Eye Trauma

Muhammad Yusran
Department Ophthalmology Universitas Lampung
Accident Statistics in
Indonesia

Source: 2011 Jamsostek Annual Report

Comparison of Organ Injuries

Irfani TH. Public Health of Indonesia. 2015 September;1(1): 19-29

Birmingham Eye Trauma Terminology (BETT)
Open Globe Injury
Close Globe Injury
Characteristics Eye of Injuries

Chaikitmongkol V, Leeungurasatien T, Sengupta S.Work-Related eye injuries: Important occupational health problem in Northern Thailand.Asia-Pac J Ophthalmol 2015;4: 155-160
Characteristics of Globe Injury

Chaikitmongkol V, Leeungurasatien T, Sengupta S.Work-Related eye injuries: Important occupational health problem in Northern Thailand.Asia-Pac J Ophthalmol 2015;4: 155-160
What to Do in Eye Injury?
DO NOT touch, rub or apply pressure to the
eye

DO NOT try to remove the object stuck in the

eye

DO NOT apply ointment to the eye

See a doctor ASAP, preferably an

ophthalmologist
 Chemical Injuries

This is the insult that requires the most urgent

intervention
Alkali agents cause colliquative necrosis: the
destruction of tissue continues as long as the agent is
present. The agent can penetrate intraocularly,
resulting in severe late complications such as
secondary glaucoma.
Acid agents cause coagulative necrosis: the process
slows down and eventually stops tissue destruction
beyond the original insult
Etiology
Grading System
Chemical Burn of The Eye
Immediate flush the eye with
plenty of clean water

No therapeutic differences
have been identified between
normal saline, normal saline
with bicarbonate, lactated
Ringer’s, balanced salt
solution(BSS), and BSS-plus.

Try to use other neutral fluids.

irrigation for 15 to 30
minutes is recommended.
 Chemical Burn
Evert the upper lid and irrigate
the fornices.

Check the pH a few minutes after

irrigation; continue irrigating
until the pH reaches 7.0.

Remove remnants of the agent

(e.g., plaster) from the fornices
mechanically with a moistened
cotton tipped applicator or a
jeweler’s forceps.

Immediate referral to
ophthalmologist
 Prevention Eye Injury

Know the eye safety dangers at work

Eliminate hazard before starting work

Use proper eye protection

Eye Protection
Pro’s and Con’s of Eye Wear
Protection among Farmer
 Barriers of Using Goggles

Chatterjee S, Agrawal D. Primary prevention of ocular injury in agricultural workers with safety eyewear
Indian J Ophthalmol. 2017 Sep; 65(9): 859–864.
Adherence of Using Eye Protector
 Take Home Massages

Eye protector prevents eye injury until

90%

Knowing hazards in workplace

Early diagnosis and prompt treatment is

important
THANK YOU