Reddy Sagili Chandrasekhara
Department of Ophthalmology, School of Medical Sciences, University Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Int J Ophthalmol. 2012;5(4):530-4. doi: 10.3980/j.issn.2222-3959.2012.04.25. Epub 2012 Aug 18.
To report various ocular injuries caused by durian fruit.
Three cases of ocular injuries were described in young patients, due to accidental fall of durian fruit on the forehead and face, while they were taking rest/sleeping /playing under the durian tree.
The ocular injuries observed were lacerating injury of cornea with iris incarceration, hyphema, superficial penetrating injury of sclera and angle recession glaucoma in the right eye of first patient; lacerating injury of cornea with iris prolapse in the left eye of second patient; subconjunctival haemorrhage, traumatic mydriasis and superficial penetrating injury of sclera, commotion retinopathy and macular edema in the left eye of third patient. Vision improved to normal in all the eyes following surgical/ medical/optical treatment.
Evidence of penetrating injury (because of thorns) and blunt injury (because of weight) can be seen in the eyes when durian fruit falls on the face. Vision can be recovered fully with immediate and appropriate treatment in these cases. The ocular injuries can be prevented by educating the public to wear protective metal frame wide goggles and not to sleep/take rest under the durian tree.
报告榴莲果实导致的各种眼外伤。
描述了3例年轻患者的眼外伤情况，他们在榴莲树下休息/睡觉/玩耍时，榴莲果实意外掉落至额头和面部。
观察到的眼外伤情况为，首例患者右眼出现角膜撕裂伤伴虹膜嵌顿、前房积血、巩膜浅层贯通伤和房角后退性青光眼；第二例患者左眼出现角膜撕裂伤伴虹膜脱出；第三例患者左眼出现结膜下出血、外伤性瞳孔散大、巩膜浅层贯通伤、视网膜震荡和黄斑水肿。经手术/药物/光学治疗后，所有患者的眼睛视力均恢复正常。
当榴莲果实落在面部时，眼部可见穿透伤（因尖刺）和钝挫伤（因重量）的迹象。在这些情况下，及时且恰当的治疗可使视力完全恢复。通过教育公众佩戴防护性金属框宽边护目镜且不在榴莲树下睡觉/休息，可预防眼外伤。
