[Contusion traumas with damaged entity of the eye globe].

PURPOSE: Examination of the etiology, the clinical history of the injury, the functional and anatomic result after contusion traumas with damaged entity of the eye globe.

MATERIAL AND

METHODS

Retrospective examination of the clinical documentation of 35 patients /35 eyes/, treated in Emergency Medical Center during the period 1994-1996.

RESULTS AND DISCUSSION: The etiology shows that traumas resulting from housework prevail. According to their localization the ruptures are: scleral--19 eyes (54.28%), corneo-scleral--13 eyes (37.14%) and corneal--3 eyes (8.57%). Prolaps of uvea and vitreous was diagnosed with all the eyes. It was massive in the scleral and corneo-scleral ruptures. No eye underwent primary enucleation. The therapeutical behavior consists in primary reconstructive operation, general and local antibiotic, cortico-steroidal and non-steroidal anti-flammatory therapy. The functional and anatomic results are bad: absence of visual acuity with 51.42% of the eyes and vision up to 20/200 with 45.71%, subatrophy of the eye globe during the first 6 months after the trauma with 18 eyes (51.42%).

CONCLUSION

The contusion traumas with damaged entity of the eye globe are hard traumatic injuries which usually end with bad functional, anatomic and cosmetic results. The consequence is constant invalidation of the patients.