Mechanical injuries of the eye.

BACKGROUND: Traumatic mechanical damage of the eye can cause serious morphological and functional changes in eye structures. Thorough examination and appropriate approach are essential in successful treatment and maintenance of visual functions. MATERIAL AND METHODS: In the years 2005-2007, 78 patients with mechanical eye injury were treated at the Department of Ophthalmology, Faculty of Medicine, Comenius University, Bratislava. We treated 17 eyes with globe contusions, 19 eyes with penetrating injuries, 16 eyes with intraocular foreign bodies, 2 eyes with perforating injuries and 24 eyes with globe ruptures. RESULTS: Final visual acuity better than 5/50 was achieved in 7 eyes (41.2%) with contusion, 15 eyes (78.9%) wih penetrating injuries, 10 eyes (62.5%) with intraocular foreign bodies and in 5 eyes (20.8%) with globe ruptures. Twelve eyes (50.0%) from the group of patients with globe ruptures were without light perception. CONCLUSION: Traumatic mechanical damage of the eye can result in serious morphological and functional impact on eye tissue structures. Globe rupture often causes a visual loss despite advances in diagnostic and surgical procedures. Proper examination and appropriate approach are essential in successful treatment and saving the visual functions. Modern diagnostic and surgical procedures can save many eyes and maintain their useful function (Tab. 9, Fig. 2, Ref. 12).

[Endophtalmitis after injury with intraocular foreign body in posterior segment of the eye]. / Endoftalmitída po poranení s cudzím vnútroocným telesom v zadnom segmente oka.

OBJECTIVE: To evaluate morphological and functional results of therapy in patients with endophthalmitis associated with intraocular foreign bodies in posterior segment in retrospective study. MATERIAL AND METHODS: In the Department of Ophthalmology, School of Medicine, Comenius University Bratislava we treated 216 patients (216 eyes) with intraocular foreign bodies in posterior segment of the eye in the years 1989-2007. Endophthalmitis developed in 34 eyes (15.7%). Patients were in age between 7-59 years, average 35.6 years. Patients were examined in outpatient department, follow up ranged from 1 month to 5.6 years, average 1.6 years. We evaluated epidemiological factors, morphological and functional results in this study. RESULTS: Good morphological results were achieved in 18 patients (52.9%) and bad morphological results in 16 patients (47.1%). Enucleation, evisceration of the globe, phthisis and retinal detachment were defined as bad morphological results. Initial visual acuity 5/50 and better had 4 patients (11.8%), less than 5/50 and better than hand movement had 4 patients (11.8%) and hand movement and less had 26 patients (76.5%). Final visual acuity 5/50 and better had 8 patients (23.5%), less 5/50 and better than hand movement had 4 patients (11.8%) and hand movement and less had 22 patients (64.7%). CONCLUSION: Early recognition and correct treatment of posttraumatic endophthalmitis is necessary for maintaining of the eye and its functions. Initial visual acuity better than hand movement is a good prognostic factor.