Removal of rust rings, comparing electric drill and hypodermic needle

Sigurdsson, H; Hanna, Ivan T.; Lockwood, AJ; Longstaff, S

doi:10.1038/eye.1987.65

Cited by 6 publications

(2 citation statements)

References 7 publications

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“…4 Second, there is still no consensus on the best method for CFB removal (use of a burr versus a needle). 5 Finally, CFBs are associated with an increased risk of external contaminants and subsequent infectious keratitis (IK) that may be associated with an irreversible visual impairment. 6,7 IK has been shown to occur in up to 3% of CFB cases.…”

Section: Introductionmentioning

confidence: 99%

Corneal foreign bodies: are antiseptics and antibiotics equally effective?

Rebattu

Baillif

Ferrete

et al. 2023

Eye

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To compare the effect of antiseptics and antibiotics on the occurrence of Infectious Keratitis (IK) secondary to Corneal Foreign Body (CFB) removal. MethodsMulticenter retrospective study conducted between June 2020 and June 2022 in patients referred for CFBs and treated with Picloxydine (Group 1) or Tobramycin (Group 2) for 7 days. A follow-up visit was scheduled on Day 3 (D3) and a phone call on D30. The primary outcome measure was the occurrence of IK. Results307 patients (300 men) with a mean age of 42.8 (14.8) years were included. The mean (SD) time to consultation was 43.1 (45.6) hours. Picloxydine and Tobramycin were given to 155 and 152 patients. Half of patients (n = 154, 50.2%) were building workers and 209 (68.1%) did not wear eye protections. CFBs were mainly metallic (n = 292, 95.1%). Upon referral, rust was found in 220 patients (72.1%). A burr was used in 119 (38.9%) patients. IK occurred in 15 (4.9%) patients, 8 (5.3%) in Group 1 and 7 (4.5%) in Group 2 (p = 0.797). IK was successfully treated in all cases. Persistent rust was found in 113 patients (36.9%) on D3 without difference between burr or needle use (p = 0.278). On D3, corneal healing was delayed in 154 patients (47.2%), mainly in burr-treated patients (p = 0.003). The mean (SD) work stoppage duration was 0.32 (0.98) days. ConclusionIK rate was 4.9%. The e cacy of antibiotics and antiseptics was similar on CFB removal. Using a burr was associated with a longer healing time. CFBs had a limited social impact.

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Section: Introductionmentioning

confidence: 99%

Corneal foreign bodies: are antiseptics and antibiotics equally effective?

Rebattu

Baillif

Ferrete

et al. 2023

Eye

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“…Corneal foreign body (FB) vertical (1)(2)(3)(4)(5) and horizontal (A-E) localisation score as shown in Figure 1. Fig 1).…”

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confidence: 99%

Localisation of corneal foreign bodies.

Kay-Wilson

1992

British Journal of Ophthalmology

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Of 50 patients attending the eye casualty department with a corneal foreign body (FB), 41 were able to say where they felt the FB and 78% of these were localised correctly for side or level of cornea. Patient handedness did not influence FB location. Indicating the upper lid was a particularly poor guide to localisation, whereas FB sensations within the palpebral fissure, in the lower lid or medially or laterally were good guides to actual FB location. A simple method of recording FB location by zone and clock hour is proposed. (BrJ Ophthalmol 1992; 76: 741-742) Corneal foreign body (FB) Pain from a corneal FB is usually projected to the eyelid. The accuracy ofthis pain projection as a method of self-localisation of corneal FBs was investigated by developing a simple system to record corneal FB position and comparing this with the patient's self-localisation.

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Magnetized Forceps for Metallic Corneal Foreign Bodies

Arnold¹,

Erie²

1988

Arch Ophthalmol

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Removal of rust rings, comparing electric drill and hypodermic needle

Cited by 6 publications

References 7 publications

Corneal foreign bodies: are antiseptics and antibiotics equally effective?

Corneal foreign bodies: are antiseptics and antibiotics equally effective?

Localisation of corneal foreign bodies.

Magnetized Forceps for Metallic Corneal Foreign Bodies

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