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Diagnostic ultrasound and pars plana vitrectomy in penetrating ocular trauma.

Publication ,  Journal Article
Rubsamen, PE; Cousins, SW; Winward, KE; Byrne, SF
Published in: Ophthalmology
May 1994

PURPOSE: The purpose of this study is to evaluate the accuracy of diagnostic ultrasonography in the preoperative evaluation of eyes with media opacity after penetrating ocular trauma and correlate the preoperative findings with ultimate visual outcome. METHODS: A retrospective comparison was made between the preoperative ultrasound diagnoses and the intraoperative findings in 46 eyes of 45 patients undergoing pars plana vitrectomy after penetrating ocular trauma associated with dense media opacities. The preoperative echographic findings were correlated with long-term visual and anatomic outcome. RESULTS: Preoperative echography was both sensitive and specific in evaluating traumatized eyes for retinal detachment, intraocular foreign bodies, posterior scleral wounds, and hemorrhagic choroidal detachments. The overall anatomic success rate was 87% (40/46) with 48% (22/46) of eyes obtaining visual acuity of 20/200 or better after surgery. The visual prognosis was worse in those eyes in which preoperative echography detected retinal detachment, subretinal blood, massive choroidals, or posterior exit wounds. CONCLUSION: Diagnostic echography is accurate and provides useful prognostic information in eyes with media opacity after penetrating ocular trauma.

Duke Scholars

Published In

Ophthalmology

DOI

ISSN

0161-6420

Publication Date

May 1994

Volume

101

Issue

5

Start / End Page

809 / 814

Location

United States

Related Subject Headings

  • Vitrectomy
  • Visual Acuity
  • Ultrasonography
  • Sensitivity and Specificity
  • Sclera
  • Retrospective Studies
  • Retinal Hemorrhage
  • Retinal Detachment
  • Reproducibility of Results
  • Ophthalmology & Optometry
 

Citation

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Rubsamen, P. E., Cousins, S. W., Winward, K. E., & Byrne, S. F. (1994). Diagnostic ultrasound and pars plana vitrectomy in penetrating ocular trauma. Ophthalmology, 101(5), 809–814. https://doi.org/10.1016/s0161-6420(94)31254-1
Rubsamen, P. E., S. W. Cousins, K. E. Winward, and S. F. Byrne. “Diagnostic ultrasound and pars plana vitrectomy in penetrating ocular trauma.Ophthalmology 101, no. 5 (May 1994): 809–14. https://doi.org/10.1016/s0161-6420(94)31254-1.
Rubsamen PE, Cousins SW, Winward KE, Byrne SF. Diagnostic ultrasound and pars plana vitrectomy in penetrating ocular trauma. Ophthalmology. 1994 May;101(5):809–14.
Rubsamen, P. E., et al. “Diagnostic ultrasound and pars plana vitrectomy in penetrating ocular trauma.Ophthalmology, vol. 101, no. 5, May 1994, pp. 809–14. Pubmed, doi:10.1016/s0161-6420(94)31254-1.
Rubsamen PE, Cousins SW, Winward KE, Byrne SF. Diagnostic ultrasound and pars plana vitrectomy in penetrating ocular trauma. Ophthalmology. 1994 May;101(5):809–814.
Journal cover image

Published In

Ophthalmology

DOI

ISSN

0161-6420

Publication Date

May 1994

Volume

101

Issue

5

Start / End Page

809 / 814

Location

United States

Related Subject Headings

  • Vitrectomy
  • Visual Acuity
  • Ultrasonography
  • Sensitivity and Specificity
  • Sclera
  • Retrospective Studies
  • Retinal Hemorrhage
  • Retinal Detachment
  • Reproducibility of Results
  • Ophthalmology & Optometry