SAND BLAST CORNEAL TRAUMA FROM TYRE EXPLOSION: ROLE OF SLIT LAMP PHOTOGRAPHY AND ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY

Abstract

Tyre explosion injuries affecting the eyes, though rare, are usually occupational and can be debilitating, 
causing vision loss. This article highlights the management of this type of eye trauma and the role of 
imaging techniques such as slit lamp photography (SLP) and anterior segment optical coherence 
tomograghy (AS-OCT) in the management. A 33- year old male presented to the accident and emergency 
unit with gross and sudden reduction in vision in both eyes following injury from a tyre explosion which 
occurred as he attempted to inspect the faulty brake-pads of his vehicle on the highway. Examination 
showed sandblasted corneae with multiple superficial and deep foreign bodies within the anterior half of 
the corneae in both eyes. He was managed conservatively on medical treatment with partial restoration 
of vision and then referred due to proximity. Slit-lamp photography and anterior segment optical 
coherence tomography were used to illustrate the initial picture on presentation and helped in 
subsequent monitoring of the injury. Wearing of spectacles or protective goggles is advised when handling 
or inflating tyres.