Prognostic Factors in Blunt Eye Trauma

Abstract

Pur po se: To determine the factors affecting the outcome of best-corrected visual acuity (BCVA) in blunt ocular trauma cases. Ma te ri al and Met hod: 142 eyes of 142 patients, who were admitted to the 2nd Eye Clinic Emergency Service of M.H. Ankara Training and Research Hospital between June 2007 and August 2008, with blunt ocular trauma were prospectively included in the study in terms of the last-measured BCVA, the factors affecting it, and the ensuing complications. Re sults: Patient age ranged from 3 to 76 years (mean age: 31.9 ± 17.6 years). One hundred and seven cases (75.4%) were male and 35 (24.6%) were female. The last-measured BCVA in 120 cases (84.5%) was found to be log MAR ≤ 1.00 and in 22 cases (15.5%) was log MAR > 1.00. According to the one-way analysis of variance, the effect of initial visual acuity (p = 0.039), incision size (p = 0.029), relative afferent pupillary defect (RAPD) (p<0.001), zone (p <0.001), posterior segment findings (p= 0.001.), and ocular trauma score (OTS) effect (p <0.001) on worsening of the last-measured BCVA were statistically significant. Dis cus si on: Blunt eye injury is a preventable cause of permanent visual loss, which can affect people of all ages. It is important to know the factors affecting the last-measured BCVA for the implementation of a systematic and accurate treatment approach to each patient. The effect of initial visual acuity, the size of the incision, the presence of RAPD, zone, posterior segment findings, and of a low value of the OTS on worsening of the last-measured BCVA were considered significant statistically. (Turk J Ophthalmol 2013; 43: 32-8)

Keywords

• Blunt ocular trauma
• ocular trauma score