98th Annual Meeting DOG 2000

P 606

Severe eye injuries caused by explosing glass-bottles

M. Gau, I. Sterker

Introduction: A high proportion of accidents happen during leisure-time. In our hospital we treated patients who suffered severe penetrating eye-injuries. The accidents occurred while usual handling spontaneously or by manipulation of glass-bottles (for example experimental alcoholic fermentation or dry ice storage in closed bottle).

Patients: From 1996 to 1999 we treated 8 patients (4 children and 4 adults). While handling glass-bottles an explosion occurred and the particles induced injuries. On initial examination visual acuities ranged from light perception to 0.5. Diagnostic imaging revealed no intraocular foreign bodies in 7 cases. In one case sonography and computed tomography showed an intravitreal foreign body and was extracted by pars plana vitrectomy.

Results: All patients underwent primary wound treatment with perioperative and postoperative intravenous antibiotic-therapy. Traumatic cataract in 4 patients required cataract surgery. Complicating retinal detachment with proliferative vitreoretinopathy was treated by pars plana vitrectomy and silicon oil instillation in 2 patients. Plastic surgery was necessary in one patient due to cicartricial ectropion. None of the patients developed an endophthalmitis. Postoperative visual acuity in 5 patients ranged from 0.5 to 1.0. Three patients reached visual acuity from hand motions to 0.3.

Conclusion: Not only improper use of glass-bottles but also normal use is a risk of leading to severe penetrating eye injuries. Although eye injuries were often severe, patients reached good functional results.

University Eye Hospital Leipzig, Liebigstr. 10-14, D-04103 Leipzig