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Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study  
Yazarlar (5)
Berire Şeyma Durmuş Ece
Kastamonu University, Turkey
Dr. Öğr. Üyesi Zübeyir YOZGAT Dr. Öğr. Üyesi Zübeyir YOZGAT
Kastamonu Üniversitesi, Türkiye
Yusuf İnançlı
Kastamonu University, Turkey
Doç. Dr. Bünyamin ECE Doç. Dr. Bünyamin ECE
Kastamonu Üniversitesi, Türkiye
Sonay Aydin
Erzincan Binali Yıldırım Üniversitesi, Turkey
Devamını Göster
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
computed tomography | globe wall irregularity | ocular trauma score | open globe injury | penetrating globe injury
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Diagnostics
Dergi ISSN 2075-4418 Wos Dergi Scopus Dergi
Dergi Grubu Q1
Makale Dili İngilizce
Basım Tarihi 04-2025
Cilt No 15
Sayı 7
Doi Numarası 10.3390/diagnostics15070830