Eye Injuries in Children: Recovery and Risks Explained - Ophthalmology

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Injury to a child's eye?


Hello, doctor: Two days ago, my child was shot in the eye with a BB gun by another child at the park.
After examination by a physician, it was found that there is some damage to the retina, the intraocular pressure is about 22, and the sclera is still red.
May I ask: 1.
How long will it take for the redness in the sclera to return to normal? 2.
What is considered normal intraocular pressure? How long will it take to return to normal? (Currently using CUSIMOLOL 0.5%) 3.
Will there be any long-term effects? 4.
Will vision return to normal? I apologize for asking so many questions; I am a worried mother.

Peng, 30~39 year old female. Ask Date: 2007/03/02

Dr. Wang Zhangji reply Ophthalmology


Hello: 1.
Approximately two weeks.
2.
Normal intraocular pressure is below 22.
3.
Most of your concerns cannot be definitively addressed.
I understand you are anxious right now, but please be patient and cooperate with the physician's treatment.
If the child shows gradual improvement, there is no need to worry too much.
Sincerely, Dr.
Wang Zhang-ji, Ophthalmology.

Reply Date: 2007/03/02

More Info


Hello, and thank you for your questions regarding your child's eye injury. It's understandable to be concerned, especially when it comes to the delicate nature of children's eyes. Let's address your queries one by one.

1. How long will it take for the redness in the white part of the eye to return to normal?
The redness in the sclera (the white part of the eye) is often due to broken blood vessels, which can occur after trauma. Typically, this redness can take anywhere from a few days to a couple of weeks to resolve, depending on the severity of the injury and the individual healing process. As the blood reabsorbs, the redness will gradually diminish.

2. What is considered normal eye pressure, and how long will it take to return to normal?
Normal intraocular pressure (IOP) typically ranges from 10 to 21 mmHg. An eye pressure of 22 mmHg is slightly elevated and can be concerning, especially following an injury. The use of medications like Cosopt (which contains dorzolamide and timolol) can help lower eye pressure. The time it takes for eye pressure to return to normal can vary; it may take days to weeks, depending on the response to treatment and the extent of the injury. Regular follow-up with an ophthalmologist is essential to monitor the pressure and adjust treatment as necessary.

3. Will there be any long-term effects?
The potential for long-term effects depends on the severity of the retinal damage and the overall health of the eye. In some cases, children can recover fully without any lasting issues, while in others, there may be complications such as vision problems or increased risk of glaucoma. It's crucial to have follow-up examinations to monitor for any changes or complications.

4. Will vision return to normal?
The prognosis for vision recovery largely depends on the extent of the retinal damage. If the injury is mild and there are no significant complications, vision may return to normal or near-normal levels. However, if there is more severe damage, there could be lasting effects on vision. Regular assessments by an eye care professional will provide the best insight into your child's recovery.

In addition to these points, it's important to ensure that your child avoids any activities that could strain their eyes or expose them to further injury during the recovery period. This includes limiting screen time and avoiding bright lights or environments that could cause discomfort.

Lastly, maintaining a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support overall eye health. However, any supplementation should be discussed with a healthcare provider to ensure it is appropriate for your child's specific situation.

In conclusion, while the situation is understandably concerning, many children recover well from eye injuries with appropriate care and monitoring. Regular follow-ups with an ophthalmologist will be crucial in ensuring your child's eyes heal properly and that any potential complications are addressed promptly. If you have further questions or concerns, don't hesitate to reach out to your child's healthcare provider.

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