Clinical Evaluations of Penetration Ocular Injuries

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%).