Journal article
Predictors of scleral rupture and the role of vitrectomy in severe blunt ocular trauma
American journal of ophthalmology, Vol.105(3), pp.253-257
03/15/1988
DOI: 10.1016/0002-9394(88)90005-0
PMID: 3278616
Abstract
We reviewed retrospectively 40 eyes that had received blunt trauma and had been explored for scleral rupture. Twenty-nine eyes had scleral rupture. Of these 29, ten had ruptures seen preoperatively. Nineteen had occult ruptures. The preoperative findings predictive of scleral rupture were a visual acuity of light perception or no light perception, an intraocular pressure of less than 10 mm Hg, hyphema, and chemosis. Of the 29 ruptures, 27 involved the superior hemisphere and 25 involved the anterior hemisphere of the globe. Ten of 29 eyes (34%) with scleral rupture and eight of 11 eyes (73%) without rupture achieved a final visual acuity of 5/200 or better over an average follow-up period of 6.7 months. Factors prognostic of ambulatory vision for eyes with ruptured and intact globes included an initial visual acuity of 5/200 or better, absence of scleral rupture, and a rupture length of less than 11 mm in eyes with ruptures. The vitrectomized eyes also had a better result, suggesting that early pars plana vitrectomy is of benefit in selected rupture cases.
Details
- Title: Subtitle
- Predictors of scleral rupture and the role of vitrectomy in severe blunt ocular trauma
- Creators
- S R Russell - Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami, FL 33101K R OlsenJ C Folk
- Resource Type
- Journal article
- Publication Details
- American journal of ophthalmology, Vol.105(3), pp.253-257
- Publisher
- United States
- DOI
- 10.1016/0002-9394(88)90005-0
- PMID
- 3278616
- ISSN
- 0002-9394
- eISSN
- 1879-1891
- Language
- English
- Date published
- 03/15/1988
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9983980292502771
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