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NR. 3/2008
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Ocena leczenia
urazów drążących gałki ocznej
Evaluation of the Ocular Penetrating Injuries Treatment
Michał Wilczyński, Maja Waszczyk
Klinika Chorób Oczu I Katedry Chorób Oczu Uniwersytetu
Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Introduction: The
term penetrating injury refers to a transmural injury of
the eyeball. The wound may be accompanied by the
presence of an intraocular foreign body.
Purpose: The purpose of the paper is to assess
injury, and also methods and effectiveness of treatment.
Materials and Methods: Methods: it is a
retrospective analysis, evaluating information contained
in case histories of 35 patients admitted to the
Department of Ophthalmology Medical University of Łódź
in the years 2004-2007.
Results: Among all patients, men had an accident 5.8
times more frequently than women. The average age was:
40 ± 14 years. Accidents resulting in eyeballs’ rupture
(breaking of the eyeball’s continuity) happen most often
during professional work performance (38.2%). Despite
the common right-handedness of the human population,
frequency of injuries of the right eye is equal to the
frequency of injuries of the left eye. All patients who
underwent examination had hypotony. 75.6% of patients
had only one surgery. Eyeball evisceration was performed
in case of 4 patients (11.8%). Enucleation surgery was
performed in 2 patients (5.9%).
Conclusions: Penetrating injury of the eyeball is
a serious condition, requiring complex treatment
procedures and associated with a poor prognosis. Men in
working-age predominate among patients, the majority of
traumas happened during work activities. Prognostic
factors of the final visual acuity after penetrating
trauma are: visual acuity on admission and number of
required surgical procedures. |
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| Key words: |
penetrating injury,
intraocular foreign body, evaluation of treatment. |
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