DR. RUPALI BARNWAL

DR. MEHUL SHAH, DR. SHREYA SHAH

Abstract

INTRODUCTION:EXPLOSIVE OCULAR INJURUES AT WORK PLACE ARE COMMONLY REPORTED WORLDWIDE WITH AN ADVERSE IMPACT ON THE MENTAL AND ECONOMIC STATUS OF PATIENT AND FAMILY MEMBERS.

CASE:A 45 YEAR OLD MALE PRESENTED WITH H/O INJURY TO FACE AND HAND AFTER ACCIDENTAL BOMB EXPLOSION AT HIS WORK PLACE 23 DAYS BACK.PATIENT HAD INJURY IN BOTH EYES,C/O LOSS OF VISION,PAIN,PHOTOPHOBIA AND INABILITY TO OPEN EYES.OD:BCVA-PL,ON SLE-MADAROSIS,FULL THICKNESS UPPER LID DEFECT ,EDEMA ANKYLOBLEPHARON,ZONE 1 SELF SEALED CORNEAL TEAR,REST DETAILS NOT APPRECIABLE.BCVA OS-NO PL,ON SL:MADAROSIS,HE WAS STARTED ON SYSTEMIC AND TOPICAL ANTIBIOTCS,STEROIDS AND ATROPINE.PATIENT UNDERWENT ORBIT ENUCLEATION + BALL IMPLANT IN OS AND VITRECTOMY FOR RD IN OD.ON SUBSEQUENT FOLLOW UP PT DEVELOPED PTHYSICAL EYE OD AND BCVA-PL.

CONCLUSION: BLAST INJURY IS A MEDICAL EMERGENCY AND NEEDS INTENSIVE MEDICAL AND SURGICAL TREATMENT.IF NEGLECTED, VISUAL OUTCOMES TURNS OUT TO BE POOR.