title: Ocular Injury With Chestnut Burr: Our Experience.
abstract: OBJECTIVE
  To evaluate the medical and surgical management and treatment of ocular injuries with chestnut burr recorded at the Hospital El Bierzo between 2009 and 2015.
  
  
  METHODS
  A prospective study of ocular injuries with chestnut burr was conducted for the period from 2009 to 2015. Patients were detected in the Emergency Department and referred to the Ophthalmology Department for study and medical and surgical treatment. Ten eyes were evaluated in 10 patients. The injuries ranged from ocular contusion without corneal involvement to trauma with corneal perforation caused by spines. One patient with chronic retention of spines in the intrastromal corneal ring was included.
  
  
  RESULTS
  Six of the eyes studied had chestnut burr spines in the cornea, one of which was chronically retained in the intrastromal cornea. One case of spine-induced corneal perforation was also studied. Six of the patients required surgery, 2 required removal of the spine using a slit lamp, 2 required outpatient medical treatments, and a wait-and-see approach was taken in 1 patient. All patients progressed favorably, and no surgical complications were recorded.
  
  
  CONCLUSIONS
  Proper occupational risk prevention and the use of eye protection glasses are fundamental in avoiding these accidents. Once they have occurred, medical and surgical management must be done early and on an individual basis depending on the severity and location of the injuries, to avoid potentially serious complications.
authors.affiliation: *Cornea Department, Ophthalmology Department, Hospital El Bierzo, Fuentesnuevas (Ponferrada), Spain; and †Ophthalmology Department, Hospital El Bierzo, Fuentesnuevas (Ponferrada), Spain.
authors.forename: Gerardo P
authors.initials: GP
authors.lastname: García-García
authors.forename: Neyla C
authors.initials: NC
authors.lastname: Esaa-Caride
authors.forename: Nancy D
authors.initials: ND
authors.lastname: Jurado-Guano
authors.forename: Luis
authors.initials: L
authors.lastname: Muñoz-Bellido
mesh_terms: D000328:Adult; D031319:Aesculus; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D065306:Corneal Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005129:Eye Foreign Bodies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D005638:Fruit / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D060051:Occupational Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D011446:Prospective Studies; D012621:Seasons; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents