An Epidemiologic and Pathologic Study of Globes Enucleated Following Trauma

Autor: John B. Jeffers, Edward A Jaeger, Ralph C Eagle, Suzanne K. Freitag, Eric S Dunn
Rok vydání: 1992
Předmět:
Zdroj: Ophthalmic Surgery, Lasers and Imaging Retina. 23:409-413
ISSN: 2325-8179
2325-8160
DOI: 10.3928/1542-8877-19920601-10
Popis: This retrospective study examined demographic, clinical, and histopathologic factors in 24 traumatically ruptured globes that were enucleated at Wills Eye Hospital during a 2-year period. The majority of these injuries occurred in a violent assault setting with a blunt mechanism, during the evening and early morning hours, and in the fall and winter months. Most patients were black males, and 67% were substance abusers. Clinically, the initial visual acuity in 96% of the eyes was light perception or worse. Five of the eyes were enucleated primarily. Gross examination of the globes revealed that 92% of the wounds involved the sclera, 83% of the eyes had hyphema, and 71% of the lacerations were longer than 10 mm. Histopathologic examination demonstrated that the majority of eyes had fragmented or missing lenses, disrupted ciliary bodies, and detached choroids. Ninety-six percent of the retinas were detached. There was one case of acute endophthalmitis.
Databáze: OpenAIRE