July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Clinical and epidemiologic characteristics of corneal trauma presented at the emergency department of an ophthalmological referral center in Central Mexico.
Author Affiliations & Notes
  • Norma Morales
    Instituto de Oftalmologia Conde de Valenciana, Ciudad de Mexico, DF, Mexico
  • Arturo J Ramirez-Miranda
    Instituto de Oftalmologia Conde de Valenciana, Ciudad de Mexico, DF, Mexico
  • Juan Carlos Serna-Ojeda
    Instituto de Oftalmologia Conde de Valenciana, Ciudad de Mexico, DF, Mexico
  • Alejandro Navas
    Instituto de Oftalmologia Conde de Valenciana, Ciudad de Mexico, DF, Mexico
  • Enrique O Graue-Hernandez
    Instituto de Oftalmologia Conde de Valenciana, Ciudad de Mexico, DF, Mexico
  • Footnotes
    Commercial Relationships   Norma Morales, None; Arturo Ramirez-Miranda, None; Juan Carlos Serna-Ojeda, None; Alejandro Navas, None; Enrique Graue-Hernandez, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 2309. doi:
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      Norma Morales, Arturo J Ramirez-Miranda, Juan Carlos Serna-Ojeda, Alejandro Navas, Enrique O Graue-Hernandez; Clinical and epidemiologic characteristics of corneal trauma presented at the emergency department of an ophthalmological referral center in Central Mexico.. Invest. Ophthalmol. Vis. Sci. 2018;59(9):2309.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The purpose of this study is to determine the incidence, characteristics, and resolution of attended corneal trauma at the emergency department (ED).

Methods : Retrospective analysis of Electronical Medical Records (EMR) of the patients with diagnosis of corneal trauma attended at the ED at the Instituto de Oftalmología Conde de Valenciana from June 2015 to May 2016. Search keywords used were blunt/contusion, penetrating or perforating corneal trauma. We excluded incomplete records. The information was categorized in demographic, clinical, and treatment characteristics

Results : After 8395 EMR were reviewed, 99 (1.2%) had corneal trauma as a diagnosis of which; 33 (33.3%) were blunt and 66 (66.6%) were penetrating/perforating. Of the total, 25 (25.3%) were women and 74 (74.7%) men. The highest incidence of trauma was found in the age group of 16 to 30 years with 28 (28.2%) patients. The median of the time from trauma to the emergency consultation was 24 hours in a range from 1 hour to 720 hours. The most frequent traumatic material reported was glass.
The clinical characteristics analyzed were: the left eye was affected in 50 patients (50.5%), 35 patients had an initial vision acuity ranging from 20/20 to 20/60, palpebral involvement was present 22 (22.2%) patients, open wound 14 (14.1%) patients, iris-sealed wound in 40 (40.4%) patients, self-sealing wound 23 (23.2%) patients, epithelial defect 32 (32.3%) patients, athalamia 31 (31.3%) patients, active wound leakage in 39 (39.4%) patients, hyphema 17 (17.2%) patients, traumatic uveitis in 50 (50.5%) patients, iris involvement in 38 (38.4%) patients and lens involvement in 37 (37.4%) patients. Topical treatment only was prescribed in 38 (38.4%) patients while surgical closure in 36 (36.4%) patients. Combined surgical procedures were perfomed in 11 (11.1%) patients.

Conclusions : Corneal trauma is an important cause of ocular morbidity and prompt treatment is necessary. Its incidence, features and age range may provide data to prevent risks and shorten the attention time.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

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