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Globe Injury Reported While Wearing Protective Eye Goggles

Case report describes motocross rider who suffered globe rupture despite wearing protective goggles

TUESDAY, Aug. 11, 2015 (HealthDay News) — A case of globe rupture has been described in a motocross rider who was wearing specifically designed protective eye goggles. The case report was published in the July issue of Clinical and Experimental Ophthalmology.

Robert Massera, M.B.B.S., from the Australian School of Advanced Medicine in Sydney, and colleagues present a case of globe rupture in a 56-year-old male motocross rider, who was struck by a stone expelled from the motorcycle in front of him. The rider was wearing specifically designed protective eye goggles, marketed and sold for ocular protection in motocross. The eye protective device (EPD) met American National Standards Institute and European standards.

According to the report, the patient sustained a left globe rupture. At presentation to a tertiary ophthalmic hospital, there was extensive conjunctival chemosis, the anterior chamber was flat, lens was intact, and the iris was prolapsed superiorly due to globe rupture. Anterior orbital emphysema was seen on orbital computed tomography. The medical team excised the prolapsed necrotic iris, re-inflated the anterior chamber with balanced salt solution, and closed the wound with interrupted 8-0 nylon sutures. Vision had improved to 6/15 one month postoperatively, pinhole corrected to 6/7.5.

“Although an EPD may meet safety standards under test conditions, it may fail to provide adequate protection from the risk of eye injury posed in real-life situations,” the authors write.

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