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Eye Foreign Body

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101. Foreign Body, Intraocular (Overview)

FA, Best RM, Kinsella F, et al. Management of endophthalmitis with retained intraocular foreign body. Eye . 2004 Feb. 18(2):179-82. . Brown IA. Intraocular foreign bodies. Nature of injury. Int Ophthalmol Clin . 1968 Spring. 8(1):147-52. . Cooke CA, Mulholland DA. A closer look at anterior segment intraocular foreign bodies. Eye . 2005 Apr. 19(4):476-8. . Mieler WF, Ellis MK, Williams DF, et al. Retained intraocular foreign bodies and endophthalmitis. Ophthalmology . 1990 Nov. 97(11):1532-8 (...) : clinical characteristics, prognostic factors, and visual outcomes in 1421 eyes. Am J Ophthalmol . 2011 Jul. 152(1):66-73.e1. . Demircan N, Soylu M, Yagmur M, et al. Pars plana vitrectomy in ocular injury with intraocular foreign body. J Trauma . 2005 Nov. 59(5):1216-8. . Thompson JT, Parver LM, Enger CL, et al. Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies. National Eye Trauma System. Ophthalmology . 1993 Oct. 100(10):1468-74. . Kumar A, Kumar V, Dapling

2014 eMedicine.com

102. Corneal Foreign Body (Overview)

the eye with considerable force. The foreign object may set off an inflammatory cascade, resulting in dilation of the surrounding vessels and subsequent edema of the lids, conjunctiva, and cornea. White blood cells also may be liberated, resulting in an anterior chamber reaction and/or corneal infiltration. If not removed, a foreign body can cause infection and/or tissue necrosis. Previous Next: Epidemiology Frequency United States Foreign bodies are one of the most frequent causes of visits (...) for ophthalmic emergencies. Sometimes, the foreign body may not be present at the time of examination, having left the residual corneal abrasion with resultant pain. Superficial corneal foreign bodies are much more common than deeply embedded corneal foreign bodies. The possibility of an intraocular foreign body must always be considered when a patient presents with a history of trauma. In major league baseball, 33% of all eye injuries are corneal abrasions; in the National Basketball Association, corneal

2014 eMedicine.com

103. Foreign Body, Intraocular (Treatment)

of intervention is primarily determined by whether the risk of endophthalmitis is high. If the risk is high, immediate (emergency) surgery, for intraocular foreign body (IOFB) removal as well as vitrectomy if the IOFB is in the posterior segment, is indicated. [ ] In most other cases, the surgeon has the option of deferring intervention for a few days to reduce the risk of intraoperative hemorrhage. The wound, however, should be closed as soon as possible. A study by Zhang et al examined 1421 eyes in 15 (...) to the patient. [ ] Previous Next: Activity No activity restriction is necessary once the wound heals and there is no need for positioning. Previous References Boldt HC, Pulido JS, Blodi CF, et al. Rural endophthalmitis. Ophthalmology . 1989 Dec. 96(12):1722-6. . Potts AM, Distler JA. Shape factor in the penetration of intraocular foreign bodies. Am J Ophthalmol . 1986. 100:183-187. Knox FA, Best RM, Kinsella F, et al. Management of endophthalmitis with retained intraocular foreign body. Eye . 2004 Feb. 18(2

2014 eMedicine.com

104. Foreign Body, Intraocular (Follow-up)

complications. [ ] Previous Next: Prognosis The prognosis is generally relatively good. Over one half of eyes with IOFB injury regain/retain reading vision. Previous Next: Patient Education Eye protection when partaking in risky activities (eg, hammering, mowing the lawn) is strongly recommended. [ ] Previous References Boldt HC, Pulido JS, Blodi CF, et al. Rural endophthalmitis. Ophthalmology . 1989 Dec. 96(12):1722-6. . Potts AM, Distler JA. Shape factor in the penetration of intraocular foreign bodies (...) . Am J Ophthalmol . 1986. 100:183-187. Knox FA, Best RM, Kinsella F, et al. Management of endophthalmitis with retained intraocular foreign body. Eye . 2004 Feb. 18(2):179-82. . Brown IA. Intraocular foreign bodies. Nature of injury. Int Ophthalmol Clin . 1968 Spring. 8(1):147-52. . Cooke CA, Mulholland DA. A closer look at anterior segment intraocular foreign bodies. Eye . 2005 Apr. 19(4):476-8. . Mieler WF, Ellis MK, Williams DF, et al. Retained intraocular foreign bodies and endophthalmitis

2014 eMedicine.com

105. Foreign Body Removal, Ear

specialist. Repeated attempts to remove a foreign body from the ear may result in infection, perforation, or other morbidity. [ , , ] Previous Next: Pearls See the list below: Consider that an underlying illness may have prompted the patient to insert a foreign body into the ear to relieve discomfort such as pain or pruritus. [ ] Perform a thorough head, ears, eyes, nose, and throat (HEENT) examination in all patients, since throat pain can refer to the ears. Always examine the opposite ear and both (...) Foreign Body Removal, Ear Ear Foreign Body Removal Procedures: Overview, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA1MDctb3ZlcnZpZXc= processing > Ear Foreign Body Removal

2014 eMedicine.com

106. Foreign Body Removal, Cornea

Updated: Nov 07, 2018 Author: Carlos E Cao, MD, MPH; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Removal Overview Overview A is an object (eg, metal, glass, wood, plastic, sand) either superficially adherent to or embedded in the cornea of the eye (see the image below). The removal of a corneal foreign body is a procedure commonly performed in the clinic or emergency department setting. [ ] If corneal foreign bodies are not removed (...) in a timely manner, they can cause prolonged pain and lead to complications such as infection and ocular necrosis. An embedded foreign body. See , a Critical Images slideshow, to help identify various foreign objects and determine appropriate interventions and treatment options. An intraocular foreign body penetrates into the anterior chamber of the eye or into the globe itself. It is likely to cause significant morbidity and, thus, necessitates a through workup, including, in many instances, a detailed

2014 eMedicine.com

107. Foreign Body Removal, Wound

, Mayrose J, Fincher L, Jehle D. Comparison of normal saline with tap water for wound irrigation. Am J Emerg Med . 1998 Jul. 16(4):379-81. . Blankstein A, Cohen I, Heiman Z, et al. Localization, detection and guided removal of soft tissue in the hands using sonography. Arch Orthop Trauma Surg . 2000. 120(9):514-7. . Bocka JJ, Godfrey J. Emergency department use of an eye magnet for the removal of soft tissue foreign bodies. Ann Emerg Med . 1994 Feb. 23(2):350-1. . Crawford R, Matheson AB. Clinical value (...) Foreign Body Removal, Wound Wound Foreign Body Removal: Overview, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTUwODIwNy1vdmVydmlldw== processing > Wound Foreign Body Removal

2014 eMedicine.com

108. Airway Foreign Body

. . Brown JC, Chapman T, Klein EJ, Chisholm SL, Phillips GS, Osincup D, et al. The utility of adding expiratory or decubitus chest radiographs to the radiographic evaluation of suspected pediatric airway foreign bodies. Ann Emerg Med . 2013 Jan. 61(1):19-26. . Saki N, Nikakhlagh S, Heshmati SM. 25-Year Review of the Abundance and Diversity of Radiopaque Airway Foreign Bodies in Children. Indian J Otolaryngol Head Neck Surg . 2015 Sep. 67 (3):261-6. . Hegde SV, Hui PK, Lee EY. Tracheobronchial foreign (...) Airway Foreign Body Airway Foreign Body Imaging: Practice Essentials, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDA1OTk0LW92ZXJ2aWV3 processing > Airway Foreign Body Imaging

2014 eMedicine Radiology

109. Two remarkable events in the field of intraocular foreign body: (1) The reversal of siderosis bulbi. (2) The spontaneous extrusion of an intraocular copper foreign body. (Full text)

iris color and pupillary activity. His vision remains 20/15 six years postoperatively dispite ensuing retinal detachment one year after removal of the foreign body. The second patient was a young boy injured by a blasting cap explosion. He lost one eye from the injury and had a piece of intraocular brass in his left eye. In spite of the development of chalcosis and a mature cataract the lens gradually shrank in the pupillary space permitting a clear aphakic area and 20/25 vision. The brass fragment (...) Two remarkable events in the field of intraocular foreign body: (1) The reversal of siderosis bulbi. (2) The spontaneous extrusion of an intraocular copper foreign body. Two unusual events concerning intraocular foreign bodies are presented. The first patient had an occult or unsuspected intraocular foreign body. He showed iridoplegia with mydriasis, siderosis iridis, and an intraocular piece of iron lying posteriorly near the retina. The foreign body was removed and the patient regained normal

1975 Transactions of the American Ophthalmological Society

110. A Study to Evaluate the Performance and Safety of CBL-102 Versus Vismed® Multi Eye Drops in the Management of Dry Eye

conjunctiva) TFBUT [ Time Frame: Baseline (Day 0), Visit 4 (Day 28) and Visit 5 (Day 90) ] Mean CFB in the study eye in tear film break-up time (TFBUT) Quality of Life questionnaire [ Time Frame: Baseline (Day 0), Visit 5 (Day 90) ] Evolution from baseline of Ocular Surface Disease-Quality of Life (OSD-QoL®) questionnaire scores Dry eye symptoms [ Time Frame: Baseline (Day 0), Visit 4 (Day 28) and Visit 5 (Day 90) ] Mean CFB in the global sum score of dry eye symptoms: sensation of dryness, foreign body (...) of dryness, foreign body, burning, stinging, itching, blurred vision, sensitivity to light Subjects with at least 1 eye with the following signs of keratoconjunctivitis sicca : "Tear break-up time of 10 sec (mean of 3 measurements) at both screening visit and inclusion visit" "Total ocular surface staining score ≥ 4 and ≤ 9 at both screening visit and inclusion visit. This assessment combines corneal, nasal and temporal bulbar conjunctival fluorescein staining, each graded 0-5 according to the Oxford

2017 Clinical Trials

111. A 2 Weeks Study to Evaluate Tolerability, Safety, Permanence on the Ocular Surface and Efficacy of Two Concentrations of Lubricin Eye Drops Versus Sodium Hyaluronate 0.18% Eye Drops in Patients With Ocular Discomfort Following Refractive Surgery

times per day Device: Sodium hyaluronate (HA) 0.18% eye drops Sodium hyaluronate (HA) 0.18% eye drops 3 times per day Outcome Measures Go to Primary Outcome Measures : Tolerability using a Visual analogue scale (VAS) [ Time Frame: Day 1 ] Tolerability using a Visual analogue scale (VAS) for dryness, foreign body sensation, burning/stinging, itching, pain, stick feeling, blurred vision and photophobia Tolerability using a Visual analogue scale (VAS) [ Time Frame: Day 15 ] Tolerability using a Visual (...) undergone ocular refractive surgery within 6 months from Day 1 Visit. Patients with ocular discomfort defined as SANDE score ≥ 30 at baseline. Average VAS score (dryness, foreign body sensation, burning/stinging, itching, pain, stick feeling, blurred vision and photophobia) ≥ 25 mm; Best corrected distance visual acuity (BCDVA) score ≥ 0.1 decimal units in both eyes at the time of study enrolment. Only patients who satisfy all Informed Consent requirements may be included in the study. The patient

2017 Clinical Trials

112. A phase 2 randomized, double-masked, placebo-controlled study of novel nonsystemic kinase inhibitor TOP1630 for the treatment of dry eye disease. (Full text)

in treating DED symptoms and signs. No serious adverse events (AEs) or withdrawals due to treatment emergent AEs occurred. Drop comfort scores showed TOP1630 to be comfortable and comparable with placebo. Significant symptom improvements were seen for TOP1630 vs placebo for ocular discomfort (P=0.02 post-CAE), grittiness/foreign body sensation (on four independent assessment scales, each P<0.05), worst DED symptom (diary, P=0.06), and ocular pain (VAS, P=0.03). Sign improvements were seen for total ocular (...) A phase 2 randomized, double-masked, placebo-controlled study of novel nonsystemic kinase inhibitor TOP1630 for the treatment of dry eye disease. To evaluate the safety and efficacy of topical TOP1630, a novel nonsystemic kinase inhibitor, in dry eye disease (DED).A randomized, double-masked, parallel-group trial of 0.1% TOP1630 ophthalmic solution TID or placebo (vehicle without active drug) was conducted in DED subjects (n=61). Key eligibility criteria consistent with enrolling a moderate

2019 Clinical ophthalmology (Auckland, N.Z.) Controlled trial quality: predicted high

113. [Dry eye syndrome of deficient lacrima production treated with the acupoint thread-embedding therapy: a randomized controlled trial]. (PubMed)

, before treatment, after 4-week treatment and 8-week treatment as well as in 8 weeks and 12 weeks of the follow-up, the levels of lactoferrin in tears were determined and the scores of the relevant symptoms of ocular surface such as eye dryness, foreign body sensation in the eyes and eye fatigue were evaluated.In the thread-embedding group, after 4-week and 8-week of treatment as well as in 8-week and 12-week follow-up, the scores of eye dryness, foreign body sensation, burning sensation of eye (...) in the relevant symptoms of ocular surface, such as eye dryness, foreign body sensation, burning sensation of eye, phengophobia and eye fatigue, and increases the level of lactoferrin in tears in the patients with dry eye syndrome of deficiency aqueous production. In the follow-up, the therapeutic effects of the acupoint thread-embedding therapy are significantly better than artificial tears eye drops.

2019 Zhongguo zhen jiu = Chinese acupuncture & moxibustion Controlled trial quality: uncertain

114. The efficacy and safety of qiming granule in dry eye disease: Protocol for systematic review and meta-analysis. (Full text)

The efficacy and safety of qiming granule in dry eye disease: Protocol for systematic review and meta-analysis. Dry eye disease is a common eye disease mainly manifests with eye fatigue, foreign body sensation, dry and astringent eyes and other symptoms. Growing evidence shows that qiming granule may have beneficial effects on the clinical treatment of dry eye disease. However, no systematic review and meta-analysis collate and assess these clinical evidences. The purpose of this study protocol

2019 Medicine

115. Epidemiology of eye injuries in a high-income developing country: An observational study. (Full text)

and Saturday) and during the summer vacation. Cornea injuries (48.2%) were the most frequent cause for visual acuity deterioration followed by lens/cataract (23.4%). Among injured eyes, 30 eyes (21.3%) retained intraocular foreign bodies. There was significant improvement of the visual acuity after surgery (P < .0001, Wilcoxon signed rank test).Our study has shown that eye injury is a major risk for visual loss of young people which is mainly work-related. Use of personal protective equipment for the eyes (...) Epidemiology of eye injuries in a high-income developing country: An observational study. Vision loss following eye trauma is a serious health problem worldwide. The aim of the study was to report the epidemiology of eye injury that requires hospitalization and surgery at a secondary referral center in a high-income developing country so as to give recommendations regarding its prevention.All patients who had an eye injury that required surgical intervention between 2012 and 2017 at Al-Ain

2019 Medicine

116. Prospective study of the sensitivity of the Wood's lamp for common eye abnormalities. (PubMed)

lamp was 52% (38/73; 95% CI 40% to 64%). Based on the principal final diagnosis made with the slit lamp, the Wood's lamp only detected 9 of 16 corneal abrasions, 5 of 10 corneal ulcers, 5 of 9 corneal foreign bodies, 0 of 4 cases of non-herpetic keratitis, 1 of 2 cases of herpes keratitis, 1 of 5 rust rings and 18 of 28 other diagnoses.Examination using the Wood's lamp fails to detect many common eye abnormalities. Our findings support the need for a slit lamp examination of patients with eye (...) Prospective study of the sensitivity of the Wood's lamp for common eye abnormalities. The Wood's lamp, a handheld instrument that uses long-wave ultraviolet (UV) light with magnification of 2-3 times, is commonly used by non-ophthalmologists for examining patients with eye complaints. The goal of current research was to determine the sensitivity and specificity of the Wood's lamp for common eye abnormalities.We examined a convenience sample of patients, 18 years of age and older, who presented

2019 Emergency Medicine Journal

117. FOREIGN BODY RESPONSE WITHIN POSTOPERATIVE PERFLUORO-N-OCTANE FOR RETINAL DETACHMENT REPAIR: Clinical Features, Grading System, and Histopathology. (PubMed)

vitreous cavity PFO endotamponade were analyzed by ophthalmoscopy for the presence of inflammation and white deposits. Ten consecutive samples developing white deposits were analyzed microscopically. Clinical variables were analyzed.One hundred and eighty-one eyes of 181 patients were included (mean age = 52.4 ± 14 years; mean follow-up = 29.7 ± 14 months). Fifty of 181 patients (28%) developed a characteristic foreign body response with abundant white deposits within indwelling PFO. Ten consecutive (...) FOREIGN BODY RESPONSE WITHIN POSTOPERATIVE PERFLUORO-N-OCTANE FOR RETINAL DETACHMENT REPAIR: Clinical Features, Grading System, and Histopathology. To describe the clinical and histopathologic characteristics of inflammatory deposits occurring within intermediate duration postoperative perfluoro-n-octane (PFO) for inferior retinal detachment repair.Prospective interventional case series of consecutive patients with inferior retinal detachment treated with intermediate duration postoperative

2013 Retina

118. A prospective observational study of techniques to remove corneal foreign body in the emergency department. (PubMed)

A prospective observational study of techniques to remove corneal foreign body in the emergency department. Patients  with corneal foreign bodies (CFBs) often present to the emergency department (ED). However, removal techniques vary among emergency physicians (EPs). A prospective, single-blinded, observational study was performed to compare slit-lamp-aided (SLA) versus non-slit-lamp-aided (NSLA) CFB removal by EPs.Five EPs enrolled consecutive patients with a CFB over 3 months. One blinded EP (...) reviewed patients after 3 days. The study end points were: change in visual acuity; visual analogue pain scale (VAS) score at 12 and 24 h; satisfaction rating; symptoms at follow-up; and rate of complications.54 patients were enrolled: 28 had SLA removal and 26 NSLA removal; 52 were male; 22 had undergone previous CFB removal; six were wearing eye protection at the time of injury. Forty-three patients were reviewed: 26 by attendance and 18 by telephone. There was no difference in any end points

2013 Emergency Medicine Journal

119. A dose study of remifentanil in combination with propofol during tracheobronchial foreign body removal in children. (PubMed)

A dose study of remifentanil in combination with propofol during tracheobronchial foreign body removal in children. To assess the effect of two different remifentanil infusion doses on hemodynamic stability and recovery characteristics in children undergoing tracheobronchial foreign body removal during rigid bronchoscopy.Prospective, randomized, clinical comparison study.Operating room of a university hospital.70 ASA physical status 1 and 2 children, aged 3-12 years, presenting (...) for tracheobronchial foreign body removal during rigid bronchoscopy.Children were divided equally into two groups to receive either a 0.1 μg/kg/min (Group R1) or 0.2 μg/kg/min (Group R2) remifentanil infusion. Ten minutes after the remifentanil infusion, 3 mg/kg of propofol and 0.02 mg/kg of atropine were given. Anesthesia was maintained with 0.1 μg/kg/min of remifentanil and 100-250 μg/kg/min of propofol in Group R1 and 0.2 μg/kg/min of remifentanil and 100-250 μg/kg/min of propofol in Group R2. After baseline

2013 Journal of clinical anesthesia Controlled trial quality: uncertain

120. “Where I End And You Begin”: A personal commentary on Russo’s ‘Through the eyes of the observed’ #PsychDrugDebate

“Where I End And You Begin”: A personal commentary on Russo’s ‘Through the eyes of the observed’ #PsychDrugDebate “Where I End And You Begin” #PsychDrugDebate Search National Elf Service Search National Elf Service » » » » “Where I End And You Begin”: A personal commentary on Russo’s ‘Through the eyes of the observed’ #PsychDrugDebate Jul 24 2018 Posted by When Jasna Russo’s paper ‘ ’ appeared in my inbox, I was and still am recovering from a fairly serious episode of madness and distress (...) of those who have had the treatment themselves, not just those who have researched and prescribed them: Perhaps this can be likened to the difference between a visitor to a foreign country reading a tourist guidebook, and actually speaking with people who live there (Carr, 2009). As the big mental health charity campaigns like to remind us, ‘we all have mental health’ . Of course we do, but only a number of people are subject to compulsory treatment under the law; all secondary mental health services

2018 The Mental Elf

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