Penetrating needle injury of the eye

Nili-Ahmadabadi, Mehdi; Faghihi, Hooshang; Hadjizadeh, Fedra; Rasoolinejad, Seyed Ahmad; Rajabi, Mohammad Taher

doi:10.1016/j.injury.2007.08.039

Cited by 8 publications

(4 citation statements)

References 11 publications

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“…Unfortunately, 1 child was injured by a mine explosion, a remnant from the Iraq-Iran war, with no need to emphasize the dangerous consequences of war even after several years. Like other studies, other sources of trauma such as needles, tree branches, pens, scissors, metallic keys and broken glass jars were also reported [12,17] but had lesser frequencies.…”

Section: Discussionsupporting

confidence: 53%

Sharp-Object-Induced Open-Globe Injuries in Iranian Children Admitted to a Major Tertiary Center: A Prospective Review of 125 Cases

Ahmadabadi

Alipour²,

Tabataei³

et al. 2010

Ophthalmic Res

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Ocular trauma in children can result in catastrophic visual and psychological outcomes both for the child and his/her family. According to the WHO, childhood blindness is one of the major causes of avoidable blindness and so target of the Vision 2020 program. To achieve this program’s goals, it is necessary to explore the epidemiological patterns of ocular trauma in different countries which in its turn could be a valuable means to guide us in developing preventive measures. Our study is a hospital-based prospective study which was conducted to reveal detailed information about children who were admitted to a large tertiary care hospital with the diagnosis of lacerating globe injury due to a sharp object. Patients and Methods: During a 6-month period (December 2006 to June 2007), 125 eyes of 125 children (age ≤16 years) with the diagnosis of open-globe injury were enrolled. Clinical data were documented. Demographic data and details of the event were explored and documented based on the study questionnaire (adopting the Birmingham Eye Trauma Terminology and the United States Eye Injury Registry model as basis) by interviewing the parents and the child. Results: The mean age was 8.5 years (SD = 4.36 years, range: 1–16). The boys:girls ratio was 2.5:1; this ratio was age dependent, showing a significant increase with age. The home was the most frequent place (61.7%) for the trauma to occur in. Most traumas (50%) occurred in the afternoon (12 midday to 6 p.m.). Almost half of the traumas were unintentional self-injuries and occurred when the child was alone. A knife and fireworks were the two most frequent causes of injury. Conclusion: As the home is the most common place of ocular trauma in this age group and as lack of proper supervision and accessibility of sharp objects such as knives are the background of the event in most cases, it is strongly recommended to educate parents about providing a safe environment at home for their children. Work-related eye injuries in this age group should also be reduced by regulations for prohibiting children’s work or at least providing the necessary education and safety goggles.

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Section: Discussionsupporting

confidence: 53%

Sharp-Object-Induced Open-Globe Injuries in Iranian Children Admitted to a Major Tertiary Center: A Prospective Review of 125 Cases

Ahmadabadi

Alipour²,

Tabataei³

et al. 2010

Ophthalmic Res

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“…It seems that corneal wounds that penetrate deep into the anterior segment have the highest risk of endophthalmitis; this includes needle injuries, just as we reported previously in a separate article. 18 This could be because of more effective inoculation of pathogens and microorganisms. However, we also found that wounds in Zone II or Zone III were smaller in size (approximately 2-3 mm), and it seems that smaller wound sizes can change the globe into a suitable culture medium for microorganisms.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Endophthalmitis

Faghihi¹,

Hajizadeh²,

Esfahani³

et al. 2012

Retina

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Posttraumatic endophthalmitis is more likely among patients with open-globe injury that are needle related and among those who have intraocular foreign bodies, traumatic lens rupture, smaller wounds, or wounds exclusively in the cornea. Lower ocular trauma scores in this group of patients with penetrating trauma indicated a greater risk of poor visual prognosis. Therefore, it is suggested that necessary measures and immediate treatment be undertaken in high-risk patients.

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“…It is a significant predictor of worse final visual outcomes [ 12 ]. Despite the needle being contaminated and the injury occurring in a rural location, our patient did not develop endophthalmitis, which is a commonly reported complication of open globe injuries with needles and is considered a significant poor prognostic factor [ 1 , 3 ]. Awareness campaigns aimed at educating families about the risks associated with children handling dangerous objects are essential to prevent such injuries, which can have serious consequences on vision.…”

Section: Discussionmentioning

confidence: 99%

“…Penetrating needle eye injuries are not documented enough in the literature. There are few reports describing the presentation of such cases [ 3 - 5 ]. This report aims to illustrate the clinical presentation, management, and outcome of a veterinary needle-induced eye injury.…”

Section: Introductionmentioning

confidence: 99%

Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle

Alawi,

AlHaimi

2023

Cureus

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We present a rare case of a penetrating injury to the globe and orbit by a veterinary needle. The patient underwent globe exploration and retinal detachment repair under general anesthesia after receiving medical treatment for orbital cellulitis. The case was managed by a multidisciplinary team consisting of a pediatric ophthalmologist, an oculoplastic surgeon, and a retina surgeon. The orbital cellulitis resolved gradually, after which the site of globe penetration was found to be self-sealed, and the retinal detachment was repaired. B-scan ultrasonography and magnetic resonance imaging (MRI) were performed to assess the extent of the injury and evaluate the integrity of the globe. Exploration of presumed Self-sealing globe wounds by a needle should be deferred until the treatment of life-threatening complications like orbital cellulitis and optic nerve infiltration is complete. Prompt judicious care was necessary in this case. It is crucial to implement preventive measures to address the risks involved in children manipulating dangerous objects to avoid preventable accidents and mitigate the potential visual outcomes that may arise as a result.

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Penetrating needle injury of the eye

Cited by 8 publications

References 11 publications

Sharp-Object-Induced Open-Globe Injuries in Iranian Children Admitted to a Major Tertiary Center: A Prospective Review of 125 Cases

Sharp-Object-Induced Open-Globe Injuries in Iranian Children Admitted to a Major Tertiary Center: A Prospective Review of 125 Cases

Posttraumatic Endophthalmitis

Unusual Penetrating Orbital and Globe Injury With a Veterinary Needle

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