title: An epidemiologic and pathologic study of globes enucleated following trauma.
abstract: This retrospective study examined demographic, clinical, and histopathologic factors in 24 traumatically ruptured globes that were enucleated at Wills Eye Hospital during a 2-year period. The majority of these injuries occurred in a violent assault setting with a blunt mechanism, during the evening and early morning hours, and in the fall and winter months. Most patients were black males, and 67% were substance abusers. Clinically, the initial visual acuity in 96% of the eyes was light perception or worse. Five of the eyes were enucleated primarily. Gross examination of the globes revealed that 92% of the wounds involved the sclera, 83% of the eyes had hyphema, and 71% of the lacerations were longer than 10 mm. Histopathologic examination demonstrated that the majority of eyes had fragmented or missing lenses, disrupted ciliary bodies, and detached choroids. Ninety-six percent of the retinas were detached. There was one case of acute endophthalmitis.
authors.affiliation: Department of Ophthalmology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pa.
authors.forename: S K
authors.initials: SK
authors.lastname: Freitag
authors.forename: R C
authors.initials: RC
authors.lastname: Eagle
authors.forename: E A
authors.initials: EA
authors.lastname: Jaeger
authors.forename: E S
authors.initials: ES
authors.lastname: Dunn
authors.forename: J B
authors.initials: JB
authors.lastname: Jeffers
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003710:Demography; D015353:Eye Enucleation / Q000706:statistics & numerical data*; D015807:Eye Injuries, Penetrating / Q000453:epidemiology* / Q000208:ethnology / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015143:Philadelphia / Q000453:epidemiology; D044469:Racial Groups; D012189:Retrospective Studies; D012307:Risk Factors; D012421:Rupture; D012621:Seasons; D013997:Time Factors; D014792:Visual Acuity