Advertisement

Ocular Trauma Treatment Guideline

  • Ignatz Rohrbacher
Chapter
Part of the Retina Atlas book series (RA)

Abstract

The classification of ocular trauma is fundamental for the communication between ophthalmologists and better management of the patient. This chapter will be guided by the Birmingham Eye Trauma Terminology System (BETTS), adopted by the International Society of Ocular Trauma (Kuhn et al. 1996) (Table 2.1). The visual prognosis can be estimated through a score created from the analysis of a broad database called Ocular Trauma Score (Unver et al. 2009; Kuhn et al. 2002) (Tables 2.2 and 2.3).

References

  1. Ahmed Y, Schimel AM, Pathengay A, Colyer MH, Flynn HW. Endophthalmitis following open-globe injuries. Eye. 2012;26(2):212–7.CrossRefGoogle Scholar
  2. Al-Omran AM, Abboud EB, Abu El-Asrar AM. Microbiologic spectrum and visual outcome of posttraumatic endophthalmitis. Retina. 2007;27(2):236–42.CrossRefGoogle Scholar
  3. Andreoli CM, Andreoli MT, Kloek CE, Ahuero AE, Vavvas D, Durand ML. Low rate of endophthalmitis in a large series of open globe injuries. Am J Ophthalmol. 2009;147(4):601–608.e2.CrossRefGoogle Scholar
  4. Colby K. Management of open globe injuries. Int Ophthalmol Clin. 1999;39(1):59–69.CrossRefGoogle Scholar
  5. Cox MS, Schepens CL, Freeman HM. Retinal detachment due to ocular contusion. Arch Ophthalmol. 1966;76:678–85.CrossRefGoogle Scholar
  6. Deutsch TA, Weinreb RN, Goldberg MF. Indications for surgical management of hyphema in patients with sickle cell trait. Arch Ophthalmol. 1984;102:566–9.CrossRefGoogle Scholar
  7. Faghihi H, Hajizadeh F, Esfahani MR, Rasoulinejad SA, Lashay A, Mirshahi A, et al. Posttraumatic endophthalmitis: report No. 2. Retina. 2012;32(1):146–51.CrossRefGoogle Scholar
  8. Gharaibeh A, Savage HI, Scherer RW, et al. Medical interventions for traumatic hyphema. Cochrane Database Syst Rev. 2013;(12):CD005431.  https://doi.org/10.1002/14651858.CD005431.pub3
  9. Kazemi S, Wirostko WJ, Sinha S, et al. Combined pars plana lensectomy-vitrectomy with open-loop flexible anterior chamber intraocular lens (AC IOL) implantation for subluxated lenses. Trans Am Ophthalmol Soc. 2000;98:247–51, discussion 251–253.PubMedPubMedCentralGoogle Scholar
  10. Kearns P. Traumatic hyphaema: a retrospective study of 314 cases. Br J Ophthalmol. 1991;75(3):137–41.CrossRefGoogle Scholar
  11. Kramer M, Hart L, Miller JW. Ultrasonography in the management of penetrating ocular trauma. Int Ophthalmol Clin. 1995;35:181–92.CrossRefGoogle Scholar
  12. Kuhn F, Morris R, Witherspoon CD, et al. A standardized classification of ocular trauma. Ophthalmology. 1996;103:240.CrossRefGoogle Scholar
  13. Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The ocular trauma score (OTS). Ophthalmol Clin N Am. 2002;15(2):163–5, vi.CrossRefGoogle Scholar
  14. Schachat AP, Wilkinson CP, Hinton DR, Sadda SR, Wiedemann P. Ryan’s retina, vol. 3. 6th ed. Philadelphia: Elsevier; 2018. p. 2081–106.Google Scholar
  15. Slusher MM, Sarin LK, Federman JL. Management of intraretinal foreign bodies. Ophthalmology. 1982;89:369–73.CrossRefGoogle Scholar
  16. Unver YB, Kapran Z, Acar N, Altan T. Ocular trauma score in open-globe injuries. J Trauma. 2009;66(4):1030–2.CrossRefGoogle Scholar
  17. Weichel ED, Bower KS, Colyer MH. Chorioretinectomy for perforating or severe intraocular foreign body injuries. Graefes Arch Clin Exp Ophthalmol. 2010;248:319–30.CrossRefGoogle Scholar
  18. Winthrop SR, Cleary PE, Minckler DS, et al. Penetrating eye injuries: a histopathological review. Br J Ophthalmol. 1980;64:809–17.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Ignatz Rohrbacher
    • 1
  1. 1.Department of OphthalmologyGovernador Celso Ramos HospitalFlorianópolisBrazil

Personalised recommendations