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Snowball-associated ocular injury - An unusual presentation
Srinivasan Sanjay1, Modak Durgalaxmi2
1Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bengaluru, Karnataka, India.
Indian Journal of Ophthalmology
|December 1, 2022
Summary
Ocular injuries from snowballs are uncommon, with delayed symptoms appearing up to 10 days post-trauma. This case highlights potential permanent structural damage and the importance of protective eyewear.
Area of Science:
- Ophthalmology
- Trauma care
Background:
- Snowball-related ocular injuries are rare globally.
- This is the first reported case in India.
Observation:
- A 25-year-old female presented with delayed symptoms of redness and blurred vision 10 days after a right eye injury from a snowball.
- Initial examination revealed traumatic anterior uveitis and mydriasis in the right eye, with no posterior segment involvement.
Findings:
- Treatment with topical steroids improved anterior chamber inflammation but resulted in persistent mydriasis.
- Infrared video imaging demonstrated anisocoria, more pronounced in bright light.
Implications:
- Delayed symptom onset in ocular trauma is possible.
- Snowball injuries can cause significant, potentially permanent ocular damage.
- Protective eyewear is crucial during activities involving projectiles like snowballs.
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