Abstract
Traumatic open globe injuries are a leading cause of blindness/visual impairment in the world. A significant number of reported open globe injuries occur at the workplace and have been historically associated with non-compliance with workplace safety guidelines and not wearing eye related personal protective equipment (PPE). In this case report, we describe a 27-year-old man’s workplace related open globe injury despite wearing PPE. We explore the prognostic factors in determining final visual acuity and do a literature review of case reports with good outcomes despite poor initial prognostication in severe open globe injuries. The option of enucleation and its common indications are discussed. We also examine the factors determining patient satisfaction with ocular prosthesis along with an assessment of the role of PPEs in workplace related ocular trauma.
Highlights
Traumatic open globe injuries are a leading cause of blindness/visual impairment in the world
A Scottish study comparing the circumstances of ocular trauma between 19911992 and 2008-2009 found the proportion of work-related injuries to be stable at 24% despite introduction of legislation and guidance for employers and employees regarding workplace safety.[7]
He had severe pain upon movement of his left eye. He had a hemorrhage in the anterior chamber obscuring the view of the iris and pupil, some iris tissue was seen protruding through a corneal wound. He had questionable intermittent light perception, but formal visual acuity testing was not performed due to patient discomfort and inability to comply with the testing
Summary
Traumatic open globe injuries are a leading cause of blindness/visual impairment in the world. A conjunctival peritomy performed superiorly showed a zone III injury (defined in the discussion) with the scleral laceration extending significantly posteriorly, possibly beyond the equator of the globe.
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