Mechanical ocular trauma can cause a wide range of eye injuries from relatively minor to vision threatening. The document defines standard terminology for different types of eye injuries using the Birmingham Eye Trauma Terminology (BETT) system. It describes closed globe injuries which involve no penetration of the eyewall, open globe injuries which involve penetration of the eyewall, and different types of open globe injuries including globe rupture, penetrating injuries, and perforating injuries. It provides details on mechanisms of injury, clinical findings, examination techniques, and treatment approaches for different injury types.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. General Considerations
Ocular trauma constitude about 6% of all injuries,
but eyes set up only 0,1% from the surface of
human body.
Ocular trauma can result in a wide spectrum of
tissue lesions of the globe, optic nerve and adnexa,
ranging from relatively superficial to vision
threatening.
Consequently, the socioeconomic impact of ocular
trauma can hardly be overstimated. Those affected
often have to face:
loss of career opportunities
major lifestyle changes
permanent physical disfigurement
3. Ocular Trauma Epidemiology
Who is at Risk
approximately 80% of
injured are males
The Site
the workplace has been
most common site
domestic injuries has been
increasing
The Source
blunt objects (rocks, fists,
wood branches, baseballs.
champagne corks)
work-related injuries
sports and recreational
activities
hammering on metal and
nails
firearms and fireworks
4. Terminology of Ocular Trauma
Without a standardized terminology of eye injury
types, it is impossible to communicate between
ophthalmologists.
BETT – Birmingham Eye Trauma Terminology
BETT satisfies all criteria for standard terminology
by providing a clear definition for all injury types
and placing each injury type within the
framework of all comprehensive system.
6. Terms and Definitions in BETT
Eyewall
Sclera and cornea.
Closed Globe Injury
No full-thickness wound of the
eyewall.
Open Globe Injury
Full-thickness wound of the eyewall.
Contusion
No wound.
The injury is due to either direct
energy delivery by the object or
changes in the shape of the
globe.
Lamellar laceration
Partial-thickness wound of the
eyewall.
Rupture
Full-thickness wound of the
eyewall caused by a blunt
object.
Because the eye is filled with
incompressible liquid, the
impact results in momentary
increase in intraocular pressure
(IOP). The eyewall yields at its
weakest point. The actual
wound is produced by an
„inside-out“ mechanism.
7. Terms and Definitions in BETT
Laceration
Full-thickness wound of the
eyewall caused by a sharp
object.
The wound occurs at the
impact site by an „outside-
in“ mechanism.
Penetrating injury
Entrance wound of the
eyewall.
If more than one wound is
present, each must have
been caused by a different
agent.
IOFB
Retained foreign object.
Perforating injury
Entrance and „exit“ wound.
Both wounds caused by the
same agent.
8.
9. BLUNT TRAUMA
Modes of trauma
• Direct blow to the eyeball by fist, ball or blunt instruments
like sticks, and big stones.
• Accidental blunt trauma to eyeball may also occur in
roadside accidents, injuries by instruments/ machines and
fall upon the projecting blunt objects.
10. Mechanics of forces of blunt trauma
A- Direct impact
B- Compression wave force
C- Reflected compression wave
D-Rebound compression wave
11. Mechanisms of damage
l. Mechanical tearing of the tissues of eyeball.
2. Damage to the tissue cells sufficient to cause
disruption of their physiological activity.
3. Vascular damage leading to ischaemia, oedema and
haemorrhages.
4. Trophic changes due to disturbances of the nerve
supply.
5. Delayed complications of blunt trauma such as
secondary glaucoma, haemophthalmitis, late rosette
cataract and retinal detachment.
13. 1- Closed globe injury
Contusion injuries may vary from a simple corneal
abrasion to an extensive intraocular damage.
• CORNEA
• Simple abrasions: Corneal epithelium Damage
(Ulcer)
These are very painful and diagnosed by fluorescein
staining.
These heal within 24hrs with pad and bandage applied
after instilling antibiotic ointment.
14. Recurrent corneal erosions
(recurrent keractalgia)
Caused by fingernail trauma. Patient
presents with recurrent attacks of
acute pain and lacrimation on
opening eye in the morning and is
due to abnormally loose attachment
of epithelium to Bowman's
membrane.
Partial corneal tears ( lamellar
corneal lacerations )
15. BLOOD STAINING OF CORNEA:
hyphaema + Raised IOP
cornea is reddish brown or greenish in
color and in later stages lead to dislocation
of lens into anterior chamber.
It clears very slowly from periphery
towards the center and may take up to 2
yrs.
• DEEP CORNEAL OPACITY:
* Oedema of corneal stroma
folds in the Descemet's membrane.
Sclera
Partial thickness scleral wounds occur
alone or with other lesions of closed globe
type.
16. Anterior chamber
-TRAUMATIC HYPHAEMA or blood in anterior
chamber which occurs due to injury to iris or
anterior ciliary vessels.
-EXUDATES: these collect here following
traumatic uveitis
17. Iris, pupil and ciliary body
• TRAUMATIC MIOSIS:
occurs initially due to irritation of ciliary nerves or with
spasm of accommodation.
• TRAUMATIC MYDRIASIS (iridoplegia):
It is permanent and is associated with traumatic
cycloplegia.
• RUPTURE OF PUPILARY MARGIN
• RADIATING TEARS IN THE IRIS STROMA
• IRIDODIALYSIS:
detachment of iris from its root at ciliary body which results
in 'D' shaped pupil
18. TRAUMATIC ANIRIDIA:
the completely torn iris from ciliary body sinks
to the bottom of anterior chamber in the form of
a small ball.
ANGLE RECESSION:
refers to tear between the longitudinal and
circular muscle fires of ciliary body,
characterized by deepening of ant chamber
and widening of ciliary body on gonioscopy and
leads to glaucoma.
INFLAMMATORY CHANGES:
these include traumatic iridocyclitis, post
traumatic iris atrophy etc.
TTT: consist of atropine, antibiotics and
steroids.
19. Lens
• VOSSIUS RING :
It is a circular ring of brown pigment seen
on the anterior capsule
It occurs due to striking of contracted
pupillary margin against the lens.
•CONCUSSION CATARACT:
due to imbibition of aqueous and due to
direct mechanical effects of the injury on
lens fibers
20. • Subluxation of lens : due to partial
tear of zonules and there is
displacement of lens but is present in
the pupillary area-it can be lateral or
vertical.
• Dislocation of lens: when rupture of
zonules is complete and can be
intraocular or extraocular.
-intraocular-into AC or posterior vitreous
-extraocular-subconjunctival or may fall
outside the eye
21.
22. VITREOUS
• Liquefaction and appearance
of clouds of fine pigmentary
opacities
• Detachment of the vitreous
either anterior or posterior
• Vitreous hemorrhage
• Vitreous herniation in anterior
chamber may occur with
subluxation or dislocation of
lens
23. Choroid
• Rupture of choroid: is concentric to optic disc and situated
temporal to it and can be single or multiple.
On fundus examination :
-whitish crescent with fine pigmentation at its margins.
-Retinal vessels pass over it.
24. • Choroidal hemorrhage may occur under retina
or may even enter the vitreous if retina is torn.
• Choroidal detachment
• Traumatic choroiditis :
-seen on fundus examination as patches of
pigmentation and discoloration after eye becomes
silent
25. Retina
• COMMOTIO RETINA (Berlin's oedema):
It manifests as milky white cloudiness
involving of posterior pole with a cherry- red
spot in the foveal region
disappear after some days/ pigmentary
changes.
• RETINAL HAEMORRHAGES:
eg: flame shaped and preretinal D shaped
hemorrhage may be associated with
traumatic retinopathy.
RETINAL TEARS:
these follow a contusion in eyes suffering
from myopia or senile degenerations.
26. • TRAUMATIC PROLIFERATIVE
RETINOPATHY :
occur secondary to vitreous
haemorrhage.
• RETINAL DETACHMENT:
follows retinal tears or vitreo-retinal
tractional bands.
CONCUSSION CHANGES AT
MACULA: traumatic macular oedema
followed by pigmentary degeneration.
Sometimes, a macular cyst is formed ,
which on rupture is converted to a
lamellar or full thickness macular hole.
27. lOP changes in closed globe injury
• TRAUMATIC GLAUCOMA
• TRAUMATIC HYPOTONY
it may follow damage to the ciliary body.
28. Traumatic changes in refraction
• Myopia may follow ciliary spasm or rupture
of zonules or anterior shift of lens
• Hypermetropia and loss of accommodation
may result from damage to the ciliary body
(cycloplegia).
29. 2- GLOBE RUPTURE
It is a full-thickness wound of eye-wall caused by blunt object
and can occur in 2 ways:
• DIRECT RUPTURE: at the site of injury.
• INDIRECT RUPTURE: occurs because of compression
force. The impact results in momentary increase in IOP
and inside out injury at the weakest part of the eye wall
TREATMENT:
A badly damaged globe should be enucleated .
In less severe cases it can be repaired under general
anesthesia.
31. Open Globe Injuries
Globe Rupture
Etiology:
Full-thickness wound of the
eyewall caused by a blunt
object.
Clinical findings:
Cover rupture - prolapsus
of intraocular tissue is
beneath conjunctiva
Uncover rupture –
prolapsus is over
conjunctiva
32. Globe Rupture
Clinical findings:
Low visual acuity,
hypotony of the eye,
bleeding in anterior
chamber and vitreous
body, perilimbal
wound, prolapsus of
intracoular tissue (iris,
lens, vitreous body…).
Examination:
Visual acuity, slit lamp,
ultrasound
Treatment:
Only surgical with
systemic and topical
antibiotics.
33. Globe laceration– penetrating injury
Etiology:
One entrance wound of the
eyewall (section and slash
wound of conjunctiva,
cornea, sclera).
Clinical findings:
with prolapsus of intraocular
tissue
without prolapsus of
intraocular tissue
34. Laceration – penetrating injury
Examination:
Visual acuity, slit lamp, opththalmoscopy, ultrasound,
CT or x-ray (for elimination of the foreign body).
Treatment:
surgical – suture immediately
medical - contact lens (only if the wound is small
and edges of the wound are adapted) + systemic
and topical antibiotics
35. Open Globe
Laceration + IOFB
IntraOcular Foreign Body is defined as
intraocularly retained material.
Cause:
Hammering in 80%, power or machine tools in
25%, weapon-related in 20%.
Terminology of IOFB:
metallic or non metallic
x-ray contrast or x-ray noncontrast
magnetic or non magnetic
36. IOFB
Clinical findings:
Depends on localization
of foreign body inside
the eye.
Clinical features range
between no visual
impairment to
blindness.
37. IOFB
Examination:
Slit lamp, ophthalmoscopy,
ultrasound, x-ray, CT scan.
Detection of IOFB by x-ray
method:
anterior and lateral
projection with prosthesis
on the cornea
Comberg-Baltin method =
exact calculation of
localization IOFB inside the
eye.
38. IOFB
Ocular damage
Entrance Wound
The IOFB must possess certain
energy to perforate the eye ´s
protective wall. The length of
the entry wound is predictive of
the risk of retinal damage: the
shorter the wound, the less
energy to be lost during
penetration.
Mechanical Intraocular Damage
Little or no damage is expected if
the IOFB has completely lost its
kinectic energy upon entry. The
primary impact may be followed
by additional impaction via
ricocheting.
Inflammation
Breach of the eyewall, intraocular
haemorrhage and vitreous/lens
admixture incite an inflammatory
response.
Chemical Implications
Metallic IOFB ´s are rarely pure.
Siderosis
IOFB - related corrosion is caused by
interaction between trivalent iron
ions and proteins in the eye ´s
epithelial cells. The cytotoxicity
involves enzyme liberation leading
to cell degeneration. The ferric
iron is thought to be toxic by
generating free radicals.
39. IOFB
Ocular damage
Siderosis
Siderotic changes include the
following clinical findings:
Chronic open-angle glaucoma
Brownish discoloration of the
iris
Dilated, nonreactive pupil
Yellow cataract with brown
deposits on the anterior capsule
Pigmentary retinal degeneration
withg visual field loss
Visual impairment
The clinical diagnosis is confirmed by
characteristic ERG changes such
as:
Increased A wave initially
Progressive reduction of the B
wave subsequently
40. IOFB
Ocular damage
Chalcosis
Copper IOFBs cause rapid,
sterile endophthalmitis-
like reaction including
corneal/scleral melting,
hypopyon (inflammatory
exudation in anterior
chamber) and retinal
detachment.
Copper tends to deposit in
membranes and causes
destruction by increasing
lipid peroxidation.
The typical clinical findings
include:
Green discoloration of the
iris
Kayser-fleischer ring
Greenish/brown – colored
cataract with spokes of
copper deposits(sunflower)
Copper particles in the
vitreous and copper particles
on the retinal surface
41. IOFB
Treatment:
All the IOFB ´s must be
removed from the eye!
Retained IOFB = high
risk of
endophthalmitis and
siderosis
Timing of removal:
Immediately
Delayed – between 5
and 10 days after injury
Surgical treatment –
extraction by pars plana
vitrectomy with forceps
or intraocular magnet
Medical treatment –
systemic antibiotics,
topic antibiotics and
corticosteroids,
mydriatics.
42. Open Globe
Laceration – perforating injury
Entrance and „exit“
wound.
Both wounds caused by
the same agent.
Etiology:
Section, puncture, splash
wound (f.e.wire, knife)
or entrance and exit
wound caused by
IOFB.
Specifity of perforating
injury
Entrance wound is
smaller than exit
wound (cases caused
by IOFB)
In most cases exit
wound is technically
impossible to suture
(exit wound located in
posterior pole)
43. Perforating injury
Clinical findings:
Same as the penetrating
injury
Examination:
Slit lamp, IOP
measurement,
ophthalmoscopy,
ultrasound, x-ray, CT
Treatment:
Suture of the entrance
wound (exit wound if
it is technically
possible), cataract
extraction, pars plana
vitrectomy…