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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2007, Number 1

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Rev Mex Oftalmol 2007; 81 (1)

Asociación entre heridas palpebrales y lesiones intraoculares en trauma con globo cerrado

Lima GV, Aquino GA

Language: Spanish
References: 15
Page: 41-43
PDF size: 412.37 Kb.


ABSTRACT

Background. Although intraocular injuries care take precedence over lid wounds, it has not been reported whether their prevalence increases when the latter exist. The prevalence of intraocular injuries was compared between patients with and without lid wounds, in order to learn whether the presence of these increased the chance of having the former.
Methods. Patients of similar age with (group 1) and without (group 2) lid wounds that had closed-globe eye injury, were requalified according to the system for classifying mechanical injuries of the eye. The rate of intraocular injuries was compared between groups by χ2, odds ratio (OR) and 95% confidence intervals (CI).
Results. There were 64 patients in group 1 and 67 in group 2; age, type, grade, and pupil made no statistical difference. The rate of intraocular injuries in group 1 (53.1%) overtook that of group 2 (22.1%) both statistically (p= 0.0002) and clinically (OR 3.93, 95% CI 1.73-9.01).
Discussion. The presence of a lid wound increased almost four times the chance of an eye having intraocular injuries, even when the eye has a closed-globe injury and visual deficiency is absent. It is suggested that every patient that has a lid wound should be referred to the ophthalmologist, although the initial repair is performed at primary care.


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