title: Anatomical and functional outcomes in contusion injuries of posterior segment.
abstract: OBJECTIVE
  To evaluate the clinical features, and anatomical and visual outcomes in patients with closed-globe contusion injury involving the posterior segment.
  
  
  METHODS
  Retrospective review of posterior segment contusion injuries admitted to our tertiary referral center.
  
  
  RESULTS
  In all, 115 patients (115 eyes) with complete data were reviewed. Surgery had been performed in 79 (69%) patients. The mean follow-up period was 6 months (range, 2-34 months). Retinal detachment, in 31% of eyes, was the most frequently encountered posterior segment pathology. The presence of retinal detachment was associated with poor visual outcome (<20/100), (P<0.001). Coexisting (five patients, 4%) and postoperative proliferative vitreoretinopathy (PVR) (two patients, 2%) was the main cause of failure in these cases. A significant positive correlation was obtained between initial and final visual acuity levels in both the medical treatment group and the surgical treatment group (P<0.05). The presenting visual acuity of <20/400 was associated with poor visual outcome (P<0.05 for both groups). Poor visual outcome in 13 patients with successful repair of retinal detachment was due to the macular lesions and the optic atrophy.
  
  
  CONCLUSIONS
  Retinal detachment was the most frequently encountered posterior segment pathology subsequent to closed-globe contusion injuries. In addition to macular scarring and optic nerve damage, development of PVR has prognostic significance in these eyes.
authors: Department of Ophthalmology, Gulhane Military Medical Academy and School of Medicine, Ankara, Turkey. erdurman@yahoo.com
authors: F C
authors: FC
authors: Erdurman
authors: F Cuneyt
authors: FC
authors: Erdurman
authors: G
authors: G
authors: Sobaci
authors: C H
authors: CH
authors: Acikel
authors: M O
authors: MO
authors: Ceylan
authors: A H
authors: AH
authors: Durukan
authors: V
authors: V
authors: Hurmeric
references: Ophthalmology. 1982 Apr;89(4):361-8
references: 7099554
references: Ophthalmology. 2008 Feb;115(2):377-82
references: 17904224
references: Graefes Arch Clin Exp Ophthalmol. 2006 Aug;244(8):991-5
references: 16440208
references: Ophthalmic Surg Lasers Imaging. 2005 May-Jun;36(3):182-8
references: 15957474
references: Ophthalmology. 1982 May;89(5):445-55
references: 7099563
references: Am J Ophthalmol. 1966 Sep;62(3):465-77
references: 5920430
references: J Epidemiol Community Health. 1996 Aug;50(4):436-41
references: 8882228
references: Am J Ophthalmol. 1982 Mar;93(3):271-8
references: 7072788
references: Arch Ophthalmol. 1997 May;115(5):623-30
references: 9152130
references: Aust J Ophthalmol. 1983 Nov;11(4):251-64
references: 6667198
references: Graefes Arch Clin Exp Ophthalmol. 2006 Jan;244(1):52-7
references: 16044322
references: Arch Ophthalmol. 1966 Nov;76(5):678-85
references: 5955152
references: Ophthalmic Surg Lasers. 1998 Jan;29(1):48-54
references: 9474600
references: Br J Ophthalmol. 1974 Feb;58(2):126-40
references: 4820984
references: Ophthalmic Epidemiol. 2006 Jun;13(3):209-16
references: 16854775
references: Eye (Lond). 2007 Jun;21(6):793-8
references: 16601744
references: Ophthalmology. 1996 Feb;103(2):240-3
references: 8594508
references: Graefes Arch Clin Exp Ophthalmol. 2000 Feb;238(2):153-7
references: 10766285
references: Retina. 1983 Fall-Winter;3(4):265-8
references: 6675101
references: Ophthalmologica. 1984;189(1-2):86-92
references: 6472812
references: Ophthalmology. 1990 May;97(5):581-4
references: 2342802
references: Graefes Arch Clin Exp Ophthalmol. 2008 Feb;246(2):223-8
references: 18180943
references: Retina. 2006 Jan;26(1):32-6
references: 16395136
references: Am J Ophthalmol. 2005 May;139(5):937-9
references: 15860315
references: Ophthalmology. 1997 Jul;104(7):1166-73
references: 9224471
references: Graefes Arch Clin Exp Ophthalmol. 2008 Feb;246(2):191-7
references: 18004587
references: Am J Ophthalmol. 1997 Jun;123(6):820-31
references: 9535627