Computed Tomography in the Diagnosis of Occult Open-Globe Injuries

Blast Injuries

“…CT is regarded as the gold standard to assess the blastinjured globe, particularly for penetrating trauma, but it has limitations; in cohort studies, the sensitivity of CT for clinically occult open-globe injuries ranged from 71% to 75% (60,104,105). Explosive debris is also often nonmetallic, which may further reduce sensitivity (60,106).…”

Diagnostic value of the anterior chamber depth of a globe on CT for detecting open-globe injury

“…Compared with evident open-globe injury seen on clinical examination or CT findings, occult open-globe injury can be difficult to diagnose [7]. Weissman et al reported an enlarged anterior chamber to be a useful CT finding of a ruptured globe.…”

Prognostic Predictors of Visual Outcome in Open Globe Injury: Emphasis on Facial CT Findings

“…9 In contemporary trauma care, CT has evolved as the imaging technique of choice for evaluating orbital trauma, especially in patients with difficult ophthalmologic examinations. 4,5,[8][9][10] Various studies have shown the sensitivities and specificities of CT, ranging from 56% to 76% and 79% to 100%, respectively, in detecting open globe injuries. 4,5,[8][9][10] CT offers the additional benefit of detecting concomitant intraorbital soft-tissue injuries and orbitofacial fractures.…”

“…4,5,[8][9][10] Various studies have shown the sensitivities and specificities of CT, ranging from 56% to 76% and 79% to 100%, respectively, in detecting open globe injuries. 4,5,[8][9][10] CT offers the additional benefit of detecting concomitant intraorbital soft-tissue injuries and orbitofacial fractures. 8 Objective preoperative prognostic data that can be derived from CT findings and limited clinical data obtainable in acute trauma settings would be of great clinical value.…”