CASE REPORT
Lawn mower injuries as a cause of serious visual acuity impairment – Case reports
 
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Department of Vitreoretinal Surgery, Medical University, Lublin, Poland
 
 
Ann Agric Environ Med. 2017;24(2):261-264
 
KEYWORDS
ABSTRACT
Objective:
The aim of the study is to present four cases of lawn mowers injuries as a cause of serious visual acuity impairment.

Material and Methods:
A retrospective study of four patients admitted in 2013–2015 to the Department of Vitreoretinal Surgery in Lublin with severe open or closed globe injury, one with an intraocular foreign body (IOFB). The presence of eye protective equipment was assessed, as well as visual acuity, eye tissue condition before and after treatment, and applied therapy.

Results:
In all cases an improvement was achieved in local conditions. The intraocular foreign body was removed, wounds sutured and damaged tissues placed in position. All eyeballs were saved. In three cases, visual acuity was improved to a usable level. Three patients underwent pars plana vitrectomy, one with IOFB removal from the vitreous cavity.

Conclusions:
Lawn mower induced eye injuries are a significant cause of serious visual acuity impairment or blindness. The presented study shows that lawn mower eye injuries are still a therapeutic, social and economic problem, yet are very preventable with proper eye protection and patients’ education. Current prevention strategies are inadequate, and therefore should be updated.

REFERENCES (12)
1.
Kuhn F, Pieramici DJ. Ocular Trauma: Principles and Practice. Thieme; 2011.
 
2.
Mullins J. Lawn mower injuries: a review. J Emerg Nurs JEN Off Publ Emerg Dep Nurses Assoc. 2010;36(1):83–84. doi:10.1016/j.jen.2009.10.008.
 
3.
Lau ST, Lee Y-H, Hess DJ, Brisseau GF, Keleher GE, Caty MG. Lawnmower injuries in children: a 10-year experience. Pediatr Surg Int. 2006;22(3):209–214. doi:10.1007/s00383-005-1633-0.
 
4.
Vollman D, Smith GA. Epidemiology of lawn-mower-related injuries to children in the United States, 1990–2004. Pediatrics. 2006;118(2):e273-e278. doi:10.1542/peds.2006-0056.
 
5.
Leinert J, Griffin R, Blackburn J, McGwin G. The epidemiology of lawn trimmer injuries in the United States: 2000–2009. J Safety Res. 2012;43(2):137–139. doi:10.1016/j.jsr.2012.03.001.
 
6.
Wickham L, Xing W, Bunce C, Sullivan P. Outcomes of surgery for posterior segment intraocular foreign bodies--a retrospective review of 17 years of clinical experience. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Für Klin Exp Ophthalmol. 2006;244(12):1620–1626. doi:10.1007/s00417-006-0359-6.
 
7.
Chiquet C, Zech JC, Gain P, Adeleine P, Trepsat C. Visual outcome and prognostic factors after magnetic extraction of posterior segment foreign bodies in 40 cases. Br J Ophthalmol. 1998;82(7):801–806.
 
8.
Erakgun T, Egrilmez S. Prognostic factors in vitrectomy for posterior segment intraocular foreign bodies. J Trauma. 2008;64(4):1034–1037. doi:10.1097/TA.0b013e318047dff4.
 
9.
Greven CM, Engelbrecht NE, Slusher MM, Nagy SS. Intraocular foreign bodies: management, prognostic factors, and visual outcomes. Ophthalmology. 2000;107(3):608–612.
 
10.
Whittaker KW, Baldwin HC, Ikram K, Luff AJ. Attitudes towards protective eye-wear: ocular trauma from lawn mowers. Injury. 1999;30(2):144–145.
 
11.
Casson RJ, Walker JC, Newland HS. Four-year review of open eye injuries at the Royal Adelaide Hospital. Clin Experiment Ophthalmol. 2002;30(1):15–18. doi:10.1046/j.1442-9071.2002.00484.x.
 
12.
Northey LC, Bhardwaj G, Curran S, McGirr J. Eye trauma epidemiology in regional Australia. Ophthalmic Epidemiol. 2014;21(4):237–246. doi: 10.3109/09286586.2014.928825.
 
eISSN:1898-2263
ISSN:1232-1966
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