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Contusion rupture of the globe
1Department of Ophthalmology, University of Oslo, Rikshospitalet, Norway.
Acta Ophthalmologica. Supplement
|January 1, 1987
Summary
Severe eye contusions can cause globe rupture. Surgical repair, including vitrectomy, aimed to restore useful vision, with some success in open rupture cases.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Severe contusions can lead to globe rupture, a serious ocular injury.
- Prompt management is crucial for visual outcomes.
Purpose of the Study:
- To evaluate the surgical management and visual outcomes of globe rupture following severe contusion injuries.
- To analyze the impact of rupture type (open vs. closed) on treatment and prognosis.
Main Methods:
- Retrospective analysis of 20 eyes in 18 patients with globe rupture due to contusion.
- Surgical interventions included primary closure for open rupture and planned vitrectomy within 14 days for both types.
- Vitrectomy was often combined with retinal detachment surgery, lens extraction, and gas injection.
Main Results:
- 14 eyes had open rupture (OR), 13 underwent primary closure; 6 eyes had closed rupture (CR).
- Most ruptures occurred in the upper-lateral quadrant.
- Useful vision (counting fingers or better) was achieved in 7/13 OR eyes and 2/5 CR eyes.
Conclusions:
- Surgical repair, including vitrectomy, can restore useful vision in some cases of contusion-induced globe rupture.
- Outcomes vary based on rupture type and injury severity, with some patients experiencing irreversible vision loss.