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Preventing Eye Injuries

Experts say more than 90 percent of eye injuries can be prevented by simply taking a few precautions and wearing safety glasses.

If you use a lawn mower, leaf-blower, drill or similar power tools, you need protective eyewear. These glasses should have a snug, wrap-style frame to decrease the likelihood of small, airborne particles getting behind the lenses.


If you wear corrective lenses, hardware stores sell inexpensive goggles that will usually fit over your glasses. But a better and more comfortable option is to purchase a pair of customized safety eyewear with polycarbonate lenses from an eye care practitioner.

Workplace Eye Safety Programs

In U.S. workplaces that involve any kind of airborne particles or noxious chemicals, employers must adhere to Occupational Safety and Health Administration (OSHA) guidelines for protective eyewear and emergency eye care.

Please click here for a video about how to prevent eye injuries at work, at home, and during sports.
This video explains how to prevent eye injuries at home, at work and during sports.

If you or your employer is unsure of which guidelines apply to your workplace, visit the OSHA website for information on these topics:

  • Eye and face protection
  • General industry standards
  • State plans
  • State plan publications and training materials

Most protective eyewear standards require employers to provide prescription safety lenses to employees who need corrective eyewear. An alternative is to provide a shield that will cover and protect the employee's own eyeglasses. Some types of work require safety glasses, others require safety shields and still others require safety shields worn over safety glasses.

Be sure that you fully understand the risks for eye injuries at your workplace and the most appropriate type of safety eyewear you should use. Employers also should consult with an eye doctor who is familiar with safety eyewear programs for additional insight beyond the information available from OSHA.

Also consider these eye injury risk factors at workplaces:

  • Being distracted
  • Using tools
  • Tool malfunction
  • Performing an unfamiliar task
  • Being rushed
  • Working overtime
  • Feeling fatigued

These are all important contributors to on-the-job eye injuries, according to a study of patients treated in the emergency department at an Alabama eye hospital.

Air Bags and Eyes

Moral Of The Story? Air Bags Deploy Fast!

Eye imprinted with texture from automobile air bag
Image: The New England Journal of Medicine. [Enlarge]

This dramatic photo shows what happens when an air bag hits the eye before there's even time to blink. A teen girl's eye, enhanced by fluorescent dye administered by a medical professional, shows the imprint of the nylon mesh material of the air bag cover in a Michigan auto crash.

Fortunately, the girl's eye injuries healed quickly, but others have not been so lucky and have lost their vision from the explosive force of an air bag.

A report of this incident appeared in June 2014 in the New England Journal of Medicine. — L.S.

Eye Safety And Air Bags

Since 1989, when air bags were first required in autos sold in the United States, these safety devices have saved thousands of lives. But there has been plenty of controversy about the risk/reward of air bags; many people have sustained significant injuries from them, and deaths have even been attributed to air bag deployment.

Newer vehicles are equipped with air bags that deploy with less force than first-generation bags, making them safer.

Though it's possible to sustain a corneal abrasion or other eye injury from your vehicle's air bags during an accident, you would be at risk of much more serious injuries (including eye injuries from a shattered windshield) without these safety devices when traveling at highway speeds.

To reduce your risk of injury to your eyes and head from air bags:

  • Make sure you are wearing your seatbelt and that it's properly adjusted.
  • Adjust the headrest of your seat for proper support.
  • Sit at least 10 inches away from the steering wheel.
  • Don't smoke while driving.
  • Have children sit in the back seat with seatbelts and safety seats properly adjusted.
Click here for the eye safety infographic!
Eye safety
infographic
[enlarge]

Laser Pointers

Laser pointers shine a focused beam of high intensity light, usually red, and are commonly used in corporate and classroom presentations to highlight specific points or images on media screens.

Looking directly at the light beam of a laser pointer can cause temporary vision loss and even permanent damage to the retina. This was learned after children and young adults began purchasing laser pointers and using them as toys.

Also, laser pointers began to be used as sighting devices for paintball guns. Because of the potential for eye injuries, the FDA has now mandated that laser pointers carry warning labels mentioning possible retinal damage.

In 2010, the American Academy of Ophthalmology issued a consumer warning about high-powered laser pointers that are even more dangerous than other types. The organization cited the case of a teenaged boy who suffered retinal injuries while playing with the pointer in front of a mirror. The case was reported in the Sept. 8 issue of the New England Journal of Medicine.

The U.S. legal limit for handheld laser power is 5 mW, but the injured boy had purchased a 150 mW device on the Internet. Often such devices are advertised as toys and are not labeled as hazardous.

The Academy advised not pointing lasers near the eye or near reflective surfaces.

Eye Safety News Airline pilots in cockpit

Misconceptions About Laser Pointers Dispelled

Reports of handheld lasers directed at aircraft are on the rise, and there's reason to be alarmed. Still, experts say there's little need to fear that this will damage pilots' eyesight. Rather, the real danger lies in the distraction caused by the dazzle from the beam.

"Obviously, if such a distraction occurs at a critical time, such as during landing, the result could be devastating," wrote John Marshall, from the Institute of Ophthalmology at University College London, and colleagues, in an editorial published in the British Journal of Ophthalmology in April 2016.

Champagne Corks

During a celebration, you're probably not thinking about eye damage. But a flying cork from a bottle of champagne can abrade or rupture the eyeball, cause bleeding inside the eye or a detached retina, dislocate the eye's lens, damage the orbital bone structure and more. Serious vision loss can result from these injuries.

Watch a video on how to open a champagne bottle without harming eyes
Watch this video on how to open a champagne bottle without causing eye injury. (Source: eyeSmart)

According to the American Academy of Ophthalmology, this happens more often with champagne and sparkling wine bottles that haven't been fully chilled, because the bubbles contain gas that expands when warm. This causes the corks to come out much more forcefully, at speeds of up to 50 mph. It is recommended that you chill the beverages to 45 degrees Fahrenheit or colder before you open them.

To prevent eye injury, follow these instructions provided by the Academy (or watch this how-to video):

  • Don't shake the bottle before opening it, because this just increases the pressure inside and therefore the speed at which the cork leaves the bottle.
  • Point the cork away from yourself and others while opening the bottle.
  • After removing the foil, hold down the cork with your palm as you remove the wire. Do not use a corkscrew for bubbly beverages!
  • Don't push under the cork. Instead, place a towel over it, and keep your palm on the cork as you twist the base of the bottle. Don't worry, it will still make that delightful "pop," and you and your friends will be much safer!

Fireworks

An estimated 12,900 fireworks-related injuries (and eight non-occupational deaths) were treated in U.S. hospital emergency rooms in 2017, with about 8,700 of them during a one-month study period of June 16 to July 16, according to the U.S. Consumer Product Safety Commission (CPSC).

Injuries to Body Parts from Fireworks
[Enlarge]

About 1,200 of the injuries during that month were eye injuries.

The CPSC's "2017 Fireworks Annual Report" also included these findings for the one-month period surrounding the 2017 July 4th holiday:

  • Males sustained 70 percent of fireworks-related injuries; females accounted for 30 percent.
  • An estimated 36 percent of the injuries occurred in children younger than age 15, and 50 percent occurred in kids age 15 to 19.
  • The 1,200 eye injuries were caused mostly by sparklers, bottle rockets and multiple-tube devices. The eye injuries were mostly contusions, lacerations and foreign bodies, but about 200 incidents involved burns as well.
  • For children under 5 years old, sparklers accounted for nearly half of the total number of injuries, but rockets and fountain device injuries were also significant.
  • The parts of the body most often injured by fireworks were: hands and fingers (31 percent); head, face and ears (22 percent); legs (17 percent); trunk/other (10 percent); eyes (14 percent); and arms (6 percent). About 53 percent of all the injuries were burns.

The American Academy of Ophthalmology offers these safety tips for preventing eye injuries from fireworks:

  • Never let children play with fireworks.
  • View fireworks from at least 500 feet away.
  • Only trained professionals should light fireworks.
  • Don't touch any unexploded fireworks remains. Instead, notify the fire or police department.

Eye Injuries Related To Paintball

Without proper eye and head protection, people can receive devastating injuries from paintball guns. Some guns are capable of propelling paint pellets at speeds over 180 mph.

Important Eye Safety Tips

The American Academy of Ophthalmology has some useful eye safety tips for everything from mowing the lawn to recharging a dead car battery:

Check for rocks and debris before mowing the lawn or trimming the hedges. These objects can become dangerous projectiles when shot out from lawn mowers and trimmers such as weed whackers. Don't forget to wear goggles.

The most important rule for paintball is this: Never take off your head shield, which should combine eye and ear protection. Commercial paintball fields require that you keep a head shield on at all times when you're in the playing area, even when a game has not yet begun. Most documented paintball-related eye injuries have occurred when players removed their shields, even for just a few seconds.

Paintball injuries include traumatic cataracts, detached retinas, hyphema (bleeding inside the eye), glaucoma, orbital (eye socket) blowout fractures and rupturing of the eyeball. Paintball-related eye injuries can result in permanent vision loss and even blindness.

If you're still not convinced of the importance of wearing protective gear while playing paintball, consider these statistics:

In a 2007 retrospective study of paintball-related eye injuries treated at Bascom Palmer Eye Institute (Miami), 86 percent (31) of the patients were men, and only one had been wearing protective eyewear. Among this group of injuries, surgery was required to treat 81 percent of the cases.

Eight eyes (22 percent) were so badly damaged that they had to be surgically removed. Even after treatment, vision was 20/200 or worse (legally blind) in 18 (50 percent) of the injured eyes, according to the study.

The common warning that you'll "put an eye out" if you're not careful actually can be true, particularly when you are engaged in certain types of work, home and sports activities. Unlike other parts of the body that can heal after a serious injury, your unprotected eye — and your vision — may never fully recover from certain wounds.

Read more about protective sports eyewear. AAV

Deep-Frying Safety Tips

How To Keep Your Eyes (And Other Body Parts) Safe When Frying A Turkey

The trend of deep-frying a turkey for Thanksgiving, Christmas and other holiday dinners is growing, and so is the number of turkey fryer-related fires and burns.

Also, three times as many cooking fires occur on Thanksgiving as on a typical day, and unattended cooking is by far the leading cause of cooking fires and fire-related injuries, according to the National Fire Protection Association (NFPA).

Turkey feast.
Keep your turkey feast eye injury-free!

Want to keep eyes safe while frying a turkey? Here's how:

  • Keep kids and pets away.
  • Put on safety goggles or safety glasses.
  • Plan to have an adult near the fryer at all times, to watch out for any problems.
  • Use a fryer with a sealed lid.
  • Chances of hot oil spills increase with fryers designed for outdoor use. These fryers are often on stands that can tip over or collapse, causing the hot oil to spill. Newer countertop units using a solid base appear to reduce this risk.
  • Propane-fired turkey fryers must be used outdoors. Unfortunately, many parts of the country experience rain or snow during Thanksgiving and winter months. If rain or snow hits the hot cooking oil, the oil may splatter or turn to steam, leading to burns. Don't risk deep-frying outdoors on rainy or snowy days!
  • Don't overfill the fryer with oil; if oil spills on a burner, it will ignite.
  • Thaw the turkey completely — a partially thawed turkey will cause the hot oil to splatter, potentially resulting in serious burns to your arms, torso, face and eyes. Wipe off marinade and other moisture before placing it in hot oil.
  • Raise and lower the turkey slowly and carefully to avoid oil splatter.
  • If the oil overheats, turn off the fryer.
  • Have a fire extinguisher appropriate for oil fires nearby, and know how to use it.
  • Don't use a water hose on a turkey fryer fire.
  • If anyone is burned, get medical attention immediately.

Many thanks to the NFPA and to Dr. Richard L. Gamelli of Stritch School of Medicine, Loyola University Chicago, for these valuable tips and warnings. — L.S. and N.B.

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Dr. Gary HeitingAbout the Author: Gary Heiting, OD, is senior editor of AllAboutVision.com. Dr. Heiting has more than 25 years of experience as an eye care provider, health educator and consultant to the eyewear industry. His special interests include contact lenses, nutrition and preventive vision care.

Page updated August 20, 2018