Lima GV, Rodríguez GM

Language: Spanish
References: 18
Page: 49-54
PDF size: 62.79 Kb.

ABSTRACT

Injured eyes are classically evaluated by searching specific injuries, which limits their detection; the rate of ocular injuries that can be detected by specific search is unknown. Aim: To identify the most common injuries in each type of the standardized classification of ocular trauma, and to determine the rate that could be detected without special equipment. Method: Ocular trauma consultations between January 1996 and June 2000 were reviewed and the injuries found in each eye were recorded. Each case was re-qualified according to the standardized classification of ocular trauma; the percentage of injuries that needed special equipment to be detected was determined. Results: 437 eyes were evaluated; 26 had open-eye trauma (5.9%) and 411 closed-globe trauma (94.1%). In type A closed-globe trauma 62.9% of the injuries could be detected; in type D closed-globe trauma, 78.8%. In type B open-globe trauma 91.9% of the injuries could be detected; in type C open-globe trauma 66.6%. In the remaining types all the injuries could be detected. Discussion: the rate of injuries that could be detected at primary care facilities reached 100% in type A open-globe trauma, and 91.9 in type B open globe. On the other hand, in type A closed-globe trauma, a third of the injuries required the specialist to be detected. The standardized classification, by accomplishing an anatomic and functional evaluation, allows for detection of damaged eyes even though specific injuries caused by trauma are not identified.

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