Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study
 
Yazarlar (5)
Dr. Öğr. Üyesi Berire Şeyma DURMUŞ ECE Kastamonu Üniversitesi, Türkiye
Doç. Dr. Zübeyir YOZGAT Kastamonu Üniversitesi, Türkiye
Yusuf İnançlı
Doç. Dr. Bünyamin ECE Kastamonu Üniversitesi, Türkiye
Sonay Aydın Erzincan Binali Yıldırım Üniversitesi, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı DIAGNOSTICS (Q1)
Dergi ISSN 2075-4418 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 03-2025
Cilt / Sayı / Sayfa 15 / 7 / 830–840 DOI 10.3390/diagnostics15070830
Makale Linki https://doi.org/10.3390/diagnostics15070830
Özet
Background/Objectives: The aim of this study was to evaluate computed tomography (CT) findings in penetrating globe injuries and their relationship with ocular trauma scores (OTSs). Methods: Patients with penetrating globe injuries who had orbital CT images were included in this study. Demographics, injury zone, and ophthalmologic exam data were collected retrospectively. OTSs and categories were determined. Orbital CT images were evaluated by a radiologist to determine decreased globe volume, globe wall irregularity, chorioretinal layer thickening, lens dislocation, asymmetric anterior chamber depth (ACD), abnormal vitreous density, and intraocular air presence. Results: This study included 30 eyes of 30 patients. The majority of patients (n = 20, 66.7%) had Zone I injuries. The most common CT findings were globe wall irregularity (53.3%) and asymmetric ACD (53.3%). No CT findings were observed in 10 patients (33.3%). Globe wall irregularity was the most frequent CT finding in the OTS II category, while asymmetric ACD was most frequent in the OTS IV category. All patients with decreased globe volume, lens dislocation, abnormal vitreous density, and ≥3 CT findings were in the OTS II category. A significant negative correlation was found between the number of CT findings and OTS (r = −0.644, p < 0.001), and a significant positive correlation was found between the number of CT findings and clinically measured wound size (r = 0.600, p < 0.001). Conclusions: CT findings help assess ocular trauma severity, but clinical examination remains essential for accurate diagnosis.
Anahtar Kelimeler
penetrating globe injury | open globe injury | computed tomography | ocular trauma score | globe wall irregularity