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Contusional eye injuries: retinal and choroidal lesions
Australian Journal of Ophthalmology
|November 1, 1983
Summary
Contusional eye injuries, often from sports or assaults, can cause significant retinal and choroidal damage. Many patients experience poor visual prognosis, with less than 40% regaining good vision.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Ocular Trauma
Background:
- Contusional eye injuries are a significant cause of visual impairment.
- Understanding the long-term fundal consequences is crucial for patient management.
Purpose of the Study:
- To evaluate the fundal changes and visual prognosis in patients following contusional eye injury.
- To correlate injury mechanisms and fundal lesion severity with visual outcomes.
Main Methods:
- Retrospective analysis of 114 patients with contusional eye injury.
- Fundal examination and grading of retinal and choroidal lesions (grades 1-4).
- Assessment of visual acuity and associated ocular findings (iris tears, angle recession).
Main Results:
- 92 patients had retinal and choroidal contusional injuries.
- Grade 1 (retinal disturbances) generally had good vision; Grade 2 (choroidal tears) had variable outcomes.
- Grades 3 (chorioretinal atrophy) and 4 (retinal holes/detachment) had unfavorable prognoses.
- Only 38.6% of patients achieved visual acuity of 6/12 or better.
Conclusions:
- Contusional eye injuries frequently lead to severe fundal damage.
- The prognosis for visual function is often poor, particularly with more advanced lesion grades.
- Early identification and management of associated ocular trauma are important.