A CLINICAL STUDY OF ACCIDENTAL FINGERNAIL INJURIES TO THE CORNEA IN ALQUWAYIAH GENERAL HOSPITAL, RIYADH REGION, KSA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 62
Abstract
BACKGROUND Corneal abrasions result from a disruption or loss of cells in the top layer of cornea called the corneal epithelium. Traumatic corneal abrasion can be serious if neglected. Accidental poking of the eye with fingernail induces corneal abrasions. This is one of the most common eye injury that presents to the emergency department and ophthalmology outpatient services. Minor abrasions with no injury to Bowman’s membrane heal quickly within 24 hours to 72 hours and there is no scar formation. Corneal abrasions involving Bowman’s membrane leave permanent corneal opacity that can impair the vision. The aim of this study is to analyse fingernail induced injuries of cornea with respect to mode of injury, time, age of injury, time of presentation to the hospital and outcome. MATERIALS AND METHODS This was a retrospective study of 77 patients with accidental fingernail injuries of cornea from May 2014 to April 2015 in Alquwayiah General Hospital, Riyadh Region, KSA. Patient data, mode of injury, time of presentation and outcome was noted and analysed. RESULT The commonest age of presentation was 11 yrs. The commonest mode of corneal injury was accidental fingernail trauma to cornea during play. CONCLUSION This study reinforces that accidental traumatic fingernail induced corneal abrasions treated immediately with proper assessment of corneal injury, adhering to the treatment protocol and good follow-up with patients along with health education of parents and children gives good visual outcome.
Authors and Affiliations
Rajesh Balkrishna Gotekar
Keywords
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- EP ID EP230535
- DOI 10.14260/Jemds/2017/979
- Views 95
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