Clinical Case Database / Category: Patient Management
Penetrating eye injury
Publication details
Dr Amreen Qureshi, Mr Vikesh Patel
Foundation Years Journal, volume 9, issue 6, p.55 (123Doc Education, London, June 2015)
Abstract
Penetrating eye injuries are serious ophthalmic emergencies that can result in severe loss of vision or loss of the eye. Patients who have sustained these injuries present to the emergency department and need prompt assessment and referral to an ophthalmic specialist. A foundation or junior doctor is often the first to diagnose and manage these patients. We present a case of a 28 year old patient who presented with a globe rupture and penetrating eye injury. We discuss the importance of a careful examination and highlight the steps taken in the initial management of these patients. We share the events that occur after referral to an ophthalmologist and the journey a patient goes through when faced with this traumatic injury.
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Authors
Dr Amreen Qureshi (Corresponding author)
Ophthalmic Specialist Trainee (Year 3)
North West Deanery
Royal Bolton Hospital,
Eye Unit, Royal Bolton Hospital, Minerva road, Farnworth, Bolton, BL4 0JR
amreen.qureshi@doctors.org.uk
Mr Vikesh Patel
Consultant Ophthalmologist and Oculoplastic Surgeon
Royal Preston Hospital, Lancashire Teaching Hospitals NHS Trust
Eye Unit, Sharoe Green lane, Fulwood, PR2 9HT
References
1. May DR, Kuhn FP et al. The epidemiology of serious eye injuries from the United States Eye Injury Registry. Graefes Arch Clin Exp Ophthalmol. 2000; 238: 153-7.
2. Mittra RA, Mieler WF. Controversies in the Management of Open-Globe Injuries Involving the Posterior Segment. Survey of Ophthalmology. 1999; 44: 215-225.
3. Macenwen CJ. Ocular Injuries. J.R.Coll.Surg.Edinb.1999, 44, 317-23
4. Brady, F. B. A singular view, the art of seeing with one eye (5th ed.). 1994 Ontario, Canada: Edgemore Enterprises.
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Conflict Of Interest
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All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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