Ocular trauma is a significant cause of visual loss in young populations, especially in males. There are 2.4 million ocular injuries occur in the United States every year and over 57% of them are below age 30.5,6 Accidental ocular injuries requiring treatment are four times more likely to happen to boys than girls. Ocular trauma can be either be closed-globe or penetrating and roughly 35% of these injuries result in permanent visual impairment.7
Penetrating ocular trauma is typically caused by projectile emitted from a metal-on-metal strike, BB gun or pellet rifle.7 Non-penetrating trauma are frequently happened during the working hours by deflection, and by neglecting safety glasses.9 Possible sequelae associated with both closed-globe …show more content…
Visual acuity was decreased OS most likely due to the corneal abrasion. Pupil testing was normal, which rules out acute optic nerve damage. Extraocular muscle movements were normal without pain or diplopia which rules out a muscle entrapment in a blow-out fracture. The cornea showed a large area of staining which indicates corneal abrasion. However, negative Seidel’s sign was confirmed which indicates no penetrating laceration to the sclera or cornea. The anterior chamber was quiet with no cells or flares rules out inflammation in the anterior chamber, which eliminates the risks of posterior synechiae. The IOPs were asymmetric, slightly lower OS than OD but still within the normal limit. A significant lowered pressure in the injured eye may indicate a penetrated wound. Dilated examination showed only commotio retinae OS with no retinal breaks or tears. The patient was diagnosed with corneal abrasion and a prophylactic antibiotic was initiated to lower the chance of infections. No contact lens patching was necessary due to the size of the corneal defect and the absence of pain. The patient was monitored for the healing of the cornea and resolution of commotio