Ocular blunt trauma during wood chopping as the reason for serious visual impairments
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Department of Vitreoretinal Surgery, Medical University, Lublin, Poland
Corresponding author
Monika Jasielska   

Department of Vitreoretinal Surgery, Medical University, Lublin, Poland
Ann Agric Environ Med. 2012;19(4):751-753
The aim of the study was to present results of blunt ocular trauma with lens luxation to the vitreous during wood chopping.

A retrospective study of 15 patients treated in the Department of Ophthalmology between 2000-2011 who suffered from serious eye injury during wood chopping. As a standard surgical procedure, pars plana vitrectomy with lens removal and intraocular lens (IOL) implantation was applied in all cases. The analysis includes the age, gender, visual acuity and intraocular pressure before and after surgical procedure, and at the end of follow-up.

Mean follow-up was 12 months. The group of patients consisted of 73.3% males (M) and 26.7% females (F). Mean age: 64 years (M – 63 y.o., F – 66.25 y.o.). Mean best corrected visual acuity (BCVA) before treatment: 0.24 on the Snellen chart (< 0.1 – 6 patients, 0.1-0.3 – 5 patients, and >0.3 – 4 patients). Mean BCVA after surgical treatment: 0.33 (< 0.1 – 4 patients, 0.1-0.3 – 5 patients and > 0.3 – 6 patients). Intraocular pressure (IOP) on the day of admission to hospital varied from 9-52 mmHg (mean – 20.6 mmHg). IOP after surgical procedure: 4-36 mmHg (mean – 20.7 mmHg).

Wood chopping is still present in many homes in rural regions. In some cases, it may lead to serious ocular injury and potential loss of vision.

Kuhn F, Morris R. e terminology of eye injuries. Ophthalmologica 2001; 215: 138-143.
Mackiewicz J, Machowicz-Matejko E, Salaga-Pylak M, Piecyk-Sidor M, Zagorski Z. Work-related, penetrating eye injuries in rural environments. Ann Agric Environ Med. 2005; 12: 27-29.
Canavan YM, Archer DB. Anterior segment consequences of bunt ocular injury. Br J Ophthalmol. 1982; 66: 549-555.
Pandita A, Merriman M. Ocular trauma epidemiology: 10-year retrospective study. N Z Med J. 2012; 125(1348): 61-69.
Lam DSC, Chua JKH, Kwok AKH, Wong AKK, Leung ATS, Fan DSP, Gopal L. Combined surgery for severe eye trauma with extensive iridodialysis, posterior lens dislocation, and intractable glaucoma. J Cataract Refract Surg. 1999; 25: 285-288.
Erdurman FC, Sobaci G, Acikel CH, Ceylan MO, Durukan AH, Hurmeric V. Anatomical and functional outcomes injuries of posterior segment. Eye 2011; 25(8): 1050-1056.
Huang HM, Kao ML, Kuo HK, Tsai SH, Chen YJ, Liu CC. Visual results and complications a er trans pars plana vitrectomy and lensectomy for lens dislocation. Chang Gung Med J. 2004; 27: 429-435.
Chaudhry NA, Belfort A, Flynn HW Jr, Tabandeh H, Smiddy WE, Murray TG. Combined lensectomy, vitrectomy and sclera ¬xation of intraocular lens implant a er closed-globe injury. Ophthalmic Surg Lasers 1999; 30(5): 375-381.
Oh J, Smiddy WE. Pars plana lensectomy combined with pars plana vitrectomy for dislocated cataract. J Cataract Refract Surg. 2010; 36: 1189-1194.
Bienias W, Miękoś-Zydek B, Kaszuba A. Current views on the etiopathogenesis of keloids. Post Dermatol Alergol. 2011; 6: 467-475.
Sihota R, Kumar S, Gupta V, Dada T, Kashyap S, Insan R, Srinivasan G. Early predictors of traumatic glaucoma a er closed-globe injury. Arch Ophthalmol. 2008; 126(7): 921-926.
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