안와파열골절 환자에서 중증 외상성 안구내 손상 발생과 연관인자 분석 (Severe Traumatic Intraocular Injuries Related to Blowout Fractures)

서지정보

· 발행기관 : 대한외상학회
· 수록지 정보 : 대한외상학회지 / 22권 / 1호 / 97 ~ 102페이지
· 저자명 : 신재훈, 이미진, 박성수, 정원준, 유연호

초록

Purpose: Blunt trauma can cause a wide range of ocular injuries. This study was performed to describe the
prevalence of severe intraocular injuries (SIOI) and their correlation with the severity of blunt orbital trauma.
Methods: We retrospectively analyzed 117 eyes of 107 patients with orbital wall fractures who visited the
emergency room at Konyang University Hospital from July 2006 to June 2008. Clinical features such as age,
sex, causes of injury, revised trauma score (RTS), type of orbital wall fractures were recorded. The patients
were divided into two groups: blowout fracture with severe intraocular injuries (SIOI) and blowout fracture
without SIOI. We compared the clinical and the injury-related characteristics between two groups and analyzed
the SIOS-related factors.
Results: Among the 107 patients (117 eyes) with blowout fractures, 29 (27.1%) patients with 32 eyes
(25.6%) had complicated severe intraocular injuries. Retrobulbar hemorrhage (14.5%), hyphema (13.7%), traumatic
optic nerve injury (4.3%), and sustained loss of visual acuity (4.3%) were the most common SIOI disorders.
A logistic regression analysis revealed that loss of visual acuity (odds ratio = 4.75) and eyeball motility
disorder (odds ratio=7.61) were significantly associated with SIOS.
Conclusion: We suggest that blowout fracture patients with loss of visual acuity or eyeball motility disorder
are mostly likely to have severe intraocular injuries, so they need an ophthalmologic evaluation immediately.

영어초록

Purpose: Blunt trauma can cause a wide range of ocular injuries. This study was performed to describe the
prevalence of severe intraocular injuries (SIOI) and their correlation with the severity of blunt orbital trauma.
Methods: We retrospectively analyzed 117 eyes of 107 patients with orbital wall fractures who visited the
emergency room at Konyang University Hospital from July 2006 to June 2008. Clinical features such as age,
sex, causes of injury, revised trauma score (RTS), type of orbital wall fractures were recorded. The patients
were divided into two groups: blowout fracture with severe intraocular injuries (SIOI) and blowout fracture
without SIOI. We compared the clinical and the injury-related characteristics between two groups and analyzed
the SIOS-related factors.
Results: Among the 107 patients (117 eyes) with blowout fractures, 29 (27.1%) patients with 32 eyes
(25.6%) had complicated severe intraocular injuries. Retrobulbar hemorrhage (14.5%), hyphema (13.7%), traumatic
optic nerve injury (4.3%), and sustained loss of visual acuity (4.3%) were the most common SIOI disorders.
A logistic regression analysis revealed that loss of visual acuity (odds ratio = 4.75) and eyeball motility
disorder (odds ratio=7.61) were significantly associated with SIOS.
Conclusion: We suggest that blowout fracture patients with loss of visual acuity or eyeball motility disorder
are mostly likely to have severe intraocular injuries, so they need an ophthalmologic evaluation immediately.

참고자료

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