Multidisciplinary Management of a Complicated Orbital Injury Inflicted by a Horse

Islam, Shofiq; Walton, Gary M.; Dean, Fiona; Hoffman, Gary R.

doi:10.1097/iop.0b013e318157d3df

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…29,73,107,143,149,167,169 Horses were involved in 3 of these 10 articles. 47,52,73 One American study reported that horses were responsible for 2 out of 84 eye injuries requiring hospital admission in children (2.4%). 52 An Australian study described 22 patients with neuroophthalmic sequelae of horse-related head trauma, 7 of whom were pediatric.…”

Section: Nondomestic Mammalsmentioning

confidence: 99%

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Animal-inflicted ocular and adnexal injuries in children: A systematic review

Yardley

Hoskin

Hanman

et al. 2015

Survey of Ophthalmology

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Eye injury remains the leading cause of monocular blindness in children despite 90% of injuries being potentially preventable. Children interact with animals in a variety of situations, and the associated dangers may be underestimated. Animals are capable of causing ocular and adnexal injuries that are cosmetically and visually devastating. We examine the current literature regarding the nature and severity of animal-inflicted ocular and adnexal injuries in children.

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Section: Nondomestic Mammalsmentioning

confidence: 99%

“…In that case, both cosmetic and functional outcomes were good. 73 Other injuries involving nondomestic mammals are detailed in Table 3. The children ranged from a corrected age of 1 day to 8 years (mean, 3.2 years).…”

Section: Nondomestic Mammalsmentioning

confidence: 99%

Animal-inflicted ocular and adnexal injuries in children: A systematic review

Yardley

Hoskin

Hanman

et al. 2015

Survey of Ophthalmology

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“…3 Management strategies depend on the type, size of the FB, site of penetration, and hemostasis. [4][5][6][7] Ocular imaging of radiolucent FBs remains difficult: plain films detect only metallic FBs 8 and magnetic resonance imaging poses risk associated with unrecognized metal. 9 Inert FBs carry a lower risk of infection than organic FBs such as wood, 4 but still warrant broad-spectrum antibiotics to prevent infections.…”

Section: Discussionmentioning

confidence: 99%

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Markovitz

Hamburger

Fromm

et al. 2020

Clinical Practice and Cases in Emergency Medicine

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Ocular trauma is one of the most common and vision-threatening ophthalmic presentations with a wide spectrum of complications, such as bleeding, infection, vision loss, and enucleation. A 64-year-old-male presented to the emergency department (ED) with a self-inflicted orbital penetrating injury with a hair comb. Computed tomography showed the comb traversed the medial orbit inferior to the medial rectus but did not damage the optic nerve; there were no globe or orbital wall fractures. His ocular exam was significant for a right eye afferent pupillary defect and decreased visual acuity 20/800, consistent with optic neuropathy. Primary concerns were stabilizing and removing the foreign body without causing further damage in the setting of an uncooperative patient. The comb was removed with the aid of local and systemic analgesia using gentle traction and normal saline irrigation. The patient was admitted for systemic and topical antibiotics and showed improvement in visual acuity and resolution of his optic neuropathy. This case illustrates the importance of rapid ED assessment and management of complex penetrating ocular trauma. Examination should specifically look for signs of globe rupture and optic nerve injury. Expedited foreign body removal should be managed together with an ophthalmologist with procedural sedation and broad-spectrum antibiotics to avoid further visual and infectious complications.

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“…6,9,11 This concern has previously been recognized and brought up by maxillofacial surgeons. 12,13 However, the number of craniofacial fractures in previous studies has remained low.…”

mentioning

confidence: 99%

Craniofacial Fractures in Equine-Related Injuries: What Should a Maxillofacial Surgeon Expect?

Puolakkainen

Marttila

Thorén

et al. 2021

Journal of Craniofacial Surgery

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Patients with equine-related injuries (ERI) have high rates of hospitalization and often require surgical treatment. This study aimed to clarify the injury profiles of patients sustaining ERIrelated craniofacial fractures and their relationship with other severe head and neck injuries.This retrospective study included all patients with craniofacial fractures admitted to a tertiary trauma center during 2013 to 2018. Out of 3256 patients, a total of 39 patients were included in the study (1.2%). Demographic and clinically relevant variables were reported and statistically evaluated.Males represented only 7.7% of the study population. Isolated facial fractures were over-represented in this study population at 84.6% whereas only 7.7% of patients sustained isolated cranial fractures and 7.7% of patients sustained combined craniofacial fractures, respectively. Surgical intervention for craniofacial fractures was required in 48.7% of patients. In total, 17.9% of patients sustained severe head and neck injuries. Periods of unconsciousness and/or post-traumatic amnesia were seen in 41% of patients. Helmet use could only be confirmed in 17.9% of patients.As trauma mechanisms behind ERI are often multifactorial and patients are at a high risk of sustaining associated injuries, attentive examination, and exclusion of serious life-threatening injuries through a multi-disciplinary approach is imperative for this specific patient population.

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Multidisciplinary Management of a Complicated Orbital Injury Inflicted by a Horse

Cited by 8 publications

References 5 publications

Animal-inflicted ocular and adnexal injuries in children: A systematic review

Animal-inflicted ocular and adnexal injuries in children: A systematic review

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Craniofacial Fractures in Equine-Related Injuries: What Should a Maxillofacial Surgeon Expect?

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