Computerized tomography in the evaluation of penetrating ocular injuries

Retina. 1991;11(4):405-11. doi: 10.1097/00006982-199111040-00007.

Abstract

An evaluation was made of the cases of 80 consecutive patients (82 eyes) who underwent acute surgical intervention for penetrating eye injuries. Of these cases, 46 patients had computerized tomography (CT) of the orbit performed in addition to routine preoperative ophthalmic examination. Eyes with more severe injuries and eyes in which the posterior segment was not visualized on the preoperative ophthalmic examination were more likely to undergo CT evaluation. CT scanning frequently demonstrated posterior segment pathology not observable by ophthalmic examination. The following CT findings were associated with poor visual or anatomic outcome: (1) posterior segment hemorrhage; (2) vitreous space distortion; and (3) lens disruption. This study suggests that CT scanning may provide useful information as to the nature and extent of injury in cases of penetrating ocular trauma.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Choroid Hemorrhage / diagnostic imaging
  • Choroid Hemorrhage / etiology
  • Choroid Hemorrhage / surgery
  • Eye Diseases / diagnostic imaging
  • Eye Diseases / etiology
  • Eye Injuries, Penetrating / complications
  • Eye Injuries, Penetrating / diagnostic imaging*
  • Eye Injuries, Penetrating / surgery
  • Female
  • Humans
  • Infant
  • Lens Subluxation / diagnostic imaging
  • Lens Subluxation / etiology
  • Lens Subluxation / surgery
  • Male
  • Middle Aged
  • Prognosis
  • Retinal Hemorrhage / diagnostic imaging
  • Retinal Hemorrhage / etiology
  • Retinal Hemorrhage / surgery
  • Tomography, X-Ray Computed*
  • Treatment Outcome
  • Visual Acuity
  • Vitreous Body / diagnostic imaging