Management of alkali eye injury

Chemical eye injury is a common ophthalmic emergency which needs immediate aggressive management to maximize visual outcome. The outcome ranges from full recovery to permanent vision loss. Treatment includes medical and surgical interventions. We present a case of an adult male who sustained a grade II alkali burn in his right eye after an accidental exposure to chemical powder while working. The patient was managed with preservative-free artificial tear drops, erythromycin eye ointment, moxifloxacin eye drops, Tobradex eye drops (tobramycin + dexamethasone 0.1%) and cyclopentolate eye drops. He recovered his vision fully and his cornea fully epithelized

Recurrent chalazia revealing an ocular rosacea in a child

Chalazion in childhood and early adolescence is a common condition frequently seen in ophthalmic practice

The diagnosis is usually straightforward and surgical treatment by incision and curettage is frequently advised. Emphasis on the cause of this common pathology is often overlooked

We present a case of recurrent chalazion in a 14-year-old female, which was associated with ocular rosacea

Ophthalmologic examination confirmed recurrence of chalazion, severe bilateral blepharitis and involvement of cornea with the presence of infiltration and neovascularization

The patient was treated with doxycycline 100 mg once a day and topical steroid treatment

The follow-up was marked by partial remission of the disease with frequent relapses

Topical azithromycin 1.5% was used and the ocular inflammation was quickly resolved. One year after discontinuation of local therapy with azithromycin, the patient remained recurrence free

Occupational eye injury: the neglected role of eye protection

Objective: To evaluate the role of eye protection in patients with an occupational eye injury

Setting: Ophthalmology Department, King Hamad University Hospital, Bahrain

Design: A Prospective Cross-Sectional Study

Method: All patients who presented with occupation-related eye injury from 1 January 2016 to 31 March 2016 were included in the study. A survey was filled regarding occupation, mechanism of injury, causative hazard and eye protective precaution used. Personal characteristics, examination, the degree of injury, diagnosis, management and complications were recorded. Birmingham Eye Trauma Terminology System was used in injury classification

Result: Forty-two injured eyes were seen from 1 January 2016 to 31 March 2016. Forty [95.2%] were not using safety eyewear. Twenty-two [52.4%] had superficial foreign body, 17 [40.5%] had lamellar laceration, 2 [4.8%] had contusion and 1 [2.4%] had penetrating injury. Fifteen [35.7%] injuries were due to flying particles while grinding, followed by 5 [11.9%] due to hammering. Corneal foreign body was the most common injury, 19 [45.2%]. Most frequently injured were construction workers, 14 [33.3%] followed by welders, 10 [23.8%]

Conclusion: Occupational eye injuries could lead to major complications ranging from mild abrasions to blindness. In our study, most of the injuries were due to ignorance and failure to use safety eyewear. It is highly recommended that all employers make it mandatory for all workers to wear appropriate protective eyewear as it decreases the incidence and severity of eye injuries

Hereditary progressive cone dystrophy

Cone dystrophy is a rare hereditary eye disease involving retinal cone photoreceptors, which affects the central vision and color vision. Most patients present with defective color vision and significant photophobia. We present two rare cases of progressive cone dystrophy who presented to the Ophthalmology Clinic and were treated conservatively