Clinical Evaluation of The Retinal Injuries following Perforating Ocular Traumas

ABSTRACT

We reviewed the records of 152 patients with retinal injuries following perforating ocular traumas who had visited at the Department of Ophthalmology, Yeungnam University Hospital from March 1983 to December 1993. Young men predominated, and the most common cause of injury was metallic particle(63.3%). The ocular perforation site was found in sclera(38.2%), cornea(36.2%) and corneosclera(25.6%). The associated disorders with retinal injuries revealed retinal tear alone in 45 eyes, retinal detachment in 46 eyes, marked vitreous hemorrhage in 66 eyes, and endophthalmitis in 15 eyes. The site and length of perforating ocular injuries, traumatic cataract, traumatic hyphema, intraocular foreign body and endophthalmitis did not affect visual prognosis significantly. Significant predictors of good visual outcome were good initial visual acuity, absence of vitreous hemorrhage or retinal detachment, and early vitrectomy.