Elsevier

Ophthalmology

Volume 101, Issue 12, December 1994, Pages 1941-1944
Ophthalmology

Predictors of Occult Scleral Rupture

https://doi.org/10.1016/S0161-6420(94)31079-7Get rights and content

Purpose: To determine which signs are sensitive and specific in the setting of trauma to establish the diagnosis of an occult scleral rupture.

Methods: The charts of patients with presumed scleral rupture were identified retrospectively. The ocular findings among the patients who had a rupture based on findings at surgery were compared with those patients who were noted to have normal findings at surgery.

Results: Visual acuity worse than 20/400, decreased intraocular pressure, intraocular pressure less than that in the nontraumatized eye, and an afferent pupillary defect were all significant indicators of an open globe.

Conclusion: Determining the likelihood of an occult rupture can be facilitated by noting the presence or absence of those indicators that are significant and carry a high specificity.

References (8)

There are more references available in the full text version of this article.

Cited by (0)

Presented in part at the Association for Research in Vision and Ophthalmology Annual Meeting in Sarasota, May 1992.

Supported in part by core grant EY1792 from the National Eye Institute, Bethesda, Maryland; and by an unrestricted grant from Research to Prevent Blindness, Inc, New York, New York.

1

Dr. Werner currently is affiliated with the University of Minnesota Department of Ophthalmology, Minneapolis.

View full text