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[Indirect traumatic rupture of the globe without conjunctival injury].

Identifieur interne : 000789 ( PubMed/Corpus ); précédent : 000788; suivant : 000790

[Indirect traumatic rupture of the globe without conjunctival injury].

Auteurs : Martin Wenzel ; Hüsseyin Aral

Source :

RBID : pubmed:12612846

English descriptors

Abstract

Blunt injuries are frequent causes of ocular trauma. Rupture of the globe without conjunctival injury following ocular contusions may be as dangerous as ruptures with opened conjunctiva, but is much more difficult to diagnose.

DOI: 10.1055/s-2003-37573
PubMed: 12612846

Links to Exploration step

pubmed:12612846

Le document en format XML

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<name sortKey="Wenzel, Martin" sort="Wenzel, Martin" uniqKey="Wenzel M" first="Martin" last="Wenzel">Martin Wenzel</name>
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<nlm:affiliation>Augenklinik der Medizinischen Fakultät der Rheinisch-Westfälischen Technischen Hochschule Aachen. m.wenzel@bk-trier.de</nlm:affiliation>
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<title xml:lang="en">[Indirect traumatic rupture of the globe without conjunctival injury].</title>
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<name sortKey="Wenzel, Martin" sort="Wenzel, Martin" uniqKey="Wenzel M" first="Martin" last="Wenzel">Martin Wenzel</name>
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<nlm:affiliation>Augenklinik der Medizinischen Fakultät der Rheinisch-Westfälischen Technischen Hochschule Aachen. m.wenzel@bk-trier.de</nlm:affiliation>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Conjunctiva (injuries)</term>
<term>Conjunctiva (surgery)</term>
<term>Diagnosis, Differential</term>
<term>Eye Injuries (diagnosis)</term>
<term>Eye Injuries (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intraocular Pressure (physiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Rupture</term>
<term>Sclera (injuries)</term>
<term>Sclera (surgery)</term>
<term>Visual Acuity (physiology)</term>
<term>Wounds, Nonpenetrating (diagnosis)</term>
<term>Wounds, Nonpenetrating (surgery)</term>
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<term>Eye Injuries</term>
<term>Wounds, Nonpenetrating</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Conjunctiva</term>
<term>Sclera</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Intraocular Pressure</term>
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Conjunctiva</term>
<term>Eye Injuries</term>
<term>Sclera</term>
<term>Wounds, Nonpenetrating</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Middle Aged</term>
<term>Retrospective Studies</term>
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<div type="abstract" xml:lang="en">Blunt injuries are frequent causes of ocular trauma. Rupture of the globe without conjunctival injury following ocular contusions may be as dangerous as ruptures with opened conjunctiva, but is much more difficult to diagnose.</div>
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<Month>03</Month>
<Day>03</Day>
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<Year>2003</Year>
<Month>08</Month>
<Day>28</Day>
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<Year>2009</Year>
<Month>11</Month>
<Day>11</Day>
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<Volume>220</Volume>
<Issue>1-2</Issue>
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<MedlineDate>2003 Jan-Feb</MedlineDate>
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<Title>Klinische Monatsblatter fur Augenheilkunde</Title>
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<ArticleTitle>[Indirect traumatic rupture of the globe without conjunctival injury].</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Blunt injuries are frequent causes of ocular trauma. Rupture of the globe without conjunctival injury following ocular contusions may be as dangerous as ruptures with opened conjunctiva, but is much more difficult to diagnose.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Retrospective analysis of 13 inpatients of the University Ophthalmological Hospital in 1991-1995 with rupture of the globe but without conjunctival injury following ocular contusion. These were 5 % of all the patients with through-through injuries of the eye wall.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The characteristic finding in all 13 patients has been hyposphagma, hyphema, vitreal haemorrhage and loss of visual acuity to "finger counting" or less. At the time of the first examination, in 6 of the 13 patients intraocular pressure was between 3 mm Hg and 16 mm Hg. One patient had had an initial pressure of 3 mm Hg, but at the time of surgery, the eye had a stable normalized pressure. Postoperatively three of the 13 patients attained final visual acuities between 80/200 and 140/200 after at least 6 months, the remaining patients achieved not more than 5/200.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In patients after blunt eye trauma rupture of the globe may occur in patients without damaging the conjunctiva and with normalised intraocular pressure. In such cases with intraocular bleeding and loss of vision it may be essential to open the conjunctiva and explore the sclera in order to be sure that there has not been a rupture of the sclera and to have the opportunity to perform pars-plana vitrectomy in time.</AbstractText>
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