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- Title
Trauma Ocular Abierto en el Hospital de San José.
- Authors
Diazgranados, Juan F.; Anaya, Denis; Arias, Alejandro; Pinto, Ivon; Solano, Adriana; Carvajal, Ricardo
- Abstract
Introduction: Vision is one of the primary forms of interaction with the environment, and its loss is a stressful situation, even more dramatic when it is due to trauma, a sudden and unexpected event. Ocular trauma is a frequent reason for consultation in ophthalmology; however, in our environment, there are no clear and sufficient statistics about it. Methods: Observational descriptive study. We reviewed the medical records of patients with open ocular trauma assessed at the Hospital de San Jose, between March 2013 and February 2016, with a minimum followup of 2 months. Results: We measured the time from the trauma to admission to the hospital (an average of 24 hours), the time between the trauma and the first surgical procedure (34 hours on average), and the time between the patient's admission to the institution and the first surgery (an average of 11 hours). Eighty-five percent of the patients presented laceration-type open ocular trauma and of this, 92.4 % corresponded to penetrating trauma. On admission, the worst visions corresponded to patients with trauma in zone III and / or with ocular rupture. Discussion: It has been described that the time from the trauma to the primary repair surgical procedure is a prognostic factor for the final visual acuity and the development of endophthalmitis, and we found out that in our patients this time is slightly longer than other reports, probably due to the difficulty of patients to access medical care in our environment. On the other hand, the final visual acuity is affected by multiple factors, so it is variable among the different studies; however, the visual results of our patients do not vary significantly concerning those reported in the literature.
- Publication
Vision Pan-America, 2018, Vol 17, Issue 2, p79
- ISSN
2219-4665
- Publication type
Article