Debilitating ocular globe rupture due to a forklift accident: A case report

Q4 Medicine

Trauma Case Reports Pub Date : 2024-07-15 DOI:10.1016/j.tcr.2024.101081

Takashi Ono , Takuya Iwasaki , Michiyo Kato , Toshihiro Sakisaka , Yosai Mori , Ryohei Nejima , Fumiki Okamoto , Kazunori Miyata

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引用次数: 0

Abstract

We describe a case of globe rupture due to a forklift accident. A 64-year-old man presented to the ophthalmology hospital shortly after the jaws of a forklift struck his left eye. The left eye was shrunken with a full-thickness scleral laceration. B-scan ultrasonography revealed a hypotonic eyeball with antero-posterior shrinkage. We promptly performed scleral suturing to maintain the ocular shape. The patient's intraocular pressure improved to 7.1 mmHg, and visual acuity was limited to light perception. Despite this, intraocular hemorrhage in the anterior chamber persisted, and an electroretinogram demonstrated poor response to light. Subsequently, the patient underwent a vitrectomy with silicone oil tamponade to address the vitreous hemorrhage, proliferative membranes, and retinal detachment. However, proliferative vitreoretinopathy with tractional retinal detachment progressed postoperatively, resulting in the loss of light perception. Ocular trauma caused by forklifts accident is rare; however, the strong external forces they exert can cause severe and irreversible visual impairment. Therefore, it is necessary for forklift operators and other concerned individuals to exercise caution to prevent forklift-related ocular trauma. Moreover, ophthalmologists should be aware of the dangers of forklift-related ocular trauma and treatment and management of the same.

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叉车事故导致眼球破裂，使人衰弱：病例报告

我们描述了一例因叉车事故导致眼球破裂的病例。一名 64 岁的男子在左眼被叉车下颚撞击后不久来到眼科医院就诊。左眼萎缩，巩膜全厚裂伤。B 型超声波扫描显示眼球张力低，前后收缩。我们立即进行了巩膜缝合手术，以保持眼球形状。患者的眼压降至 7.1 mmHg，视力仅限于光感。尽管如此，前房的眼内出血仍然存在，视网膜电图显示对光线的反应很差。随后，患者接受了玻璃体切除术，并用硅油填塞，以解决玻璃体出血、增殖膜和视网膜脱离的问题。然而，术后增殖性玻璃体视网膜病变并伴有牵引性视网膜脱离，导致患者丧失光感。叉车事故造成的眼外伤并不多见，但其强大的外力可导致严重的、不可逆的视力损伤。因此，叉车操作员和其他相关人员有必要谨慎行事，以防止与叉车有关的眼外伤。此外，眼科医生也应了解与叉车有关的眼外伤的危险性以及治疗和处理方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.