PURPOSE To report a case of a ruptured eye with a suprachoroidal hemorrhage (SCH) in which tissue plasminogen activator (tPA)-assisted vitrectomy was successful in reconstructing the globe and restoring good vision. CASE A 32-year-old man was struck on the right eye by a surfboard. His eye was ruptured and his visual acuity decreased to hand movements. Surgery was immediately performed to suc...

THE most bizarre pattern of lesions may accompany ocular injury. When the violence is severe, damage may amount to complete disruption of the globe. When the violence is moderate, the integrity of the globe may be preserved though the structures within it may be irreparably damaged. Severe intra-ocular haemorrhage or a total lental opacity may cloud the clinical picture. In the latter case a de...

Retrobulbar anesthesia (block) is used for many ocular surgeries, whereas it is well known that this procedure has complications such as for retrobulbar hemorrhage, globe perforation, optic nerve injury and brain stem anesthesia. In this report, we present a unique case in the literature of isolated exudative retinal detachment (RD) secondary to iatrogenic retrobulbar hemorrhage. A 73-year-old ...

To the Editors: We wish to share the results of a case series on pediatric endophthalmitis. Because this is not a common entity, it is our hope that this short review will serve to highlight the characteristics, treatment, and prognosis of pediatric endophthalmitis. During the 11-year retrospective study period, 7 eyes were identified. Of these cases, open globe injuries were the most common et...

Persistent profound visual loss following contusion of the globe or ocular adnexae has been well documented, the visual loss being attributed to haemorrhage into, or contusion of, the optic nerve, or to interference with the blood supply of the eye. The patient described below presented after a contusion of the eye and orbit, with the clinical picture of ischaemic optic neuropathy presumably re...

Traumatic endophthalmitis is a clinical entity that can develop within days or weeks after open-globe injuries and leads to poor prognosis. It also important in terms of the medicolegal aspect, as it requires urgent management both prophylaxis diagnosis treatment, should always be borne mind injury cases. In this review, risk factors, features, diagnosis, treatment modalities traumatic are disc...

BACKGROUND Ocular trauma accounts for a significant proportion of admissions to the eye ward at Groote Schuur Hospital (GSH), Cape Town, South Africa. There are few published studies on ocular trauma in South Africa. Some studies elsewhere have shown an association between open globe injuries and recent alcohol use, but no such study has been conducted in this country. OBJECTIVES To identify ...

purpose: to determine the nature and types of household eye injuries. methods: we prospectively analyzed data from 100 consecutive patients with household eye injuries (104 eyes) referred to emergency room of farabi eye hospital during october 2003. standardized international classification of ocular trauma (birmingham eye trauma terminology) was used for classification. results: household ocul...