How Car Or Two Wheeler Accidents May Cause Eye Injuries? - Ojas Eye Hospital
Introduction
Good eye health and visual acuity are essential to provide a quality life to you and your family. Impaired vision can keep you away from the activities that make your life worthy of living. Trauma from an accident can cause lifetime of vision loss. Take good care of your eyes. Take suitable precautions while driving to protect your eyes from any trauma or injury.
Reason For Eye Injuries During Vehicular Accidents
An accident can cause an eye injury in several ways. Some of them are:
Eye injury due to striking of any object, such as dust particle or any metal object. It may occur if you had not worn a helmet with safety glasses while driving.
The explosion of an airbag during a collision
Blunt trauma due to striking of face on the steering wheel.
A piece of broken glass of windscreen entering the eyes.
Traumatic head injury may result in damage to the brain and optic nerve. The optic nerve damage may cause loss of vision.
Common Eye Injuries Due To Accidents
Various types of injuries may occur during an accident. Some of them are:
Lacerations and abrasion on eye surface: During a violent vehicle collision, a tiny particle of dust, debris, glass or any other object can enter the eyes. It causes severe pain and discomfort. If a large particle enters the eye during an accident, it results in corneal lacerations and abrasions. These conditions require urgent treatment to avoid partial or permanent vision loss.
Orbital Fracture: It is a result of blunt trauma in the region of the face and ocular region. It occurs when the head strikes on an object with more diameter than the width of the orbital outlet, such as car steering. The treatment of such injury depends upon the force of impact and the severity of the injury. Your doctor may advise you to undergo a comprehensive ocular examination to determine the extent of the damage.
Chemical burns: When the eyes are exposed to any chemical (gas, liquid or solid), it may lead to chemical eye burn. The severity of the chemical burn depends on the amount and type of chemical substance. The symptoms of chemical burns are eye redness, pain, irritation, swelling and blurry vision.
Retinal detachment: Most of the vehicles have airbags for safety purposes. It plays as a valuable lifesaver during accidents. However, the explosion of an airbag can also cause damage to the retina of the victim’s eye. The airbag explodes with a violent force. Sometimes the airbag burst force is so severe that there is a loss of connectivity between the retina and the entire eye leading to retinal detachment. It requires emergency surgery to prevent vision loss.
Damage to the optic nerve: The optic nerve is a connection between the eye and the brain. The fluid that surrounds the nerve creates high pressure after the accident. The high pressure because of trauma leads to optic nerve concussion injury leading to optic nerve damage. It can cause visual distortion, blindness and severe vision impairment, even after the proper treatment.
Optic neuropathy due to trauma: It is a condition of indirect acute nerve injury resulting in vision loss. It occurs due to the penetration of bony fragments into the optic nerve. The symptoms of optic neuropathy are blurry vision and colour vision loss and sometimes partial or complete vision loss.
Hyphema: Injuries due to an accident can cause bleeding of an eye between the cornea and iris. This condition is called hyphema. It is a medical emergency, and the patients experience light sensitivity, blurry vision and pain.
Vitreous haemorrhage: A clear jelly-like substance present in the centre of the eyeball is vitreous. The bleeding can be caused due to head injury or eye injury resulting in rupture of blood vessels in the retina of the eye and blood in the vitreous cavity.
Black eye: The trauma causes discolouration beneath the skin of the eyes. It occurs when the blood vessel or capillaries under the skin rupture and blood leaks into the surrounding tissue.
How To Prevent Eye Injuries While Traveling In A Car?
The experts say that over 90% of eye injuries can be prevented by following certain precautions. The leading cause of sight-threatening eye injuries is small flying objects such as bits of metal, stone or glass and windblown particles such as sand dust. You can protect yourself from these dangers with close-fitting protective eyewear to keep objects from striking into your eyes. You can choose safety glasses that include lenses made of impact-resistant material such as polycarbonate. Wearing a seat belt is essential to prevent any head injury.
Conclusion
An accident occurs in a blink of an eye. However, precautions and quick actions in an emergency can protect you and your family from severe injuries. It is required to seek immediate medical attention after an accident. Delay in management of eye injuries due to accident may result in permanent loss of vision.
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Dr. Niteen Dedhia is a Best Eye Surgeon in Mumbai & Best Lasik Specialist Mumbai. He specializes in Cataract Surgery, Bladeless Lasik, LASIK Treatment, Refractive Surgery, Retina Surgery, Custom...
To have normal vision, the eyes apparatus, eye muscles and nerves that send signals to the brain need to function in harmony with the brain. Any problem to these components may lead to double vision, where you see two images instead of one, also known as Diplopia.
Double vision can be monocular or binocular. It can be horizontal (images appear side by side) or vertical (one image appears above the other).
Double vision symptoms
Pain and eye strain around the eyes, such as in the temples or eyebrows
Droopy eyelids
Misalignment of one or both eyes, such as crossed eyes or a “wandering” eye
Weakness in the eyes muscles
Pain with eye movements in one or both eyes
Monocular Double vision
Monocular Double vision is less common than Binocular double vision and occurs due to a problem in one eye only. In Monocular Diplopia, one of the images is very clear, while the other is faded or washed out.
Causes
Cataract – With age, like other degenerative changes in the body, eyes also undergo certain changes like protein clumping within the lens of the eye. The Natural lens of the eye is normally clear, but cataract causes it to become cloudy and foggy over time. This can lead to vision problems, including double vision.
Dry eye – Our eyes produce lubricating fluids, to make blinking or eye movements more comfortable. Dry eyes leads to stinging, itching resulting in vision problems.
Corneal shape changes (keratoconus) – This eyesight problem occurs when the clear lining of cornea begins to grow thin and develop a cone-shaped bulge. This bulge can cause double vision.
Astigmatism – It occurs due to Irregular shape and curvature of the eye. It often leads to blurred and double vision.
Pterygium – It is a rare condition, where conjunctival growth covers the cornea and leads to diplopia.
Binocular Double vision
To differentiate Binocular with monocular diplopia, a simple test is done; if double image disappears after covering one eye, it is usually a case of Binocular Diplopia. In this case both are images are clear. Binocular Double vision is the result of any cause affecting the extra ocular muscles of the eye.
Causes
Diabetes – Diabetic retinopathy causes nerve damage and leads to double vision.
Myasthenia gravis – It is an immunological disease and causes disruption between neural and muscular communication. Muscle fatigue is developed throughout the body including eye and leads to double vision.
Cranial nerve palsy – Sometimes cranial nerves become paralyzed and it may develop double vision.
Nerve damage – In case of head trauma, infection, stroke, brain tumour, nerves controlling the eye movements may get damaged and lead to diplopia.
Strabismus (crossed eyes) – It is a condition affecting four percent of children and usually affects alignment of the eyes. The muscles of the eyes have trouble working together. It leads to a variety of vision problems like double vision and can cause permanent vision loss.
Is Double vision treatable?
Treatment of double vision varies from patient to patient, depending on the cause and type of diplopia. Once the underlying cause is identified by comprehensive eye examination, vision issues go away with the right treatment modality.
Common treatment available for diplopia are:
Eye exercises: Like other muscles of the body, our eye muscles can go weak, eye doctor can help you with eye muscle strengthening. They teach you with “exercises” that can help you regain eye muscle strength.
Corrective lenses: Eyeglasses or special lenses may correct the vision problem.
Eye patch or cover: Although it is not a long term solution, yet covering one eye may stop the double vision. An eye cover can help manage double vision until there is a more permanent solution.
Surgery: Issues like cataract or other eye problems need surgery at some point. Double vision goes away with the corrective procedure.
To learn more about eye problems and help you to decide for eye treatment, please call us for appointment at (+91) 9137462795 and meet our experts at Ojas Eye Hospital In Mumbai Bandra /Kandivali Phone no 61549999/26405951/ 288699999.
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