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Patients with industrial blunt injuries can develop secondary glaucoma

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BOSTON — The development of secondary glaucoma is among the disabling functional ocular sequelae associated with industrial blunt injuries, according to a poster presented here at the World Glaucoma Congress.

P.K. Shubbana, DO, DOMS, DIPNB, FRCS (Edin), and colleagues at Al-ain Hospital in Alain, United Arab Emirates, prospectively reviewed 42 patients presenting with 48 cases of blunt injuries to the eyes after being hit by a nail while hammering.

According to the authors, periorbital, corneal and conjunctival lacerations, hyphema, iris and ciliary body injuries, and the development of secondary glaucoma were the main ocular manifestations. Visual loss due to corneal injuries, hyphema, secondary glaucoma and angle recession, and posterior central involvement due to blunt injuries and glaucomatous visual field loss were found in 6.25% of the study's patients.

In addition to education, the authors recommend the wearing of protective helmets that cover the oculofacial region to minimize or prevent ocular injuries.