ABSTRACT
Background: Open globe injuries are a major cause of permanent visual impairment and blindness
Objectives: In this retrospective study, we identify clinical characteristics and outcome of a series of open globe injuries.
Methods:Operating department records were reviewed to identify all patients who had undergone repair of an open globe injury from January 2006 to November 2013 at the department of ophtalmology in the university hospital of Nabeul in Tunisia. Case notes were examined to determine demographic data, mechanisms and location of injury. The Snellen visual acuity on presentation, initial clinical signs and the final visual acuity were, also, recorded
Results: In total, 100 cases of open globe injury were identified. The mean age of the patients was 31.9 years. Eighty-two per cent [82%] of patients were male. Domestic accidents, assaults and accidents in the work place were the main etiologies of open globe injuries, representing respectively 30, 29 and 12% of cases. Twenty eight [28] patients had globe ruptures and 72 patients sustained globe lacerations. The injury was corneal in 60 cases, corneoscleral in 15 cases and scleral in 25 cases. An intraocular foreign body has been identified in 4 cases. The main complications were corneal opacity [43%] and posterior synechiae [28.6%]. Final visual acuity of 5/10 or better was achieved in 24% of cases. It was
Conclusion: Open globe injury is a serious accident that can cause significant functional impairment. Only the application of preventive measures can reduce the incidence of these accidents
ABSTRACT
The Lofgren syndrom is a particular variety of sarcoidose. The ocular attack is dominated in this syndrom by anterior uveitis. More rarely the eyelids and the orbitary structures ore attached. Purpose In this work, we report a lofgren syndrom case revealed by eyelid tumor. Observation It is about 42 year-oid patient who consults for a right inferior eye-lid tumefaction developped for 2 months. The diagnosis of Lofgren syndrome was evoqued because of the association of fever, arthritis, erythema nodosum, tuberculin anergia, hypercalcinuria and mediastinal adenopathy at thoracic scan-tomography. The diagnosis was then confirmed by biopsy of palpebral tumor which showed multiple epithe-lioid and gigantocellulor granuloma without caseous necrosis. Conclusion The Lofgren syndrome is a multivisceral chronic affection. The eye and its annexes constitute frequent cibles of this affection for which they react by a diverse and rich symptomalogy and which can be presented by eye-lid tumors with orbital extension