M S Werner1, M R Dana, M A Viana, M Shapiro. 1. Department of Ophthalmology and Visual Science, University of Illinois, Chicago College of Medicine 60612.
Abstract
PURPOSE: To determine which signs are sensitive and specific in the setting of trauma to establish the diagnosis of an occult scleral rupture. METHODS: The charts of patients with presumed scleral rupture were identified retrospectively. The ocular findings among the patients who had a rupture based on findings at surgery were compared with those patients who were noted to have normal findings at surgery. RESULTS: Visual acuity worse than 20/400, decreased intraocular pressure, intraocular pressure less than that in the nontraumatized eye, and an afferent pupillary defect were all significant indicators of an open globe. CONCLUSION: Determining the likelihood of an occult rupture can be facilitated by noting the presence or absence of those indicators that are significant and carry a high specificity.
PURPOSE: To determine which signs are sensitive and specific in the setting of trauma to establish the diagnosis of an occult scleral rupture. METHODS: The charts of patients with presumed scleral rupture were identified retrospectively. The ocular findings among the patients who had a rupture based on findings at surgery were compared with those patients who were noted to have normal findings at surgery. RESULTS: Visual acuity worse than 20/400, decreased intraocular pressure, intraocular pressure less than that in the nontraumatized eye, and an afferent pupillary defect were all significant indicators of an open globe. CONCLUSION: Determining the likelihood of an occult rupture can be facilitated by noting the presence or absence of those indicators that are significant and carry a high specificity.
Authors: L Umapathy; B Winegar; L MacKinnon; M Hill; M I Altbach; J M Miller; A Bilgin Journal: AJNR Am J Neuroradiol Date: 2020-05-21 Impact factor: 3.825