Corneal ulcer due to negligence when iron filings are shot into the eye

Hanoi: A 36-year-old man was shot with iron filings while welding a door. He did not go to the doctor until his eye became severely infected and then went to the hospital, where he developed a corneal ulcer.

After the accident, he used saline drops at home, but his eyes still hurt. At the Hanoi Eye Hospital 2, he was diagnosed with corneal ulcers and a foreign object in his eye. The doctor prescribed removal of the foreign object and anti-infective medication.

On December 5, Dr. Mai Thi Anh Thu, Department of Examination, Hanoi Eye Hospital 2, said that the patient had a foreign object shot into the eye but came to the hospital late after 24 hours, missing the golden time for treatment. If left for a long time, the iron rust penetrated the corneal parenchyma, making it more difficult to remove the foreign object, the cornea was scratched and infected, leading to ulcers.

Patients with corneal ulcers will feel discomfort, dull pain in the eyes, red eyes, watery eyes, glare, swollen eyelids... If not treated promptly, these symptoms can progress to become more severe, leading to serious complications such as corneal perforation, endophthalmitis, and blindness.

Doctor Thu said that any foreign object (dust, insects, pieces of rock, iron filings, pebbles...) that gets into the eye has the potential to scratch the cornea because this is a transparent layer of tissue located on the outermost layer of the eyeball's surface.

When the cornea is damaged, the reception of images is changed because this is also the part that is first exposed to light, allowing light to pass through to help the human eye see, while also breaking the barrier that protects the eyeball from infectious agents.

Depending on the level of corneal damage, there will be different solutions. In case of iron filings being shot into the eye, the patient must absolutely not rub the eye with his hands because it can make the condition worse. Do not remove the foreign object yourself, but blink into a glass of clean water to help the foreign object flow out. Then, quickly go to a reputable eye medical facility to examine and remove the foreign object under a microscope.

"The effectiveness of treatment depends on how early or late the patient comes to the hospital. Many cases of subjectivity lead to infection, and the disease turns from mild to severe," said Dr. Thu.

Treatment of eye post-traumatic infections is complex, costly, time-consuming, and the results are often not as expected. Therefore, to prevent eye accidents and injuries, the best way is to protect your eyes. Do not be subjective, regularly use labor protection when working in smoky, dusty environments, when turning, welding... Wear glasses when going out to protect your eyes from sand, dust, and limit eye exposure to ultraviolet rays. When a foreign object falls into your eye, go to the hospital immediately for timely treatment.

Le Nga

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