B-scan ultrasonography following open globe repair

Andreoli, Michael T.; Yiu, Glenn; Hart, Lawrence E.; Andreoli, C. M.

doi:10.1038/eye.2013.289

Cited by 29 publications

(21 citation statements)

References 10 publications

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“…It has been shown to be superior to CT scanning in diagnosing retinal and choroidal detachments. 11 It is particularly useful when ocular examination is obscured by opaque media. Care should be taken not to put pressure on the eye when examining a suspected ocular penetrating injury or globe rupture with an ultrasound probe.…”

Section: Introductionmentioning

confidence: 99%

The role of computerised tomography in predicting visual outcome in ocular trauma patients

Chaudhary

Upendran

Campion

et al. 2015

Eye

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Purpose Ocular blast injuries in the military setting are particularly associated with significant maxillofacial trauma and/or brain injury. The opportunity to perform a comprehensive ophthalmic evaluation is frequently limited in the acute multiple trauma scenario. We aim to describe the relationship between the clinical effects of acute ocular and orbital blast trauma with the findings on computerised tomography (CT). Methods This was a retrospective consecutive case series of all soldiers with facial and/or suspected ocular injuries. A total of 80 eyes that had suffered blast injuries of varying severity were studied. Assessment of orbital and ocular CT images were performed by military consultant radiologists. A comparison was made with actual clinical findings. Statistical analysis was performed using Fisher's exact test.Results No pathological findings were described in 37 of the 80 eyes imaged by orbital and ocular CT scans. Clinically, these eyes and orbits were all found to be intact, or had minor trauma. All foreign bodies and penetrating eye injuries were successfully diagnosed by CT. Absence of an orbital fracture did not rule out a globe injury. However, a corneal or scleral defect was less likely when an orbital fracture was absent. Conclusion The eye is a delicate structure prone to injury that requires urgent repair if breached. It is difficult to assess thoroughly in the unconscious or distressed patient. In this context, CT imaging is invaluable to be able to make a relatively confident prediction of clinical findings and decide upon the necessity for acute ophthalmic surgical intervention.

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Section: Introductionmentioning

confidence: 99%

The role of computerised tomography in predicting visual outcome in ocular trauma patients

Chaudhary

Upendran

Campion

et al. 2015

Eye

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show abstract

“…However, CT is only a mere surrogate for major ocular injuries such as retinal (RD) or choroidal detachments, which are reported to be the most important factors influencing final visual acuity in clinical and surgical studies. 2 Although vitreous hemorrhage may predict RD, it is not associated with poor visual outcome on its own. From a clinical and practical viewpoint, an emergency surgery is often performed on patients with open globe injuries to explore the eyeball, state the injuries, and perform a vitrectomy in the case of intravitreous hemorrhage.…”

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confidence: 99%

“…The demonstration of an RD or choroidal detachment profoundly changes the management of patients because prompt intervention and repair of these injuries significantly improve visual outcomes. 2 Thus, distinguishing attenuated vitreous membranes from RD is essential. It is, unfortunately, not directly possible with CT.…”

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confidence: 99%

“…It allows a direct visualization of the main eyeball injuries, such as RD, globe rupture, perforating injury, or endophthalmitis. 2 These items are used in the main predictive models that have been developed for clinical decision-making, such as the Ocular Trauma Score, 3 which can predict profound vision loss with a sensitivity of 100% and specificity of 91%. Sonography has 100% accuracy in the diagnosis of RD and can distinguish RD from choroidal detachments.…”

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confidence: 99%

“…Sonography has 100% accuracy in the diagnosis of RD and can distinguish RD from choroidal detachments. 2 It is reported to be more accurate than CT in the diagnosis of vitreous hemorrhages, 4 to provide an accurate quantification, and to detect even a small amount of blood that is not visible on CT. It may depict hyphema, lens dislocations, and intraocular foreign bodies.…”

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confidence: 99%

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