Trauma ocupacional por corpo estranho corneano superficial

Abstract

Most patients with superficial corneal foreign body are aware of its severe complications and injuries usually occur in places where safety devices are available and often during their use. Our findings suggest that prevention should focus on supervision and correct use of safety devices.

Epidemiological and occupational profile of eye trauma at a referral center in Espírito Santo, Brazil

“…The average age of our patients was 34.8 years, matching earlier studies in which prevalence peaked in the age range 30-35 years. More than half the observed eye injuries (56.7%) occurred when the patient was performing an activity pertaining to his/her function, regardless of whether employment was formal or informal (4,7,16) . The male gender was predominant (88.6%) among victims of work-related injuries.…”

“…This is supported by two other Brazilian studies showing incidences between 88.1 and 96.21% (14,15) and by a study from Glasgow (98.8%) (4) . The occupational sector most strongly associated with eye trauma was construction (4,7,12,14) . Most of our cases (66.7%) were classified as closed globe injury, mainly from blunt objects (51.4%) and foreign objects on the ocular surface (45.9%).…”

“…These annual statistics do not include all work-related eye injuries but only accidents involving workers protected by the labor legislation (CLT). In addition, severe accidents are more likely to be reported (7) . The World Health Organization (WHO) estimates that each year 55 million eye injuries are responsible for the loss of at least one day of activity (8) .…”

Reabilitação visual com lentes de contato após trauma ocular

“…Nos EUA, de 20.000 a 68.000 pacientes são hospitalizados por ano, com sérios traumas oculares que comprometem a visão (Figura 1). A admissão de pacientes do sexo masculino é 3 vezes mais freqüente que pacientes do sexo feminino, e adultos jovens são mais envolvidos do que adultos de mais idade (1)(2)(3)(5)(6)(7) . Em estudo retrospectivo, Cariello et al, analisando 273 prontuários de pacientes menores de 16 anos de idade, encontrou como causa mais freqüente de lesão ocular traumatismo com objetos externos como pedra, ferro ou madeira (28,9%) e o local mais comum foi a própria casa (53,1%).…”

“…Deve-se medir a acuidade visual (AV) pós-trauma no momento da chegada do paciente ao PS, utilizando a tabela de Snellen. Quando for pior que 0,03 deve ser classificada em conta dedos, visão de vultos ou então em percepção e projeção luminosa (1)(2)(3)(4)(5)(6)(7)(8)(9) .…”