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Eye trauma 

Eye trauma
Eye trauma

Jason Smith

, Ian Greaves

, and Keith M Porter

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date: 21 May 2022

Eye trauma 314

Specific injuries 318

Management and referral 324

Further reading 327

The eyes occupy only 0.1% of the total and 0.27% of the anterior body surface; however, injury to the eyes can have devastating consequences as vision is the most important sensory modality. Loss of vision is likely to lead to loss of career, major lifestyle changes and disfigurement. Eye injuries occur in economically active people, usually males (70%) with an average age of approximately 39 years. Eye and orbital injuries were responsible for approximately 3500 hospital consultant episodes in England in 2007, and are the commonest cause of extended hospitalization for ophthalmic patients. The home is now commonest place for a serious injury to occur (30.2%), followed by the workplace (19.6%), and sports or leisure facilities (15.8%). Tools or machinery are the most frequent cause of injury (25%), followed by assault (20%) and sports-related activities (12.5%). War-related eye injuries have become more common over the past few years and are often from high explosive devices associated with injuries from the blast wave itself or secondary to debris from the explosion. Eye injuries come at a high cost to society and are largely avoidable....

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