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2012, Number 5

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Medisur 2012; 10 (5)

Clinical and Epidemiological Behavior of Severe Ocular Trauma according to Standardized Classification, Cienfuegos, 2009 -2011

Cruz MJ, Ríos ABT, Díaz PLD, Zamora GI

Language: Spanish
References: 21
Page: 346-354
PDF size: 173.84 Kb.


ABSTRACT

Background: There are many types of emergencies attended in ophthalmology services, but among them, eye injuries are one of the most common causes.
Objective: To describe the clinical and epidemiologic behavior of patients with ocular trauma according to standardized classification.
Methods: We studied a case series of 86 patients with ocular trauma admitted from January 2009 to December 2011 in the Dr. Gustavo Aldereguía Lima General University Hospital in Cienfuegos. The following variables were analyzed: sex, age, activity performed at the time of ocular trauma, type of trauma, topography of the injury, type of injury, visual acuity at admission, pupillary reflexes, complications (those that appeared in the period from trauma ocurrence to hospital dismiss) and punctuation according to the scale of ocular trauma.
Results: Most traumas occurred during work activities (62.79%), especially agriculture. The initial visual acuity was better for blunt trauma, predominantly grade III. Traumatic hyphema and cataract were the most frequent complications of blunt (69.57%) and open trauma (41.18%), respectively. Contusion in blunt trauma predominated (95.45%) as penetrating wound did in open trauma (78.13%). The visual prognosis had a similar pattern for both types of trauma. Category 3 predominated according to ocular trauma scale.
Conclusions: Linking the exploration of ophthalmological variables included in the standardized classification with clinical and epidemiological behavior variables, allowed an adequate trauma classification.


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