An unusual case of penetrating ocular trauma with a pressure cooker

Abstract

Ocular trauma is a major cause of vision loss. The circumstances and agents implicated in such injuries are diverse. We present an unusual case of penetrating ocular trauma with the nozzle of a pressure cooker lid in a 32-year-old housewife causing deep laceration of the upper eye lid and sclera. The impacted metallic nozzle was removed on an emergency basis. Autoevisceration of ocular contents due the high velocity impact resulted in the final decision to surgically complete the evisceration and implant a glass ball implant. This case highlights the propensity of grievous ocular trauma in a domestic environment.

Transorbital Penetrating Brain Injury from Pressure Cooker Blast: An Unusual Case Report

“…Chattopadhyay et al published a case of penetrating ocular injury without any intracranial component due to a pressure cooker blast in 2010 in the Oman Journal of Ophthalmology. 1 Another case was published by Gupta et al in the Indian Journal of Neurotrauma in 2014. 2 The patient was a 47-year-old female who encountered a penetrating brain injury by way of the valve of pressure cooker and recovered well after surgery.…”

“…The complications of transorbital penetrating craniocerebral injury include consequences of extraocular muscle injury, and intraparenchymal brain lesions such as cerebral edema, cerebral contusions, intracerebral haematoma, subdural and epidural haematoma, subarachnoid hemorrhage, pneumocephalus, CSF fistulas, etc. 1,5 Infective complications including brain abscess, encephalitis, meningitis, osteomyelitis and scalp wound sepsis, and vascular complications such as pseudoaneurysm, posttraumatic caroticocavernous fistula can also rarely occur. 4 The risk of postoperative seizure is as high as 30 to 50%, of which 10% appear within first week of trauma 3 .…”

Multi-Specialty Care for Second-Degree Pressure Cooker Explosion Burn Injuries

“…Fortunately, this woman had not sustained co-existing injuries to her orbit, mandible, or upper airway, all of which would have required immediate referral to a traumatic burn unit or emergency department depending on the severity of presenting symptoms. [2][3][4] Since this patient did not present with any signs of infection and no known history of beta-lactam allergic reactions, an adequate level of antibiotic prophylaxis targeting methicillin-sensitive Staphylococcus aureus (i.e., common bacteria implicated in cutaneous wound infection), was accomplished with Cephalexin, a first-generation cephalosporin with predominate gram-positive coverage. 24 After we consoled this patient about the extent of her injury and likely risk for permanent scarring, she expressed optimism concerning the wound care plan we recommended.…”

“…1 Although the medical literature indexed on PubMed regarding severe burn injuries secondary to pressure cooker explosions has remained minimal, the complexity of burn care coordination management has appeared in multiple articles. [1][2][3][4][5] Burn wounds are generally classified by their extent of skin layer involvement since this information is important to understand to order varying degrees of intervention. Superficial, or "first-degree," burns are commonly associated with sun-bathing or salon-tanning and involve only the top epidermis of the skin.…”

Penetrating Orbitofrontal Foreign Body: Case Report

“…A previous study of causes of ocular trauma stated pressure cooker explosion as the cause in 4.6% of these cases. 5 However, complete penetration of the pressure regulator of a pressure cooker into the orbit and anterior cranial fossa is very rare. Meticulous removal of all fragments of impacted bone and the foreign body with debris and a proper dural closure are essential in such a situation to avoid further complications.…”