title: [Contusions of the eye, their clinical picture and outcomes].
abstract: Clinical observations of 426 patients with blunt injuries to the eye (records of Moscow Ophthalmological Clinical Hospital) showed that eyeball contusions were responsible for 40.57% of hospital injuries, 364 cases (85.54%) were communal traumas and 22.77% criminal. The most frequent complication of blunt injury to the eye was hemorrhage to the anterior chamber (57.57%). Total or almost total hyphemas were observed in 5.83% cases, in 0.7% with repeated hemorrhages. Hemorrhages into the vitreous body were observed in 36.6% patients. Postcontusion opacities and retinal edemas were diagnosed in 25.87% cases. The most severe contusions of the eyeball with ruptures of fibrous membrane were observed in 19.11% cases, 6.29% of these along the postoperative cicatrix. Subdislocation or dislocation of the lens took place in 13.75% cases. Blunt injury to the eye resulted in alteration of ophthalmic tone presenting as reactive hypertension (22.33%), reactive hypotone (11.19%), secondary hypertension (17.01%), and stable hypotone (5.59%). By discharge from hospital visual functions improved in 72.73%, visual acuity of 0-0.03 diopters was observed in 14.92% and 0.4-1.0 in 63.87% cases. Secondary hypertension persisted in 1.86% and stable hypotone of the injured eye in 5.13% cases.
authors.forename: L K
authors.initials: LK
authors.lastname: Moshetova
authors.forename: E K
authors.initials: EK
authors.lastname: Bendelik
authors.forename: I B
authors.initials: IB
authors.lastname: Alekseev
authors.forename: V M
authors.initials: VM
authors.lastname: Zhitenev
authors.forename: T M
authors.initials: TM
authors.lastname: Aleksandrova
authors.forename: T T
authors.initials: TT
authors.lastname: Tabekova
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003288:Contusions / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005123:Eye / Q000503:physiopathology; D005131:Eye Injuries / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D006988:Hyphema / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D012421:Rupture; D014792:Visual Acuity
vernacular_title: Kontuzii glaza, klinicheskaia kartina i iskhody.