Related Experiment Video
Updated: Jun 13, 2026
10:10
Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
Published on: February 15, 2022
Ocular trauma characteristics associated with urgent retinal surgery
Virgilio Lima Gómez1, Yésika Edith Muñoz Gutiérrez
1Research Division, Hospital Juárez de México, México, DF, Mexico. investigacionclinicahjm@yahoo.com.mx
Cirugia Y Cirujanos
|May 19, 2010
Summary
Identifying features for urgent retinal surgery in ocular trauma patients is crucial. While open globe injuries are common, their predictive value for urgent surgery is insufficient, suggesting broader referral criteria are needed.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Retinal Diseases
Background:
- Ocular injuries frequently necessitate urgent retinal surgery.
- Classifying these injuries aids in determining the need for prompt surgical intervention.
- Identifying predictive features can improve patient triage and outcomes.
Purpose of the Study:
- To identify common features of ocular injuries requiring urgent retinal surgery.
- To estimate the predictive value of these features in detecting patients needing urgent intervention.
Main Methods:
- Retrospective evaluation of ocular trauma patients (1998-2007).
- Classification into two groups: urgent retinal surgery required vs. not required.
- Analysis of feature rates, chi-squared tests, odds ratios, and predictive values.
Main Results:
- 10 out of 238 eyes (4.2%) required urgent retinal surgery.
- Frequent features in the urgent surgery group included open globe (90%), type A open globe (50%), type C open globe (30%), grade 4 (70%), and zone III (70%).
- Positive predictive value was 60% for type C open globe, and <50% for other features.
Conclusions:
- Clinical features show association but insufficient predictive value for urgent retinal surgery due to low intervention rates.
- Open globe and visual loss are recommended as referral criteria irrespective of specific injury details.
- Improved triage criteria are needed for ocular trauma patients requiring potential retinal surgery.
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
01:25Glaucoma: Overview
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
01:27Open Angle Glaucoma: Treatment
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...