i have one eye and tail, straight in shape and can hurt your hand if stabbed. what am i?

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Experience: I was stabbed in the eye by a drawing pin

It was immediate and total agony, the worst pain I’d ever felt

Experience

Experience: I was stabbed in the eye by a drawing pin

It was immediate and total agony, the worst pain I’d ever felt

Dave Gould

Fri 5 Oct 2018 10.00 BST

105 I

was in my first term at Brighton University in 2013. One November weekend, I visited my then girlfriend Mel at Sussex University. There was a party in her halls of residence. It was rammed, with about 30 people dancing, playing beer pong and generally running riot.

Around midnight, I was chatting to a fellow student on a sofa when I felt an excruciating pain in my left eye. It was immediate and total agony, the worst pain I’d ever felt. I instinctively raised my hands to cover my face. When I squinted down, there was a pool of clear liquid in my palms. I was pretty drunk but knew I needed to get to a quieter, safer space. Mel’s bedroom was the next room; she saw me go in and followed.

At first I thought my hands were filled with tears, so I wiped them clean and sat for five minutes, attempting to ride out the pain. I sobered up fast, and could barely open my eye for either of us to figure out the damage caused. Every time I tried to, my vision was blurry – like looking underwater in a swimming pool. My right eye was streaming, too. Soon we took a taxi to A&E, and we were directed across the road to the eye hospital, where I was called immediately into an examination room.

During this time, we began to piece together what had happened. My intuition told me that something had hit me in the eye, and right before it happened somebody had been running around the room, pulling decorations off the wall. We realised a drawing pin must have flown across the room and stabbed me in the eye. I didn’t know if it bounced back out or if squeezing my eye shut in pain forced it out.

Our thinking was confirmed when a nurse told me I had a hole in my eye. A specialist was called to find out how deep it went. If it was only partially pierced, I could be discharged immediately with an eye patch. The concern was that it might be pierced all the way through. The front of our eyes can cope with foreign debris, like dust, sleep and flies; but the back doesn’t naturally encounter this and so isn’t built for it. There was also a risk that if the pin had hit the back of my eye, and the bundle of nerves there, I could have gone blind.

The specialist found that the pin had entered my cornea, anterior chamber and iris, and pierced the lens. The pool of fluid in my hands had not been tears, but liquid from the lens. The risk of infection, which could lead to the loss of my eye, was high, so I was immediately put in the only bed available, on the children’s ward.

I stayed for four days, wearing an eye patch, while my eye was monitored. It had reacted to the lens liquid as a foreign substance, and attacked it, so the hole wouldn’t close. However, no infection developed, so I was eventually discharged and booked in for surgery to repair the hole in three weeks’ time. I wore an eye patch day and night while I waited.

It went well; the surgeon peeled back my cornea 80%, like a tin can, to expose the iris. He then reached through the pupil to pull out the damaged lens, replaced it with an intraocular lens (a lens implant) and stitched it on to the iris to keep it in place. I was given a general anaesthetic, woke up high as a kite and began praising multiple nurses around me for all their hard work. I later realised there was just one nurse, doing laps.

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My aftercare regime was strict because the new lens was at risk of dislodging. Any exercise other than walking was not allowed. I went to my university end-of-term party but left immediately, too worried about being knocked by drunk, dancing students.

I used to have 20/20 vision, but five years on, my long-distance vision in my left eye is still blurry. I can read close up with both eyes: text appears very crisp, with a halo around it.

I was really unlucky, but I’m aware of how much worse it could have been – the pin piercing my eye in a different way, or an infection picked up en route to hospital could have meant I lost my eye.

But I don’t bear any resentment towards the person who did it, and I’ve never tried to find them or tell them. I didn’t want to burden anyone with the guilt: they weren’t intentionally flicking pins around the room.

As told to Grace Holliday

Do you have an experience to share? Email [email protected]

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Eye emergencies

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Eye emergencies

Eye emergencies include cuts, scratches, objects in the eye, burns , chemical exposure, and blunt injuries to the eye or eyelid. Certain eye infections and other medical conditions, such as blood clots or glaucoma , may also need prompt medical care. Since the eye is easily damaged, any of these conditions can lead to vision loss if untreated.

Considerations

It is important to get medical attention for eye or eyelid injuries and problems. Eye problems (such as a painful red eye or vision loss ) that are not due to injury also need urgent medical attention.

Causes

Eye emergencies include any of the following:

Trauma

A black eye is usually caused by direct trauma to the eye or face. The bruise is caused by bleeding under the skin. The tissue around the eye turns black and blue, gradually becoming purple, green, and yellow over several days. The abnormal color disappears within 2 weeks. Swelling of the eyelid and tissue around the eye may also occur.

Certain types of skull fractures can cause bruising around the eyes, even without direct injury to the eye.

Sometimes, serious damage to the eye itself occurs from the pressure of a swollen eyelid or face. A hyphema is blood inside the front of the eye. Trauma is a common cause and is often from a direct hit to the eye from a ball.

Chemical injury

A chemical injury to the eye can be caused by a work-related accident. It can also be caused by common household products, such as cleaning solutions, garden chemicals, solvents, or other types of chemicals. Fumes and aerosols can also cause chemical burns.

With acid burns, the haze on the cornea often clears and there is a good chance of recovery.

Alkaline substances -- such as lime, lye, drain cleaners, and sodium hydroxide found in refrigeration equipment -- may cause permanent damage to the cornea.

It is important to flush out the eye with large amounts of clean water or salt water (saline). This kind of injury needs medical care right away.

Eyelid and eye cuts

An injury to the eyelid may be a sign of severe injury to the eye itself.

Foreign object in the eye and corneal injuries

The cornea is the clear (transparent) tissue covering the front of the eye.

Dust, sand, and other debris can easily enter the eye. Persistent pain, sensitivity to light, and redness are signs that treatment is needed.

A foreign body in the eye may harm vision if the object enters the eye itself or damages the cornea or lens. Foreign bodies thrown at high speed by machining, grinding, or hammering metal have the highest risk of injuring the eye.

Symptoms

Depending on the type of injury, any of the following symptoms may be present:

Bleeding or other discharge from or around the eye

Bruising Decreased vision Double vision Eye pain Headache Itchy eyes

Loss of vision , total or partial, one eye or both

Pupils of unequal size

Redness -- bloodshot appearance

Sensation of something in the eye

Sensitivity to light

Stinging or burning in the eye

First Aid

Take prompt action and follow the steps below if you or someone else has an eye injury.

SMALL OBJECT ON THE EYE OR EYELID

The eye will often clear itself of tiny objects, like eyelashes and sand, through blinking and tearing. If not, don't rub the eye or squeeze the eyelids. Then go ahead and examine the eye. When doing so, be very careful not to press on the eye.

Wash your hands with soap and water.

Examine the eye in a well-lighted area. To find the object, have the person look up and down, then from side to side.

If you cannot find the object, grasp the lower eyelid and gently pull it down to look under the lower eyelid. To look under the upper lid, place a clean cotton swab on the outside of the upper lid. Grasp the eyelashes and gently fold the lid over the cotton swab.

If the object is on an eyelid, try to gently flush it out with clean water. If that does not work, try touching a second cotton swab to the object to remove it.

If the object is on the surface of the eye, try gently rinsing the eye with clean water. If available, use an eye dropper positioned above the outer corner of the eye. Do not touch the eye itself with the dropper tip.

A scratchy feeling or other minor discomfort may continue after removing eyelashes and other tiny objects. This should go away within a day or two. If discomfort or blurred vision continues, get medical help.

OBJECT STUCK OR EMBEDDED IN EYE

Leave the object in place. Do not try to remove the object. Do not touch it or apply any pressure to it.

Calm and reassure the person.

Wash your hands with soap and water.

Bandage both eyes. Covering both eyes helps prevent eye movement. If the object is large, place a paper cup or something similar over the injured eye and tape it in place. This prevents the object from being pressed on, which can injure the eye further. If the object is small, bandage both eyes.

Get medical help right away. Do not delay.

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Stab Wounds to the Head; Case Series, Review of Literature, and Proposed Management Algorithm

Stabbing the head is a rare event. It may occur following an assault or self-inflicted injury. We intend to report our experience with four such cases and review narratively the relevant literature. A treatment algorithm will be delivered.We have reviewed ...

Asian J Neurosurg. 2018 Jul-Sep; 13(3): 754–759.

doi: 10.4103/ajns.AJNS_29_18

PMCID: PMC6159028 PMID: 30283539

Stab Wounds to the Head; Case Series, Review of Literature, and Proposed Management Algorithm

K Karimi Yarandi, Sina Jelodar, Mahmoud Reza Khalatbari,1 Saleh Rasras,2 Reza Bahrami Ilkhchi,2 and Abbas Amirjamshidi

Author information Copyright and License information Disclaimer

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Abstract

Background and Objectives:

Stabbing the head is a rare event. It may occur following an assault or self-inflicted injury. We intend to report our experience with four such cases and review narratively the relevant literature. A treatment algorithm will be delivered.

Materials and Methods:

We have reviewed four of our cases; three were stabbed to the orbit and one to the head.

Results:

Enucleation was performed in one case. Vision could be preserved in the other two and brain abscess developed in the other cases due to a retained piece of knife. We made a comparison between our cases and those limited reports in the literature to reach an algorithm.

Conclusion:

The temporal region and the orbit are the targets mostly attacked in the craniofacial stabs. Since knives have a sharp and thin edge, they may break when penetrating the skull. The damage to the brain tissue and the retained piece of knife may be missed easily by overlooking the small injury to the scalp. The suggested algorithm would be a contrast-enhanced computed tomography scan of the skull and brain and a kind of brain vascular study are necessary, considering the location of the knife in the skull and brain passing the area with crowded vasculature. The best treatment protocol is surgery accompanied by antibiotic therapy.

Keywords: Brain abscess, penetrating head wound, stab wound, traumatic aneurysm

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Introduction

Penetrating craniocerebral injury is defined as head trauma caused by an object that crosses the skull bone and the underlying dura. It may be retained in the skull or exit from another point. Knives are one of the objects that may cause penetrating injury in the civilians. The exact incidence of penetrating and perforating injuries to the head in the civilian population is unknown, but current estimations indicate that bullets account for 4.6% and puncture wounds, stab, nail, etc., cause 0.4% of this kind of brain injuries.[1,2] The incidence of penetrating stab wounds to the head is so scarce that an exact treatment plan has not yet been alluded. We will present our experience with such cases, make a thorough review of the literature, and propose a treatment protocol to deal with similar casualties.

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Materials and Methods

Case 1

A 21-year-old male was stabbed in the rim of his right orbit. The knife was removed immediately by the offender and the victim was transferred to the emergency department. He was drowsy but cooperative and oriented. The skin laceration had sharp edges and was bandaged. Computed tomography (CT) scan [Figures ​

[Figures1a

1a–c] revealed multilinear depressed skull fracture involving the rim of the orbit along the frontal bone with multiple small and in driven bone fragments into the frontal lobe, with contusion of the adjacent brain tissue and subarachnoid hemorrhage. He underwent urgent surgery with an elevation of the bone fragments, debridement of the contused brain, repair of the dura, and simultaneous reconstruction of the rim of the orbit using the autologous bone chips harvested from the clean tables of the fractured frontal bone. Wide-spectrum intravenous antibiotics were given for 3 weeks. The postoperative course was uneventful. Three D-CT scan taken after 4 months confirmed good heeling of the rim of the orbit with acceptable cosmesis.

Figure 1

(a-c) Skull computed tomography scan with three-dimensional reconstruction showing the entrance point of the knife blade shattering the rim of the orbit and sliding into the dura. The superior rim of the right orbit and the posterior ethmoidal air cells are damaged

Case 2

A 14-year-old boy was stabbed in the right posterior frontal region, and the knife was removed. The wound was sutured in the nearby clinic and patient discharged home with oral antibiotic capsules for 3 days only, the name of which not known. He developed fever and epilepsy after 1 week. When admitted to our hospital, he was confused, febrile, and left hemiparetic. Imaging revealed depressed frontal bone and the retained-fractured tip of the knife in skull X-ray and CT scan. Contrast-enhanced CT scan showed a large rim enhancing brain abscess in juxtaposition to the retained knife blade [Figure ​

[Figure2a

2a–c]. Surgical intervention with debridement of the depressed bone fragments and foreign body, drainage of the abscess, and excision of the wall was achieved. Staphylococcus aureus was the cultured organism and could be treated with intravenous penicillin and clindamycin for 3 weeks. The contrast-enhanced CT scan taken after 2 months revealed no residue of the abscess.

Figure 2

sumber : www.ncbi.nlm.nih.gov