| Predictors of blinding or serious eye injury in blunt trauma. | |
| | |
MedLine Citation:
|
PMID: 1635101 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Multivariate analysis was used to identify factors predicting injury and visual outcome in 94 blunt trauma patients evaluated for eye injuries among 6700 admissions to a level I trauma center over a 29-month period. Patients with penetrating eye injuries were excluded from this review. Eye injury was detected in 93% or 87 of the patients evaluated. Seven percent of eye injuries resulted in blindness, 22% were serious (visual acuity between 20/40 and 20/200 or eye injury requiring surgery), and 71% were temporary (final visual acuity of 20/40 or better). The presence of an afferent pupillary defect or a nonreactive pupil was the most important factor in predicting the severity of eye injury (p = 0.0023), followed by facial fractures (p = 0.0084), and no eye opening or eye opening to pain within the Glasgow Coma Scale (p = 0.02). Eye injury is an infrequent complication of blunt trauma. Appropriate consultation for evaluation of this problem can be obtained based on findings from the initial history and screening physical examination. |
| | |
Authors:
|
E Joseph; R Zak; S Smith; W R Best; R L Gamelli; D J Dries |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of trauma Volume: 33 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1992 Jul |
Date Detail:
|
Created Date: 1992-08-25 Completed Date: 1992-08-25 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 19-24 Citation Subset: AIM; IM |
Affiliation:
|
Department of Surgery, Loyola University Medical Center, Maywood, IL 60153. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Factors Aged Child Child, Preschool Emergencies Eye Injuries / classification*, etiology, physiopathology Female Follow-Up Studies Glasgow Coma Scale Humans Infant Injury Severity Score Male Medical Records Middle Aged Predictive Value of Tests Prognosis Wounds, Nonpenetrating / classification*, etiology, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A new method of diagnosing diaphragmatic injury using intraperitoneal technetium: case report.
Next Document: Experimental cardiac tamponade with a myocardial wound: the effect of rapid intravenous infusion of ...