Document Detail


Eye injuries caused by bungee cords.
MedLine Citation:
PMID:  9331205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Bungee cords are common workplace and household items that have many uses. Despite their utility, they represent a potential source of severe ocular injury. DESIGN: A retrospective review was conducted to identify patients presenting to an ocular emergency department with bungee cord-related eye injuries over a 42-month period. PARTICIPANTS: The authors identified 17 patients with bungee cord-related ocular injuries. INTERVENTION: In identified patients, the hospital inpatient and outpatient charts were reviewed in detail. MAIN OUTCOME MEASURES: Patient demographics, mechanism of injury, use of ocular protection, presenting and final best-corrected visual acuity, associated ocular injuries, therapeutic interventions, and anatomic results were noted. RESULTS: Fourteen (82%) of the patients had closed globe injuries and 3 (18%) had open globe injuries. A wide array of periocular, anterior segment, and posterior segment injuries were identified with hyphema being the most common associated ocular injury. Ten patients (59%) had a final visual acuity of 20/25 or better. Five patients (29%) had a final visual acuity that was less than or equal to 20/60, with three of these patients having a final visual acuity less than or equal to 4/200. Two of the three patients with open globe injuries had a final visual acuity of 20/60 or better, whereas one had no light perception. Poor visual outcome was associated with posterior segment involvement. CONCLUSIONS: The authors advocate the use of printed warnings on the packaging of bungee cords and extreme caution by those who use them. A modification in design and the use of certified safety glasses may help to decrease the incidence of bungee cord-related ocular trauma.
Authors:
M J Cooney; D J Pieramici
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmology     Volume:  104     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-10-16     Completed Date:  1997-10-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1644-7     Citation Subset:  IM    
Affiliation:
Ocular Trauma Service of the Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Eye Injuries / etiology*,  physiopathology,  surgery
Eye Injuries, Penetrating / etiology,  physiopathology,  surgery
Female
Humans
Male
Middle Aged
Retrospective Studies
Rubber
Visual Acuity
Wounds, Nonpenetrating / etiology*,  physiopathology,  surgery
Chemical
Reg. No./Substance:
9006-04-6/Rubber
Comments/Corrections
Comment In:
Ophthalmology. 1998 Jun;105(6):941   [PMID:  9627631 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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