Ocular trauma in children is a common cause of ocularmorbiditydespite introduction of new methods of treatment and improvement of management, and is a leading cause of non-congenitalunilateralblindness in thisage group [1,2] . Children are atrisk of ocular trauma because of theirinability to avoidhazards [3]. Most of thesehazards are foundwhile children play, or are at home. Identifying the causes of ocular injuries may help in determining the effective methods in reducing the incidence of seriousocular traumas. The purpose of this study is to analyze the differentepidemiological, clinical and therapeutic aspects of this affection in order to establishbetter management. This isaretrospective study of 153 patients withcomplicatedocular trauma, admitted to the OphthalmologyDepartment of the RabatUniversityHospital over a period of 36months. The averageage of the children was5,8years (3-15 years) with male predominance (sex ratio=2,1). The dominant mechanismwasdomestic accidents, especiallyby projection of bluntobjects (59,5% of cases). Ophthalmologicalexaminationfound initial visualacuitylessthan 5/10 in84,3% of cases. The lesions of the anterior segment dominated by hyphema (60,1%),subconjunctivalhemorrhage(56,9%), corneal abrasion (48,4%), high ocular pressure (34,6%) and posttraumaticcataract (33,3%). Posterior segment injurywasassociatedin 27.4% of cases . If not managedsufficientlyearly and appropriate, theselesionsmay cause definitive partial loss of vision or blindness . The establishment of effective awareness and prevention programs is essential to reducetheirfrequency and severity.
Pseudoexfoliation syndrome (PEX) is a systemic disorder of the extracellular matrix that presents primarily via its characteristic ocular manifestations [1]. Typically, white fibrillary residue on the anterior lens capsule and pupillary margin is observed, as are pupillary transillumination defects and pigmentation of the trabecular meshwork [2]. Zonular weakness can be attributed to the deposition of pseudoexfoliative material on the zonular fibers and ciliary processes, resulting in a proteolytic disintegration of the zonule that can lead to spontaneous fragmentation [2]. We report a case of a dislocation of the hole crystalline lens in the anterior chamber in a patient with pseudoexfoliation syndrome.
Toxic epidermal necrolysis (TEN) is a rare but serious dermatological emergency characterized by diffuse exfoliation of the skin and mucous membranes [1], the epidermal loss is due to massive keratinocyte apoptosis and/or necroptosis. TEN is often caused by a drug mediating a specific TCR‐HLA interaction via the (pro)hapten, Frequently, the eyes and mucous membranes are affected [2]. We report a case of a successfully recovered TEN due to amoxicillin-clavulanic acid in a 60 years old female patient.
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