Lima GV, Velázquez MM, Razo Blanco HDM

Language: Spanish
References: 25
Page: 213-218
PDF size: 150.90 Kb.

ABSTRACT

Background. The herniation of intraocular tissue through a defect of the ocular Wall, in open-globe trauma, is known as intraocular tissue prolapse. It is unknown whether this condition is associated with injuries of adverse outcome, which would be useful during the initial evaluation, since intraocular tissue prolapse can be identified clinically. The proportion of the categories of the prognostic scale Ocular Trauma Score (OTS) was compared between eyes with open-globe trauma, with and without intraocular tissue prolapse. Material and methods. Patients with open globe trauma between January 2001 and September 2011 were evaluated and qualified according to the OTS; it was identified whether they had intraocular tissue prolapse at the initial evaluation, and the proportion of OTS categories 1, 2 and 3 in eyes with intraocular tissue prolapse was compared with that in eyes without it (χ2, odds ratio). Results. 151 eyes, mean age 27.3 ± 13.7 years, 80 males (53%); 120 eyes had categories of adverse outcome (79.5%) and 89 had intraocular tissue prolapse (58.9%). The proportion of eyes with categories of adverse outcome in eyes with intraocular tissue prolapse (84.3%), n = 75, did not differ statistically from the proportion in eyes without intraocular tissue prolapse (72.6%, n = 45, p = 0.08). Discussion. The presence of intraocular tissue prolapse in open-globe trauma was not associated with features of adverse outcome; identifying this condition should not modify the initial approach, which must be the same for any defect of the ocular wall.

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