At 22:30, Liu's family sent him to the People's Hospital of Jiangsu Province. The emergency orbital radiograph showed that a steel bar had pierced into the right orbit near the inner corner of the right eye for about 7 cm, and its head end was approximately 8 cm away from the nasal bone. The medial and lateral walls of the right eye orbit and the lateral wall of the maxillary sinus were comminuted fractures.
"Penetrating eye injuries and chemical burns are the two most common types of work-related injuries among construction workers. If not treated in time or improperly handled, they can become fierce tigers that steal vision," said Director Liu Qinghuai. "The end of the year is a high incidence period for eye injuries. Migrant workers need to learn the first aid methods for these two types of work-related injuries."
Director Liu Qinghuai told the reporter that the surface of the steel bar has slanted threads, which were firmly stuck in the soft tissue around the eye. During the surgery, the experts cleverly rotated the steel bar along the direction of the threads and successfully pulled it out. Currently, Liu is under treatment with stable condition.
For ocular chemical injuries, the key first aid measure is to rinse the eyes with large amounts of clean water or other water sources as soon as possible at the scene. When rinsing, flip the eyelids and roll the eyeball to ensure thorough rinsing for at least 30 minutes before sending the patient to the hospital for further rinsing.
"After careful examination, we found that although the steel bar pierced straight into the inner corner of the right eye, it 'brushed past' the eyeball, causing extensive fractures in the surrounding bone walls of the eyeball. This was really a stroke of luck in misfortune," said Director Liu Qinghuai of the Ophthalmology Department after leading the ophthalmology experts to consult with neurosurgery and otolaryngology experts. They decided to urgently remove the steel bar under local anesthesia for the patient.
At around 19:30 on January 10th, at a construction site in Liyang, worker Xiao Liu finished his day's work and was preparing to go home to rest. "It was very dark, there was no light around, I just walked fast forward without noticing my surroundings. Suddenly, I felt an intense pain in my right eye, almost losing consciousness. When I came to, I found that there was a steel bar in front of me, deeply inserted into my right eye!" Xiao Liu told the reporter, "My first reaction was to pull out the steel bar, but it was firmly stuck in my eye. I tried three times but couldn't pull it out."
Director Liu Qinghuai pointed out that for patients with penetrating eye injuries who have foreign objects remaining in their eyes, do not forcibly pull them out; seek immediate ophthalmological consultation instead. If accompanied by prolapse of the contents of the eyeball, do not forcibly reinsert the contents. Cover the prolapsed injured eye with a sterilized lid or gauze and bandage it, then quickly send the patient to the hospital. The injured person should avoid tilting the head and making movements that could cause further prolapse of the contents of the eye.
Experts especially remind that no pain or itching in the eyes does not mean that the eyes have healed. Patients with ocular chemical injuries must follow medical advice and regularly revisit the doctor so that the doctor can adjust medication according to the injury. Experts say, "In clinical practice, there have been cases where patients stopped taking medicine on their own after the discomfort in the eyes was relieved and did not return for follow-up visits. In the end, a large 'scar' was left on the cornea, resulting in poor vision for life, which is very regrettable." Xie Zhan, Yang Yan
At 22:30 on January 10th, the door of the ophthalmology emergency room of the People's Hospital of Jiangsu Province was pushed open with great force. Deputy Chief Physician Ye Hui saw the injured person supported by many people and suddenly became shocked. "A thick steel bar about half a meter long pierced straight into the inner corner of the injured person's right eye, standing still like a nail driven into the wall, creating a breathtaking scene..." Deputy Chief Physician Ye Hui recalled the scene at the time, "The hospital immediately organized joint emergency services from neurosurgery, ophthalmology, otolaryngology, and other departments and provided urgent treatment for the patient."