An unusual case of gardening ocular injury during Covid-19 lockdown

Abstract

Introduction Facial trauma are an important cause of serious ocular morbidity. In particular domestic trauma are a small part of total. COVID-19 pandemic has been influencing our life in a way never seen before, people need to remain at home due to lockdown restrictions. In this scenario we are seeing an increase in the percentage of domestic facial trauma. In other hand pandemic has influenced the possibility of hospitalization, so daily based procedures increased their importance in global treatment planning. Case presentation A 58 yo man presented to our ward with a foreign body in left eyebrow. Trauma happened during gardening. Clinical discussion The importance of imaging to perform the right procedure has become more important during pandemic to reduce time of hospitalization. Conclusion CT scan and ophtalmology consult have been the guideline to avoid a more invasive treatment which was performed in an outpatient regimen with local anesthesia.

COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma

“…Several studies have reported a variety of types of ocular trauma caused by gardening, including epithelial defects or fungal keratitis caused by leaf scratches, corneal or conjunctival burns caused by improper use of herbicides, and open-global injuries or perieyelid injuries caused by splashes of plant debris or stones thrown by lawnmowers (67). A case of ocular trauma in a 58-year-old man caused by gardening during this COVID-19 period was reported by Nocini et al (50), in which a nail thrown by the lawnmower pierced his left upper eyelid and penetrated the superior rectus and lateral rectus muscles, leading to restricted globe movement. Sputtering particles from DIY and amateur home improvement activities are also the leading causes of serious ocular trauma.…”

Ocular Trauma During COVID-19 Pandemic: A Systematic Review and Meta-analysis

“…Various case reports documented different domestic ocular trauma which occurred during the COVID-19 pandemic. There were 2 reported cases of metallic nail embedded in the left upper eyelid and corneal injury caused by gardening, 29,30 respectively. Two studies reported 2 and 11 cases with ocular trauma due to resistance bandrelated exercises carried out at home, 31,32 respectively.…”