Clinical Evaluations of Penetration Ocular Injuries.

Kim, Jee Youn; Kim, Jong Woo; Lee, Jaeheung

Original Article

Journal of the Korean Ophthalmological Society 1992;33(9):919-924.
Published online September 1, 1992.

Clinical Evaluations of Penetration Ocular Injuries.

Jee Youn Kim, Jong Woo Kim, Jaeheung Lee

¹Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
²Kim's Eye Clinic, Korea.

천공성 안외상의 임상적 분석

김지연(Jee Youn Kim),김종우(Jong Woo Kim),이재흥(Jae Heung Lee)

Abstract

The authors retrospectively analyzed 188 eyes of 188 patients with penetrating ocular injuries who visited Seoul National University Hospital and Kim's Eye Clinic from 1986 to 1989. Clinical pictures of injuries and factors influencing visual outcome were evaluated. The patients were mostly male (93.0%) and in third decade were 42.0%, and second and fourth decades was 17.0% respectively. Industrial injuries (70.0%) was the most common type of injury and among the vectors of injuries, sharp objects (83.0%) were more commonly found than blunt objects (17.0%). The sites of injury were in cornea, sclera, corneosclera and among them the cornea was most frequently involved (61.2%). Lens damage (51.6%), hyphema (38.4%), intraocular foreign body (34.6%) were most commonly associated. 60.9% of patients underwent operation within first 24 hours. Primary closures (67.6%) were the leading procedures among the operations. Postoperative visual acuity was better in corneal laceration, anterior segment injury, and injury by sharp objects than in corneoscleral or scleral laceration, posterior segment injury, injury due to blunt trauma. Complications included corneal opacity (55.3%), cataract (11.2%), retinal degeneration (11.2%), vitreous opacity (7.4%), retinal detachment (5.3%), secondary glucoma (2.1 %), endophthalmitis, phthisis, preretinal membrane (1.6%).

Key Words: Clinical evaluations;Penetrating injuries;Visual outcome