Abstract
Around one third of all the globes received in a routine laboratory service will exhibit pathological changes that illustrate the final stages of processes initiated by trauma. While “trauma” embraces all forms of insult (e.g., chemical, toxic, radiation, etc.), in practice, mechanical injury is the most frequently encountered. The most common specimen is the irreparable eye enucleated immediately or within a day or two of an injury. The next group are those in which repair is attempted but there is evidence of continuing inflammation and the eye is enucleated to avoid the risk of sympathetic endophthalmitis. There are effects of late stage trauma on all ocular structures. The most serious and more common long-term complications are sympathetic endophthalmitis and phthisis bulbi. Another form of trauma is seen in infants subject to non-accidental injury where the pathologist may be required to give a detailed report of retinal haemorrhages.
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References
Rao SK, Greenberg PB, Filippopoulos T, Scott IU, Katsoulakis NP, Enzer YR. Potential impact of seatbelt use on the spectrum of ocular injuries and visual acuity outcomes after motor vehicle accidents with airbag deployment. Ophthalmology. 2008;115(3):573–576.e1.
Baker RS, Flowers CW, Singh P, Smith A, Casey R. Corneoscleral laceration caused by air-bag trauma. Am J Ophthalmol. 1996;121:709–11.
Wong TY, Seet B, Ang C-L. Eye injuries in twentieth century warfare: a historical perspective. Surv Ophthalmol. 1997;41:433–59.
Lubniewski A, Olk RJ, Grand MG. Ocular dangers in the garden. A new menace, nylon lawn trimmers. Ophthalmology. 1988;95:906–10.
Jain BK, Talbot EM. Bungee jumping and intraocular haemorrhage. Br J Ophthalmol. 1994;78:236–7.
Lee BL, Sternberg P. Ocular nail gun injuries. Ophthalmology. 1996;103:1453–7.
Napier SM, Baker RS, Sanford DG, Easterbrook M. Eye injuries in athletics and recreation. Surv Ophthalmol. 1996;41:229–44.
Barker-Griffith AE, Streeten BW, Abraham JL, Schaefer DP, Norton SW. Potato gun ocular injuries. Ophthalmology. 1998;105:535–8.
Fineman MS, Fischer DH, Jeffers JB, Buerger DG, Repke C. Changing trends in paintball sport related ocular injuries. Arch Ophthalmol. 2000;118:60–4.
Brown R, Al-Bachari MAH, Kambhampati KK. Self inflicted eye injuries. Br J Ophthalmol. 1991;75:496–8.
Spraul CW, Grossniklaus HE. Vitreous haemorrhage. Surv Ophthalmol. 1997;42:3–39.
Schubert HD. Postsurgical hypotony: relationship to fistulization, inflammation, chorioretinal; lesions and the vitreous. Surv Ophthalmol. 1996;41:97–125.
Pulido JS, Blair MP. The blood retinal barrier in Berlin’s oedema. Retina. 1987;7:233–6.
McDonnell PJ, Gritz DC, McDonnell JM, Zarbin MA. Fluorescence of blood stained cornea. Cornea. 1991;10:445–9.
Rosenthal AR, Appleton B. Histochemical localization of intraocular copper foreign bodies. Am J Ophthalmol. 1975;79:613–25.
Kuchle M, Green WR. Epithelial ingrowth: a study of 207 histopathologically proven cases. Ger J Ophthalmol. 1996;5:211–23.
Naumann GOH, Rummelt V. Block excision of cystic and diffuse epithelial ingrowth of the anterior chamber. A report on 32 consecutive patients. Arch Ophthalmol. 1992;110:223–7.
Lee WR, Grierson I. Macrophage infiltration in the human retina. Graefes Arch Clin Exp Ophthalmol. 1977;203:293–309.
Williams DF, Mieler WF, Williams GA. Posterior segment manifestations of ocular trauma. Retina. 1990;10:S35–44.
Blight R, Hart CD. Structural changes in the outer retinal layers following blunt mechanical non-perforating trauma to the globe. An experimental study. Br J Ophthalmol. 1977;61:573–87.
Mansour AM, Green WR, Hogge C. Histopathology of commotio retinae. Retina. 1992;12:24–8.
Damico FM, Kiss S, Young LH. Sympathetic ophthalmia. Semin Ophthalmol. 2005;20:191–7.
Castiblanco CP, Adelman RA. Sympathetic ophthalmia. Graefes Arch Clin Exp Ophthalmol. 2009;247:289–302.
Bechrakis NE, Mueller-Stolzenburg NW, Helbig H, Foerster MH. Sympathetic ophthalmia following laser cyclocoagulation. Arch Ophthalmol. 1994;112:80–4.
Mastrobattista JM, Luntz M. Ciliary body ablation: where are we and how did we get here? Surv Ophthalmol. 1996;41:193–213.
Kilmartin DJ, Dick AD, Forrester JV. Commentary: sympathetic ophthalmia risk following vitrectomy: should we counsel patients? Br J Ophthalmol. 2000;84:448–9.
Kilmartin DJ, Wilson D, Liversidge J, Dick AD, Bruce J, Acheson RW, Urbaniak SJ, Forrester JV. Immunogenetics and clinical phenotype of sympathetic ophthalmia in British and Irish patients. Br J Ophthalmol. 2001;85:281–6.
Atan D, Turner SJ, Kilmartin DJ, Forrester JV, Bidwell J, Dick AD, Churchill AJ. Cytokine gene polymorphism in sympathetic ophthalmia. Invest Ophthalmol Vis Sci. 2005;46:4245–50.
Chan CC. Relationship between sympathetic ophthalmia, phacoanaphylactic endophthalmitis and Vogt-Koyanagi-Harada disease. Ophthalmology. 1988;95:619–24.
Archer DB. Responses of retinal and choroidal vessels to ionising radiation. Eye. 1993;7:1–15.
Elner VM. Ocular manifestations of child abuse. Arch Ophthalmol. 2008;126:1141–2.
Levin AV. Retinal hemorrhage in abusive head trauma. Pediatrics. 2010;126:961–70.
Levin AV. Retinal hemorrhages of crush head injury. Learning from outliers. Arch Ophthalmol. 2006;124:1773–4.
Plunkett J. Fatal pediatric head injuries caused by short-distance falls. Am J Forensic Med Pathol. 2001;22:1–12.
Geddes JF, Whitwell HL. Inflicted head injury in infants. Forensic Sci Int. 2004;146:83–8.
Cohen MC, Scheimberg I. Evidence of occurrence of intradural and subdural hemorrhage in the perinatal and neonatal period in the context of hypoxic ischemic encephalopathy: an observational study from two referral institutions in the United Kingdom. Pediatr Dev Pathol. 2009;12:169–76.
Geddes JF, Talbert DG. Paroxysmal coughing, subdural and retinal bleeding: a computer modelling approach. Neuropathol Appl Neurobiol. 2006;32:625–34.
Goldman M, Dagan Z, Yair M, Elbaz U, Lahat E, Yair M. Severe cough and retinal haemorrhage in infants and young children. J Pediatr. 2006;148:835–6.
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Roberts, F., Thum, C.K. (2014). The Traumatized Eye. In: Lee's Ophthalmic Histopathology. Springer, London. https://doi.org/10.1007/978-1-4471-2476-4_2
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