source of unilateral or bilateral blindness not only in cuba but worldwide as well. 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. On the other hand, eyes affected by open trauma simple wound, contusionwound, wound with intraocular foreign body and contusionwound with intraocular foreign body exhibited higher percentage of eyes with 0. Ocular trauma is an important cause of hospitalization in pediatric hospitals.
Facial trauma, specially associated to fractures of the orbit, is related to a great extent of damages that can be irreversible to the ocular soft structures. Eye education for emergency clinicians 17 penetrating eye injury cont eye exam in pei cursory if injury is obvious otherwise va, slit. 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. A coloracao por fluoresceina vai indicar um defeito epitelial figura 1. Ebook ocular traumatology as pdf download portable. Patterns of ocular trauma in elderly patients in an urban.
Con confirmacion diagnostica tendra acceso a tratamiento y seguimiento. Ocular trauma epidemiology jama ophthalmology jama. 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. Therefore it is imperative to suspect and to diagnose theese conditions that put in risk the ocular globe and its adjacent structures at an early stage, in order to be able to perform. Ocular trauma score pdf ocular trauma score ots table 2. Caracterizacion del trauma ocular por minas antipersonales en soldados. An analysis was done in 351 visits between december, 2010 and february, 2011. Confirmacion diagnostica derecho a una consulta con oftalmologo quien determina. In the world population, it has been estimated that there are approximately 1. O tratamento e com antibiotico e oclusao ocular por um dia. Descriptive, longitudinal and retrospective study was carried out.
Hifema e trauma ocular causas, sintomas olhos, tratamento. Three hundred fiftyone emergency medical visits were analyzed and were found 153 ocular traumas 43. 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. Understand the principles of management of ocular trauma. Trauma ocular avaliacao e tratamento dos ferimentos oculares.
Jun 29, 2014 about 3040% of monocular blindness is due to ocular trauma 2, 3. Prompt recognition and treatment of, as well as ophthalmologic consultation for, ocular emergencies is crucial to reduce the risk of permanent vision loss. Intraocular foreign bodies represent up to 40% of open globe ocular traumas. D this guide was writtenfor the benefit of university of iowa residents and medical students to learn about assessment and management of open globes and ocular trauma. Ocular trauma is the second leading cause of visual impairment in the united states. Profile of childhood eye trauma in an ophthalmologic. Manejo del traumatismo ocular a globo abierto scielo infomed. Ocular trauma, although not an everyday encounter for many ophthalmologists, is a serious problem for our health system and economy.
Closed trauma contusions were more common and most of the eyes had better final visual acuity 45, 2% with vision range of 0. Ocular trauma eye education for emergency clinicians education session five. Principles and practice is the first comprehensive clinical reference on ocular injuries in more than a decade. Epidemiological and occupational profile of eye trauma at. The universe consisted of 438 patients who received hospital admission and the sample consisted of 357 eyes of 356 patients with the diagnosis of ocular trauma at admission. Birmingham eye trauma terminology system betts this comprehensive, standardized system of eye trauma terms,should be utilized when reporting to useir.
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