COS Eye Safety Committee widening its horizons.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Except for the skin, the eye is the only organ that is continuously exposed to solar radiation, including longwave ultraviolet irradiation (UVA). Since 8-methoxypsoralen (8-MOP) remains not only in the skin but also in the lens of the eye after 8-MOP + UVA (PUVA) treatment, wearing protective goggles just during the UVA irradiation is insufficient. It is wise to shield the eyes for several hours after 8-MOP ingestion, to avoid or reduce possible long-term side effects such as cataract formation. Adequate eye protection from UVA after PUVA can be provided by sunglasses that filter out the appropriate UVA spectrum from the sunlight. Nearly all the commercially available sunglasses are colored, which reduces the intensity of the visible light reaching the eye. In such cases, the diameter of the pupil can remain dilated, which it would not without sunglasses. However, the UVA intensity remains the same. As a result, more UVA can reach the lens. In this study, new uncolored glasses are evaluated and compared with commercially available sunglasses (all colored) to determine their UVA transmission.
The common use of the laser in many specialty areas has challenged the anesthetist to possess more than a cursory knowledge of laser function and safety. The unique property of laser light and its effect on tissues presents unique safety considerations for patients and personnel. The protection of flammable materials, selection of the least flammable gas mixture and determination of the most appropriate anesthetic technique all work in concert to provide a beneficial outcome for everyone. This course will discuss principles of laser technology, safety for patients and personnel and precautions in anesthetic management.
The feasibility and efficacy of a fiberoptic blanket (Wallaby Phototherapy System) for the treatment of physiologic jaundice was compared with conventional phototherapy. Forty-two full-term infants with nonhemolytic jaundice were included in the study. Infants in the study group were treated with the fiberoptic blanket and the infants in the control group were placed under a standard phototherapy unit. Both the fiberoptic blanket and the standard phototherapy unit delivered an average irradiance of 7.0 +/- 0.5 muw/cm2/nm. Incremental changes in serial plasma bilirubin levels compared with the initial bilirubin concentration did not differ between the study and control groups. For infants whose initial plasma bilirubin concentration exceeded 200 mumol/L, a statistically significant difference was found in both study and control groups between the average bilirubin level at initiation of phototherapy and the average bilirubin level at termination of treatment. We conclude that phototherapy delivered by the fiberoptic blanket is safe and has efficacy comparable to that of conventional phototherapy, providing a convenient alternative phototherapy application strategy that obviates the need for eye patches and facilitates maternal handling of the infant during therapy.
The eye care professional has the responsibility to advise the patient of potential eye injuries in sports and the available methods of protection against injury. Polycarbonate is the lens material of choice, both plano and for prescription eye wear for athletes and other active people. Those who fabricate and dispense eye wear must be aware of the need for safety eye wear and advise patients appropriately. They should stock and distribute the material at reasonable prices.
About 30% of all sports injuries to the eye seen at Wellington Hospital are due to indoor cricket. An analysis of 29 eye injuries, January 1987 to June 1989 was carried out. Traumatic iritis, mydriasis and commotio retinae were the common injuries. There were eight blow out fractures of the orbit. Only two patients had permanent loss of vision due to choroidal tears with best vision in the damaged eye reduced to 6/9. A total of 88 eye clinic visits and 24 inpatient days were involved. The incidence of these injuries could be reduced by wearing eye and/or facial protection.
The trend to outpatient strabismus surgery prompted us to determine the frequency of, and the reasons for, postoperative overnight hospital admission following such surgery. In one year, 303 outpatient strabotomies were performed at the Jules Stein Eye Institute on patients over 15 months old. Twenty-four (7.9%) were admitted overnight postoperatively. Compared with controls, those admitted were older (37 vs 20.5 years), and had a longer duration of anesthesia (145 vs 116 minutes) and surgery (104 vs 75 minutes) (P less than .01 for each). The time that surgery commenced and the use of perioperative medications were not significant factors. The most frequent reasons for overnight admission were nausea (38%) despite prophylaxis and the use of bilateral patches (16%). To minimize postoperative admissions, better strategies should be developed to decrease the frequency of significant postoperative nausea, the duration of surgery and anesthesia, and, if possible, the use of bilateral patches.
Traumatic microhyphema is an entity encountered in emergency rooms and general ophthalmology practices. The management of traumatic microhyphema has not been well defined in the literature. We discuss the effectiveness of our treatment regimen and the incidence of rebleed in patients with microhyphema.
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A computer-assisted laser pachometer was compared with two ultrasonic pachometers for intra- and interobserver error. Two observers each performed two examinations at 11 predetermined locations on the corneas of six subjects. The laser pachometer was found to have intra- and interobserver errors comparable to both of the ultrasonic pachometers. By performing multiple examinations on three subjects, the laser pachometer was found to have an average standard deviation of +/- 0.012 mm. Unlike ultrasonic pachometers, the laser pachometer has the advantage of being a noncontact method of evaluating corneal thickness, and does not require topical anesthesia; the trauma and anesthesia might alter corneal thickness by inducing epithelial edema. The nasal cornea was found to be slightly thicker than the temporal cornea in most patients. Lid closure for three hours caused a consistent thickening (about 6.3%) of central and peripheral cornea.
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On the basis of personal material from 6 years (70 patients, 104 eyes) the author discusses, the eye injuries inflicted during sport activities and their incidence in various sport disciplines. In 5-10 per cent of such injuries the final visual acuity was 0.1 or less. The possibilities of prophylaxis are also presented; suggested is the wear of protective glasses made of polycarbonate.
"War games" are gaining popularity in the western United States. These recreational contests involve members of one team attempting to shoot their opponents with high-velocity dye or paint pellets fired from air guns. Unfortunately, serious eye injuries occur when participants do not use protective eye wear. We report a case of severe blunt ocular trauma resulting in a hyphema, choroidal rupture, and retinal and vitreal hemorrhage secondary to a paint pellet striking an unprotected eye. This injury resulted in a significant visual defect in this patient.