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2002, Number 1

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Cir Cir 2002; 70 (1)

Ocular trauma: Comparison between ATLS-evaluated injuries and injuries evaluated with a mexican series. Usefulness of a standardized classification?

Lima-Gómez V

Language: Spanish
References: 18
Page: 36-39
PDF size: 51.49 Kb.


ABSTRACT

Background: Evaluation of ocular trauma may be performed by the system suggested by the ATLS (Advanced Trauma and Life Support) and by that of the Standardized Classification of Ocular Trauma. Aim: To identify the prevalence of injuries that the ATLS classifies, searching in a Mexican ocular trauma series. Material and methods: Frequency of corneal abrasion, corneal foreign body, hyphema, iris tears, cataract, lens subluxation, vitreous hemorrhage, retinal detachment, and choroidal rupture were identified in a series of patients with ocular trauma. Their rate was compared to that of other injuries in the study. Results: A total of 437 eyes of 423 patients with ocular trauma was evaluated. The most common injuries were subconjunctival hemorrhage (24.7%), corneal foreign body (18%), iritis (11.95%), corneal epithelial loss (9.82%), conmotio retinae (8.61%), and hyphema (3.76%). The percentage of the injuries described by ATLS were corneal abrasion (corneal lamelar laceration or corneal epithelial loss) 13.26%, corneal foreign body 20.95%, hyphema 3.76%, iris tear 1.15%, cataract 1.47%, vitreous hemorrhage 1.96%, retinal detachment 0.16%, and choroidal rupture 0.16%. Lens subluxation and retinal hemorrhages were not found. As a group, these injuries represented 43.5% of the series total. Discussion: The search for specific injuries may be limited by the fact that disorders traditionally sought are not the most commonly found.


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