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Common Eye Diseases and their Management - part 7

Thực tế chấn thương mắt và khu vực xung quanh nhu cầu đặc biệt chú ý và tạo ra mối quan tâm lớn cho bệnh nhân và bác sĩ là hiển nhiên khi mắt mình là tham gia, nhưng khi chấn thương đe dọa cuộc sống hiện tại | 16 Ocular Trauma The fact that injuries to the eye and its surrounding region demand special attention and create great concern for patient and doctor is self-evident when the eye alone is involved but when other life-threatening injuries are present the eye injury seeming slight at the time might be overlooked. Sometimes the eyelids might be so swollen that it is difficult to examine the eyes and a serious perforating injury could be obscured. When other injuries are present and an anaesthetic is needed it is essential that the eyes are examined carefully if possible under the same anaesthetic. As in the case of injuries elsewhere those to the eye demand urgent and immediate treatment and neglect can result in tragedy even though the problem might have at first seemed slight. Injuries to the Globe Contusion The eye casualty officer comes to recognise a familiar pattern of contusion the effect of squash ball injuries and blows from flying objects in industry or after criminal assault. Injuries from industrial causes have now become quite uncommon thanks to better control by means of protective clothing and proper guarding of machinery. As a result sporting injuries have become more evident although here increasing public concern has also led to some improvement. Notable instances of good control are the use of protective guards in ice hockey and cricket. The surrounding orbital margin provides good protection to the eyes from footballs and even tennis and cricket balls but the rare golf ball contusion injury usually leads to loss of the sight of the eye. Squash balls and especially shuttle cocks have earned a bad reputation for inflicting contusion injuries and from the economic point of view leading to loss of time at work and hospital expenses. The extent of damage to the eye from contusion depends on whether it has been possible to close the eyelids in time before the moment of impact. If the lids have been closed bruising and swelling of the eyelids is marked .