Management of suspected ocular laceration or rupture.
The records of 95 consecutive patients with suspected ocular laceration or rupture managed by a single surgeon were reviewed. A total of 86 patients were found to have a laceration or rupture, of whom 79 were followed up, for an average of 6.4 months. In 32 eyes (40%) the final visual acuity was 20/40 or better, and in another 32 the final acuity was less than 5/200. Eyes with lacerations had a better visual outcome than those with rupture due to blunt trauma. Of the 26 eyes operated on for suspected blunt rupture 6 (23%) were found not to have a rupture. Ruptured eyes were more likely than nonruptured eyes to have abnormal anterior chamber depth, vision less than hand motion and hyphema.
Kylstra
J A
JA
Massachusetts Eye and Ear Infirmary, Boston.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006988:Hyphema / Q000209:etiology; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012421:Rupture; D012590:Sclera / Q000293:injuries; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology