Pathological findings in eyes enucleated because of perforating injury.
Forty-eight eyes enucleated after a perforating eye injury (PEI) in 1980-86 (15% of all PEIs) were examined. The time between injury and enucleation varied from 0 to 1145 days. The lens had been damaged or lost in all eyes and 94% had an uveal tract injury. In 83% the retina was detached, in 15% it was totally prolapsed in injury. The inflammatory signs were most marked in eyes with a corneoscleral or double perforation. Proliferation of the retinal pigment epithelial cells or fibrous proliferation from the wound or ciliary body was found 9-10 days after trauma and epiretinal membranes from the optic nerve head or from the surface of the retina after 1 month. Massive fibrous proliferation was seen in 94% of eyes enucleated 1 month or later after injury. One case of post-traumatic purulent endophthalmitis was detected, but signs of sympathetic ophthalmia were not observed.
Punnonen
E
E
Department of Ophthalmology, Helsinki University Central Hospital, Finland.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002924:Ciliary Body / Q000473:pathology; D009877:Endophthalmitis / Q000209:etiology / Q000473:pathology; D005123:Eye / Q000473:pathology*; D015353:Eye Enucleation; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000473:pathology*; D005260:Female; D006486:Hemosiderosis / Q000209:etiology / Q000473:pathology; D006801:Humans; D007908:Lens, Crystalline / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010857:Pigment Epithelium of Eye / Q000473:pathology; D012163:Retinal Detachment / Q000209:etiology / Q000473:pathology; D014602:Uvea / Q000473:pathology