Journal of the Korean Ophthalmological Society 1996;37(10):1753-1760.
Published online October 1, 1996.
Clinical Evaluation of Ophthalmic Injury Associated with Head Injury.
Duk Hun Hyun, Nam Ju Moon, Bon Sool Koo
1Department of Ophthalmology, Sung-Ae Ueneral Hospltal, Korea.
2Department of Ophthalmology, National Medical Center, Korea.
두부손상과 연관된 안과적 증상의 임상적 고찰
현덕헌(Duk Hun Hyun),문남주(Nam Ju Moon),구본술(Bon Sul Koo)
Abstract
Secondary eyeball injury can be caused by head injury as well as direct injury of the eyeball or the orbit. Authors of this report have researched on 117 patients who were applied for ophthalmic examination which in care of the neurosurgical department and have researched frequency of secondary eyeball injury, association between the eyeball injury and the head injury, and favourable frequency of the eyeball injury which were developed without direct injury of the eyeball. There were 21 eyes(9.0%) with external ocular abnormality in 18 patients which included lagophthalmos, ptosis, paralytic strabismus, and there were 14 eyes(6.0 %) with posterior segment abnormality which were vitreoretinal hemorrhage, option. injury and papilledema in 11 patients. In association between the head injury and the eyeball injury, there were many external paralytic injury in basal skull injury and many posterior segment injury in cerebral parenchymal injury. After their injury, follow-up was executed in 3 month interval for 12 month. 15 eyes with external ocular abnormality and 8 eyes with posterior segment abnormality showed favourable progression. Posterior segment abnormality improved statistically significant at 3 month after injury(p<0.05). Secondary ophthalmic injury can be caused by various head injuries. Based on periodic observation, external ocular abnormality improved frequently at more than 9 months after injury. In cases of posterior segment abnormality, there was statistically significant improvement at 3 month after injury(p<0.05). Thus careful observation and treatment should be made in its early stage.
Key Words: Head injury;Secondary eyeball injury;Segment abnormality


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