Determining the Sensitivity in the Diagnosis of Preoperative Orbital Computed Tomography in Patients With Open Globe Injury and Evaluating the Affecting Factors

Authors : Aslı ÇETİNKAYA YAPRAK, Emine Hazal AKTAŞ

Pages : 330-333

Doi:10.31067/acusaglik.1060612

View : 27 | Download : 9

Publication Date : 2022-07-01

Article Type : Research Paper

Abstract :Purpose Open globe injuries are diagnosed by ophthalmological examination. The purpose of this study is to determine the sensitivity in the diagnosis of preoperative orbital computed tomography insert ignore into journalissuearticles values(CT); in our patients with open globe injury and to evaluate the affecting factors. Materials and Methods The data of patients who underwent open globe injury repair between September 2014 and February 2021 in the Akdeniz University Hospital Ophthalmology Clinic were retrospectively analyzed. Demographic data of 290 patients’ were recorded. Patients suffer from corneal, scleral and corneoscleral injury; classified as pediatric and adult age groups. The presence of open globe injury, foreign bodyinsert ignore into journalissuearticles values(FB); and orbital fracture in the preoperative orbital CT report were recorded. Results Sixty insert ignore into journalissuearticles values(20.7%); women and 230 insert ignore into journalissuearticles values(79.3%); men were included in the study. Of the patients, 58 insert ignore into journalissuearticles values(20%); were pediatric and 232 insert ignore into journalissuearticles values(80%); were adults. There were corneal, 76 insert ignore into journalissuearticles values(26.2%); scleral, and 59 insert ignore into journalissuearticles values(20.3%); corneoscleral injuries in 155 insert ignore into journalissuearticles values(53.4%); patients. In the preoperative orbital CT report, it was stated that 163 insert ignore into journalissuearticles values(56.2%); patients had open globe injuries. We did not observe any statistical difference between the diagnostic efficiency of orbital CT in pediatric and adult groups insert ignore into journalissuearticles values(p=0.636);. When we evaluate according to the location of wound; scleral and corneoscleral injuries were compared with corneal injuries, we found that orbital CT was more effective in diagnosing insert ignore into journalissuearticles values(p<0.001);. Similarly, as the length of wound increased, the diagnostic efficiency of orbital CT increased insert ignore into journalissuearticles values(p<0.001);. Conclusion In this study, we found the sensitivity of orbital CT in diagnosing open globe injury as 56.2%. Diagnostic efficiency increases in the presence of scleral and corneoscleral injuries and a full-thickness incision greater than 4 mm. We found that age, gender, and presence of orbital fracture had no effect on the sensitivity of orbital CT in diagnosing open globe injury. It should be kept in mind that nearly half of the patients may miss the diagnosis by orbital CT.
Keywords : Open globe injury, Orbital CT, Trauma