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Banger-Related Ocular Injuries During New Year Festivities in Osogbo, SW Nigeria.

Adeoti CO, Isawumi MA, Onakpoya OH, Agbeleye DS - Ethiop J Health Sci (2015)

Bottom Line: Two of the patients ended up with irreversible loss of vision.Another two of the three were bystanders.Advocacy for a strict legislation to regulate its use is strongly recommended.

View Article: PubMed Central - PubMed

Affiliation: Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.

ABSTRACT

Background: Different types of ocular injuries could be sustained following banger explosives. This case report could be the first of such reports in West Africa.

Case details: We report cases of ocular injuries caused by bangers. This was a hospital-based study of 3 consecutive cases that presented during the New Year festival. Injuries were classified according to Birmingham eye trauma terminology system (BETTS). Two of the patients ended up with irreversible loss of vision. Another two of the three were bystanders.

Conclusion: As banger-related ocular injuries result in significant morbidity, public education regarding the proper use of bangers would help in preventing the incidence of ocular injuries and blindness. Advocacy for a strict legislation to regulate its use is strongly recommended.

No MeSH data available.


Related in: MedlinePlus

Figure showing hypopigmentations from burns and loss of lower lid eye lashes, ruptured globe, uveal prolapse and smaller eyeball size in the left eye
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Figure 2: Figure showing hypopigmentations from burns and loss of lower lid eye lashes, ruptured globe, uveal prolapse and smaller eyeball size in the left eye

Mentions: A 12-year old male child presented with a 9 day history of loss of vision in the left eye following a banger injury sustained as a passerby when returning from mosque on a New Year eve. There was immediate bleeding from the inferior lid margin and the eyeball, with associated loss of vision at the time of injury. On presentation, there was associated redness and purulent discharge from the eyeball. Examination revealed VA of NLP, small eye, peri-orbital hyperpigmentation with scars, absent lashes on inferior lid margin with only a few on the superior lid margin, muco-purulent discharge, mild diffuse conjunctival hyperemia, lacerated dirty cornea and uveal prolapse (Figure 2). Ultrasound confirmed a shortened axial diameter of 18mm, disrupted anterior eye wall with reduced corneal thickness and shallow anterior chamber. Conjunctival swab was taken and sent for microscopy, culture and sensitivity (mcs). The injury was classified using BETTS as a perforated globe from blunt injury. Ciprofloxacin eye drops during the day and chloramphenicol eye ointment at night were commenced. Daily dressing with patching was done. The mucopurulent discharge cleared and a left evisceration with a silicone implant was done 4 days later. The result of the ‘m c s' yielded growth of Staphylococcus aureus sensitive to the antibiotics used. The patient was discharged on the 4th post operative day on eye dressing, antibiotic eye drops and ointment but was later lost to follow-up.


Banger-Related Ocular Injuries During New Year Festivities in Osogbo, SW Nigeria.

Adeoti CO, Isawumi MA, Onakpoya OH, Agbeleye DS - Ethiop J Health Sci (2015)

Figure showing hypopigmentations from burns and loss of lower lid eye lashes, ruptured globe, uveal prolapse and smaller eyeball size in the left eye
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4478271&req=5

Figure 2: Figure showing hypopigmentations from burns and loss of lower lid eye lashes, ruptured globe, uveal prolapse and smaller eyeball size in the left eye
Mentions: A 12-year old male child presented with a 9 day history of loss of vision in the left eye following a banger injury sustained as a passerby when returning from mosque on a New Year eve. There was immediate bleeding from the inferior lid margin and the eyeball, with associated loss of vision at the time of injury. On presentation, there was associated redness and purulent discharge from the eyeball. Examination revealed VA of NLP, small eye, peri-orbital hyperpigmentation with scars, absent lashes on inferior lid margin with only a few on the superior lid margin, muco-purulent discharge, mild diffuse conjunctival hyperemia, lacerated dirty cornea and uveal prolapse (Figure 2). Ultrasound confirmed a shortened axial diameter of 18mm, disrupted anterior eye wall with reduced corneal thickness and shallow anterior chamber. Conjunctival swab was taken and sent for microscopy, culture and sensitivity (mcs). The injury was classified using BETTS as a perforated globe from blunt injury. Ciprofloxacin eye drops during the day and chloramphenicol eye ointment at night were commenced. Daily dressing with patching was done. The mucopurulent discharge cleared and a left evisceration with a silicone implant was done 4 days later. The result of the ‘m c s' yielded growth of Staphylococcus aureus sensitive to the antibiotics used. The patient was discharged on the 4th post operative day on eye dressing, antibiotic eye drops and ointment but was later lost to follow-up.

Bottom Line: Two of the patients ended up with irreversible loss of vision.Another two of the three were bystanders.Advocacy for a strict legislation to regulate its use is strongly recommended.

View Article: PubMed Central - PubMed

Affiliation: Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.

ABSTRACT

Background: Different types of ocular injuries could be sustained following banger explosives. This case report could be the first of such reports in West Africa.

Case details: We report cases of ocular injuries caused by bangers. This was a hospital-based study of 3 consecutive cases that presented during the New Year festival. Injuries were classified according to Birmingham eye trauma terminology system (BETTS). Two of the patients ended up with irreversible loss of vision. Another two of the three were bystanders.

Conclusion: As banger-related ocular injuries result in significant morbidity, public education regarding the proper use of bangers would help in preventing the incidence of ocular injuries and blindness. Advocacy for a strict legislation to regulate its use is strongly recommended.

No MeSH data available.


Related in: MedlinePlus