Contusion rupture of the globe.
Severe contusion-injuries caused rupture of the globe in 20 eyes in 18 patients. 14 eyes had an open rupture (OR) and primary closure was performed in 13 eyes and one eye was enucleated. Six eyes with closed rupture (CR) had no emergency exploration. In both types of rupture, we intended to do vitrectomy within 14 days. In 12 cases vitrectomy was combined with retinal detachment surgery, lens extraction and gas injection. The upper-lateral quadrant close to the limbus was the most common site of rupture (12 eyes). In 8 eyes the length of the rupture exceeded one quadrant. The lens was extruded in 9 of 14 eyes with OR. Vision preoperatively was in all eyes only light perception. Useful vision (counting fingers or better) was obtained in 7 of 13 eyes with OR and 2 of 5 eyes with CR, excluding 2 totally blind eyes upon admission, one eye in each group. Three patients became totally blind, one patient was hit in her last eye and two patients had bilateral ruptures and these eyes could not be saved.
Eide
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Department of Ophthalmology, University of Oslo, Rikshospitalet, Norway.
Syrdalen
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P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001766:Blindness / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003288:Contusions / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005131:Eye Injuries / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D007908:Lens, Crystalline / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery; D012421:Rupture; D014785:Vision, Ocular; D014792:Visual Acuity