Hello, I’m Dr. Croley and welcome to Case of the Day. Today we are going to talk about an individual who came in today who complained of injuring their eye, something we’ve seen not uncommonly especially here in Florida. What happened was this gentleman went outside to cut his grass and got his weed whacker out and told me, “I forgot to put on my protective eye wear”, and so he’s doing his weed whacking and suddenly a rock flew and hit him in the eye.
So he came in today, his vision is still normal, 20-20 on both eyes, but the white part of his eye was all full of blood, not all the way around it but most of the way around. Fortunately, it appears that he did not actually tear his eyes open, he just had a contusion and a hemorrhage, so the blood vessels that cover over the white part that’s called the sclera, and the conjunctiva which contained blood vessels, those were broken, and it hemorrhaged on the surface of his eye. And we dilated his eye, looked around inside, it didn’t do any damage inside his eye or tear his retina, but he has a large hemorrhage on the surface of his eye. So it appears he’s gonna be okay, and that this would heal and he will be fine, but this, there can be serious injuries.
So someone who is doing something, especially construction worker with different kinds of work doing something like that where you have a risk of having something fly up and hit you in the eye, you must wear a protective eye wear. Because it’s just too, serious of a problem, that when you get a penetrating injury to your eye, that is, the force is so strong it cuts your eye, then you’re at a very high risk that you can lose your eye or lose significant vision in your eye. So, if you are weed whacking, landscaping, cutting bushes, where you can get scratched in the eye, grinding or working on a car or hammering on any kind of object, you’ve got to be wearing safety eye gear because we don’t like to see these injuries because they are totally preventable as long as you wear protective eye wear.
A long time ago, many years ago, I actually had a gentleman who essentially lost most of his vision where we repaired his eyes but he lost most of his vision because he just made a mistake because he was shooting, one of the nail guns and it ricocheted and then go and missed where he was aiming then came back and hit him in the eye. So, these injuries can be devastating, so please be careful and wear protective eye gear if you run any risk of anything happening as far as something flying and hitting you in the eye, grinding something, or any of those things.
So, if you have any questions about that type of injury, you can always contact us thru the website.
Just an interesting side note, we talked, the time before we saw last about EKC or Epidemic Keratoconjunctivitis and Thygeson’s Punctate Keratitis, I had a patient come in today that looks like they had Thygeson’s Punctate Keratitis. He had been treated since last April, a year ago April, for irritation on his eye, wasn’t really sure what it was, and he was using Corticosteroids in his eye. Pretty religiously for about five weeks starting a year ago, April. But then since then he’s just been intermittently using it as his eyes get irritated and he actually thought he had dry eyes. Turns out he does really have dry eyes too, but he has this corneal infection that we have to clear up first then we told him we will get around to correcting his dry eyes, looks like he’s a very good candidate for LipoFlow. So anyway, it’s just Thygeson’s Punctate Keratitis is not that common, I gave the discussion about it and suddenly a patient comes in with it.
And so, may God bless you with healthy eyes and great vision.