Prevention Of Ocular Injuries Research Articles

IMPACT OF PUBLIC AWARENESS ON PREVENTION OF OCULAR INJURIES DURING FESTIVALS: A CROSS-SECTIONAL REVIEW

Abstract:
 Purpose: To see the impact of public awareness programs on prevention of ocular injuries during festivals
 Study Design: Observational cross-sectional study
 Place and Duration: Ophthalmology department, DHQ Teaching Hospital, Gujranwala from 1st January 2018 to 31st December 2019 (2 years)
 Materials and Methods: After IRB approval and informed consent, data of patients suffering from ocular injuries only due to pellets or firecrackers at different festivals in 2018 was obtained. Proper history and examination was done and data was saved. General public education through posters and pamphlets was done regarding prevention of such injuries and data of next year (2019) was obtained, analyzed and compared with that of 2018 through SPSS v.25.
 Results: Out of a total of 76 patients, 55 (72.3%) presented in 2018 and 21 (27.7%) in 2019. Majority of patients, 48 (87.2%) in 2018 and 17 (80.9%) in 2019 belonged to age groups under 20 years. Pellets caused more injuries, 34 (61.8%) and 12 (57.1%) in 2018 and 2019 respectively than firecrackers, 21 (38.2%) and 9 (42.9%) respectively. In 2018, hyphema was most frequent clinical finding in 14 (25.5%) followed by corneal abrasions in 11 (20.0%) while the order was reversed in 7 (33.3%) and 6 (28.6%) patients respectively in 2019. In 2018, only 10 (18.2%) patients had best corrected visual acuity of counting fingers or worse at presentation while this number was 3 (14.3%) in 2019.
 Conclusion: Festival injuries contribute to a significant number of preventable eye injuries. With proper educational programs and subsequent preventive measures, incidence of festival injuries can be significantly reduced.
 Key Words: Festival Injuries, Awareness Programs, Ocular Trauma

Primary Prevention of ocular Injuries in esI Patients with safety Goggles

The ESI scheme has the largest medical infrastructure under one umbrella in India. Medical care is provided through a huge network of 150 hospitals, 1403 ESI dispensaries, 1447 panel clinics and 6536 IMOs. Eye trauma is number one cause of vision loss in industrial workers 3. Safety eye wear has shown to be effective in preventing eye injuries1. In this study, we are presenting a prospective comparative study of eye injuries in iron workers in factories, who use goggles and those who do not use goggles while work.

The ocular surface injury caused by the mistaken thought that couldn’t remove contact lens and tried to take repeatedly

Objective To investigate the clinical characteristics, prevention and treatment of ocular surface injury caused by the mistaken thought that couldn’t remove soft contact lens and tried to take it repeatedly. Methods From Mar. 2012 to Oct. 2016, the data of 16 eyes of 16 cases with ocular surface injury caused by the mistaken thought that couldn′t remove soft contact lens and tried to take it repeatedly were analyzed retrospectively. Results All patients were female.The mean age was (24.3±4.7) years, ranged from 18 to 32 years.All cases were single eye injury.There were 7 right eyes and 9 left eyes. Clinical manifestations were mainly blepharospasm, conjunctival hemorrhage and corneal epithelial defect.All cases were successfully cured after the drug therapy and psychological leading. Conclusion The ocular surface injury caused by the mistaken thought that couldn’t remove soft contact lens and tried to take it repeatedly generally occurs in single eye of young women at the evening.The treatment should be paid attention to the importance of psychological leading.The prognosis is good.The ocular surface injury may be avoided if we can clearly remove soft contact lens already as early as possible. Key words: Contact lens, soft; Injury, ocular surface

Prevention of Ocular Injuries

Prevention of Ocular Injuries

Nursing intervention for prevention of ocular surface injury caused by local use of anti-glaucoma drugs

Objective To investigate the effect of nursing intervention on the prevention of ocular surface injury caused by the local use of anti-glaucoma drugs.Methods 86 patients locally taking antiglaucoma drugs were randomly divided into an intervention group and a control group,43 cases for each group.Routine health education of the local use of anti-glaucoma drugs and routine nursing were received by the control group,while prospective nursing intervention was taken by the intervention group to prevent ocular surface injury.Results After the intervention,the score of dry eye symptom was (1.5+1.1),the tear break-up time was (6.44 + 3.76) s,and the basal tear test was (5.24+ 1.54) mm/5 min in the intervention group.There were statistical differences between the 2 groups (P ＜ 0.05 with all comparisons).Conclusions Nursing intervention for the patients taking anti-glaucoma drugs to prevent ocular surface injury can reduce ocular surface damage,improve the compliance of local use of anti-glaucoma drugs and drug effect,and make their quality of life better. Key words: Anti-glaucoma medications; Local use of drug; Preservative; Ocular surface injury

Ocular surface injury resulted from topical anti-glaucoma medications: prevention and cure

The accumulating evidences from experimental and clinical studies suggested that the ocular surface could be injured by topical anti-glaucoma medications. The ocular surface injury not only caused dry eyes, red eye, eye itching, photophobia and other discomforts, but also increased the risk of failure of glaucoma surgery in patients. The commonly used preservative Benzalkonium Chloride (BAK) plays an important role in ocular surface damage and its side effects are dose- and time-dependent, particularly, in the combined medications. Topical application of preservative BAK could result in the damage of epithelial cells and endothelial cells, and also affect the central corneal thickness. Prevention of ocular injury should be seriously taken into consideration in the anti-glaucoma medical treatment. Development of complex preparations, preservative-free and/or novel preservative preparations for glaucoma therapy may provide a promising approach in the prevention of ocular surface injury.

Current progress in pathogenesis and prevention of hyperoxia-induced ocular injury

Hyperoxia, including hyperbaric oxygen (HBO) and high-concentration oxygen (HO), has an important therapeutic effect on various ophthalmological diseases, such as retinal vein occlusion, ischemic optic neuropathy and central serous chorioretinopathy. However, excessive inhalation of oxygen of high-concentration or high atmospheric pressure can cause damage of ocular tissue, in which the lens opacity and retinopathy of prematurity (ROP) are the most common complications following hyperoxia exposure. At present, the pathogenesis of hyperoxia-induced ocular injury is still unclear thoroughly, and it may be related to oxidative stress, lipid peroxidation and inflammation. This article reviewed the current advance in the mechanism and the potential prevention of hyperoxia-induced the lens,retina and other ocular injuries. Key words: Hyperoxia; Oxidative stress; Lipid peroxidation; Lens; Retina

The Statistical Observation of Ocular Injury

Purpose: To investigate the regional characteristics and changing history in the era of ocular injuries, in order to use the results for the treatment and prevention of ocular injuries. Methods: A retrospective survey was performed with 372 patients, who were hospitalized due to ocular injuries from January 1, 1996 to December 31, 2005, using the year 2000 as the divider for establishing the 2 groups. The change of incidence in industrial ocular injuries, sex, age, distribution of season, side, mode, cause, nature, primary ocular surgery, complications, secondary operation, and change in visual acuity were reviewed statistically. Results: The number of patients in group one was 223 and 149 in group two with a greater incidence in males (87.9%). The incidence peaked at the third decade of age in group 1, and at the fifth decade in group 2. The incidence was highest in the autumn in group 1, and in the spring in group 2. Regarding the mode of ocular injury, industrial injury was the most common, and ocular injuries from violence, traffic accidents and sports increased. Within the two groups, the most common cause of injury involved a piece of iron, and the most common surgery was primary corneal closure. The most common complication was corneal opacity. There was no statistical difference in the improvement of visual acuity between the two groups (p=0.251). Conclusions: This survey gathered the characteristics and changing history in the era of ocular injuries in order to use the results for the treatment and prevention of ocular injuries.

The incidence and prevention of ocular injuries in orthodontic practice.

A postal survey was conducted to determine the use of eye protection and incidence of ocular trauma in orthodontic practice. One-hundred-and-fifty-nine NHS orthodontic consultants and 203 specialist orthodontic practitioners were surveyed. Two-hundred-and-forty-one (66.5 per cent) replies were received. Some form of eye protection was routinely worn by 66.8 per cent of orthodontists, 64.3 per cent of patients, but only 33.6 per cent of DSAs. Eye protection was not offered to DSAs in 31.9 per cent of practices or to patients in 22.1 per cent. Forty-three per cent of orthodontists reported instances of ocular injury in their practices. The majority of these injuries (n = 104) occurred during debonding or trimming acrylic. Other incidents involved ligating materials, intra-oral polishing, and acid etching. Most injuries (83.5 per cent) were treated in the surgery without any long-term effects. The routine use of goggles or spectacles with side-pieces and plastic lenses, which conform to British Standard BS 2092, is recommended for staff and patients during all operative procedures in orthodontic practice.

Prevention of Ocular Injuries

Prevention of Ocular Injuries

A retrospective study on the causes for evisceration at Tilganga Eye Centre

Evisceration is one of destructive surgery of eye after which a patient loses his hope of restoration of sight forever. To identify the major causes of evisceration at a tertiary eye centre of Nepal. This is hospital based retrospective study of patients presented at Tilganga eye centre, Kathmandu, Nepal over a period of two years (10 Nov 2004 to 10 Nov 2006). Out of 2,31,976 total OPD patients, 71 patients who had evisceration with or without implant were selected and finally, only 67 patients record were enrolled for study as data were insufficient in the remaining records to fi ll up the study format. Data processing and analysis done using computer SPSS 11.5. A total of 67 cases, with age ranging from 1.5 years to 85 years, out of which 33 male and 34 were female. Evisceration was performed most commonly due to trauma and it's subsequent sequele in 37 cases (55.2% of total cases), who were within the age group of 30 - 59 years (p = 0.033) and predominantly male 25 cases(p = 0.001). Most of the patients presented from outside Kathmandu valley, with visual acuity of no perception of light. Evisceration without implant was most common surgical procedure, with trauma being the leading cause for it and most of the trauma was seen in active, potential and young male patients. So prevention of ocular injuries together with early treatment protocol is best way to decrease the rate of evisceration due to ocular trauma. To prevent ocular injuries news paper, television and health education may play an important role.

Guest Editorial: Prevention of ocular firework injuries

DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5842 NEPJOPH 2012; 4(1): 3-4

The prevention of ocular injuries in industry.

The prevention of ocular injuries in industry.

Eye Injuries in Children

The purpose of this paper is to call the attention of the general physician to the problems involved in eye injuries in children, to give briefly the generally accepted methods of their management, and to emphasize that the prevention of ocular injury is much more profitable than the treatment. When compared to all types of injuries sustained by children, eye injuries are not very common. However, the fact that eye injuries are commoner in children than in the general population was shown by a recent study, which revealed that children up to 9 years of age account for over 20% of all the serious eye injuries. 1 Since accidents of various kinds cause about 50% of all blindness in one eye and about 20% of all blindness in both eyes, 2 proper and early treatment and prevention of injuries are extremely important. Because of the delicacy and peculiarities of ocular