आघात एवं उपचार जर्नल

Anterior Segment Complications in Ocular Contusion

Abstract

Penpe Gul Firat, Selim Doganay, Tongabay Cumurcu, Soner Demirel and Derya Kutukde

Purpose: To evaluate visual outcomes and anterior segment complications in patients with ocular contusion trauma.

Methods: All cases of ocular trauma were reviewed retrospectively from January 2008 to December 2010 via a computerized database; forty-six cases of ocular contusion were identified. Patients’ demographic features, initial and final clinical findings and also initial and final best corrected visual acuities (BCVA) of logMar were recorded. Patients were grouped according to age; 18 years or younger were grouped in group 1, and older than 18 years group 2. Initial and final anterior segment findings affecting the initial and final BCVA were investigated. Also anterior segment findings and initial and final BCVA were compared among the groups.

Results: In group 1 there were 19 (63.3%) males and 11 (26.7%) females; group 2 was comprised of 12 (75%) male and four (25%) female subjects. There was no statistically significant difference in initial BCVA between the groups (p>0.05), final BCVA difference in group 1 was found to be statistically significant (p< 0.05). Cataract and angle recession were found to be more prevalent in group 2 (p< 0.05). Initial anterior segment findings contributed to 61.4 % of initial BCVA, whereas final anterior segment findings explained 57.4 % of final BCVA.

Conclusion: Exact examination and management at the proper time of findings are essential for successful treatment and an improved visual prognosis for ocular contusion.