A Clinical Observation of Perforating Ocular Injuries.

Kim, Hyung Jun; Kwon, Jung Yoon

Original Article

Journal of the Korean Ophthalmological Society 1989;30(1):123-130.
Published online January 1, 1989.

A Clinical Observation of Perforating Ocular Injuries.

Hyung Jun Kim, Jung Yoon Kwon

Department of Ophthalmology, Kyungpook National University, School of Medicine, Taegu, Korea.

천공성안외상에 대한 임상적 고찰

김형준(Hyung Jun Kim),권정윤(Jung Yoon Kwon)

Abstract

We performed a retrospective study of perforating eye injuries treated at Kyung-pook National University Hospital during period from 1983 to 1987. Total number of patient with perforating eye injuries was 233(237 eyes). Of these 233 cases, 194(83.3%) were male and 39(16.7%) were female. Mostly, they were under 30 years of age and the peak age group was the most frequent(126 patient 54%) and combined corneoscleral perforation was next. The complication was mostly lens opacity, 95(40%) out of 237 eyes. Uveal prolapse were seen in 70(29.5%) eyes, traumatic hyphama was seen in 49(20.7%) eyes, IOFB(Intraocular-Foreign body) was seen in 22(9.3%)eyes, and vitreous hemorrhage was seen in 20(8.4%) eyes. Other less-frequent complications included retinal lesion(4.2%), iridopialysis(2.1%), and optic nerve injury(0.4%). The most frequent cause of perforating eye injuries was industrial accidents followed by home accidents and traffic accidents. The causes of decreased visual acuity was mostly corneal opacity, 80 out of 237 eyes(33%) followed by vitreous opacity, 18(7.9%)eyes. Final visual acuity better than 0.5 was noted in 79(33.3%).

Key Words: corneoscleral perforation;lens opacity;uveal prolapse