Skip to main content
SpringerLink
Log in

The visual prognosis of a perforation of the eyeball: A retrospective study

  • Published:
Documenta Ophthalmologica Aims and scope Submit manuscript

Abstract

In the literature there is agreement about the variable prognosis of an ocular perforation, but analysis of the factors which affect the prognosis is rare. In this article the factors which determined the final visual outcome in 60 perforation cases are discussed. One third of the total number of eyes lost useful vision (visual acuity less than 0.1) while 43% retained good sight (visual acuity greater than 0.8). The visual outcome is considered for each prognostic factor. It is striking that the three most unfavourable prognostic factors often occur together: a traffic accident, a large to extremely large perforation and a corneo-scleral localization.

Suggestions for the prevention of the most frequent causes are made, and early therapeutic measures are described which should be able to be performed in every large clinic.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Benson, W.E. & Machemer, R. Severe perforating injuries treated with pars plana vitrectomy. Amer. J. Ophthal. 81: 728–732 (1976).

    Google Scholar 

  • Binkhorst, C.D., Gobin, M.H. & Leonard, P.A.M. Post-traumatic artificial lens implants (pseudophakoi) in children. Brit. J. Ophthal. 53: 518–529 (1969).

    Google Scholar 

  • Binkhorst, C.D., Greaves, B., Kats, A. & Birmingham, A.K. Lens injury in children treated with irido-capsular supported intra-ocular lenses. Docum. Ophthal. 46: 241–277 (1979).

    Google Scholar 

  • Boudet, C., Arnaud, B. & Rasoanaivo, R. Zur statistischen Auswertung von Bulbusverletzungen. Bericht über 363 Beobachtungen. Klin. Mbl. Augenheilk. 163: 612–623 (1973).

    Google Scholar 

  • Bronson, N.R., II. Management of intraocular foreign bodies. Int. Ophthal. Clin. 14: 129–150 (1974).

    Google Scholar 

  • Buschmann, W. Zum klinischen Wert echographischer Distanzmessungen bei wandnahen intraokularen Fremdkörpern. Klin. Mbl. Augenheilk. 167: 442–444 (1975).

    Google Scholar 

  • Cinotti, A.A. & Maltzman, B.A. Prognosis and treatment of perforating ocular injuries. The John Luhr memorial lecture. Ophthal. Surg. 6: 54–61 (1975).

    Google Scholar 

  • Cleary, P.E. & Ryan, S.J. Posterior penetrating eye injury. Amer. J. Ophthal. 88: 212–220 (1979).

    Google Scholar 

  • Cox, M.S. & Freeman, H.M. Retinal detachment due to ocular penetration. I. Clinical characteristics and surgical result. Arch. Ophthal. 96: 1354–1361 (1978).

    Google Scholar 

  • Deutman, A.F. De ocutome in glasvochtchirurgie. 173e vergadering Nederlands Oogheelkundig Gezelschap, Den Haag, March 1979.

  • Eagling, E.M. Perforating injuries involving the posterior segment. Trans. Ophthal. Soc. U.K. 95: 335–339 (1975).

    Google Scholar 

  • Eagling, E.M. Perforating injuries of the eye. Brit. J. Ophthal. 60: 732–736 (1976).

    Google Scholar 

  • Editorial. Progress in surgical management of ocular trauma. Brit. J. Ophthal. 60: 731 (1976).

  • Faulborn, J., Atkinson, A. & Olivier, D. Primary vitrectomy as a preventive surgical procedure in the treatment of severely injured eyes. Brit. J. Ophthal. 61: 202–208 (1977).

    Google Scholar 

  • Faulborn, J., Conway, B.P. & Machemer, R. Surgical complications of pars plana vitreous surgery. Amer. J. Ophthal. 85: 116–125 (1978).

    Google Scholar 

  • Faulborn, J., Olivier, D. & Atkinson, A. Präventive Chirurgie bei der Versorgung schwerverletzter Augen: Spätergebnisse, Komplikationen, Nachbehandlung. Klin. Mbl. Augenheilk. 169: 562–569 (1976).

    Google Scholar 

  • Freeman, H.M., Cox, M.S. & Schepens, C.L. Traumatic retinal detachments. Int. Ophthal. Clin. 14: 151–170 (1974).

    Google Scholar 

  • Gärtner, J. Ueber die Rolle des Traumas bei der Entstehung der Netzhautabhebung. Ophthalmologica 168: 1–12 (1974).

    Google Scholar 

  • Heimann, K. & Paulmann, H. Vitrectomy after perforating injuries. Mod. Probl. Ophthal. 18: 242–244 (1977).

    Google Scholar 

  • Heimann, K., Paulmann, H. & Tavakolian, U. Indikationen zur Pars-plana-Vitrectomie bei perforierenden Augenverletzungen. Klin. Mbl. Augenheilk. 172: 263–269 (1978).

    Google Scholar 

  • Hutton, W.L., Snyder, W.B. & Vaiser, A. Vitrectomy in the treatment of ocular perforating injuries. Amer. J. Ophthal. 81: 735–759 (1976).

    Google Scholar 

  • Johnston, S.S. Symposium on ocular trauma. The changing pattern of injury. Trans. Ophthal. Soc. U.K. 95: 307–310 (1975).

    Google Scholar 

  • Keeney, A.H., Fintelmann, E. & Renaldo, D. Clinical mechanisms in non-industrial spectacle trauma. Amer. J. Ophthal. 74: 662–665 (1972).

    Google Scholar 

  • Keeney, A.H. & Renaldo, D. Newly defined lens and frame factors in the reduction of eye injuries. Eye, Ear, Nose Thr. Mon. 52: 19–24 (1973).

    Google Scholar 

  • Lecaillon-Thibon, M. & Leonard, P. Cataracte traumatique et lentille intra-oculaire. Bull. Soc. Ophtal. Fr. 75: 891–893 (1975).

    Google Scholar 

  • Little, L.E. & LaPiana, F.G. Localization of intraorbital foreign bodies. Ann. Ophthal. 8: 541–544 (1976).

    Google Scholar 

  • Machemer, R. Vitrectomy: a pars plana approach. Current Ophthalmology Monographs, ed. R.D. Reinecke. New York, Grüne & Stratton, 1975.

    Google Scholar 

  • Mackay, G.M. Incidence of trauma to the eyes of car occupants. Trans. Ophthal. Soc. U.K. 95: 311–314 (1975).

    Google Scholar 

  • Maltzman, B.A. & Cinotti, A.A. Prognosis and treatment of perforating ocular injuries. Surg. Forum 25: 503–505 (1974).

    Google Scholar 

  • Maltzman, B.A., Pruzon, H. & Mund, M.L. A survey of ocular trauma. Sun. Ophthal. 21: 285–290 (1976).

    Google Scholar 

  • Maul, E. & Muga, R. Anterior segment surgery early after corneal wound repair. Brit. J. Ophthal. 61: 782–784 (1977).

    Google Scholar 

  • Merté, H.J. & Sipp, V. Augenverletzungen durch Kraftwagenunfälle. Klin. Mbl. Augenheilk. 171: 900–906 (1977).

    Google Scholar 

  • Mondino, B.J., Brown, S.I. & Grand, M.G. Ocular injuries form exploding beverage bottles. Arch. Ophthal. 96: 2040–2041 (1978).

    Google Scholar 

  • Neubauer, H. Intraocular foreign bodies. Trans. Ophthal. Soc. U.K. 95: 496–502 (1975).

    Google Scholar 

  • Niiranen, M. Perforating eye injuries. A comparative epidemiological, prognostic and socio-economic study of patients treated in 1930–1939 and 1950–1959. Acta Ophthal. Suppl. 135 (1978).

  • Nover, A. & Borsutzky, G. Die Enucleatio bulbi früher und heute. Klin Mbl. Augenheilk. 170: 479–487 (1977).

    Google Scholar 

  • Offutt, R.L. & Shine, I. Perforating injuries of the eye due to glass. Ann. Ophthal. 6: 357–363 (1974).

    Google Scholar 

  • Oppong, M.C., Kern, R., Schipper, J. & Käppeli, F. Zur Korrektur der traumatisch bedingten einseitigen Aphakie bei Kindern und im Erwerbsleben stehender Erwachsener mit intraokulären Linsen. Klin. Mbl. Augenheilk. 172: 431–434 (1978).

    Google Scholar 

  • Percival, S.P.B. A decade of intraocular foreign bodies. Brit. J. Ophthal. 56: 454–461 (1972).

    Google Scholar 

  • Peyman, G.A., Homer, P., Rose, M., Sanders. D. & Vastine, D. The vitrophage in ocular trauma. Report of 15 cases. Acta Ophthal. 53: 427–435 (1975a).

    Google Scholar 

  • Peyman, G.A., Huamonte, F.U. & Rose, M. Management of traumatic retinal detachment with pars plana vitrectomy, scleral buckling, and gas injection. Acta Ophthal. 53: 731–737 (1975b).

    Google Scholar 

  • Prijot, E. Quelques réflexions sur le traitement d'urgence des plaies perforantes du globe oculaire. Arch. Ophtal. (Paris) 36: 253–255 (1976).

    Google Scholar 

  • Roper-Hall, M.J. Treatment of traumatic cataracts. Int. Ophthal. Clin. 14: 111–127 (1974).

    Google Scholar 

  • Ryan, S.J. & Allen, A.W. Pars-plana vitrectomy in ocular trauma. Amer. J. Ophthal. 88: 483–491 (1979).

    Google Scholar 

  • Scharf, J. & Zonis, S. Perforating injuries of the eye in childhood. J. pediat. Ophthal. 13: 326–328 (1916).

    Google Scholar 

  • Schober, H. & Sommer, K. Bruchsichere Brillengläser. Klin. Mbl. Augenheilk. 161: 165–174 (1972).

    Google Scholar 

  • Slade, J.H. Secondary intra-ocular lens implants. Ten years' experience. Adv. Ophthal. 37: 156–158 (1978).

    Google Scholar 

  • Soni, K.G. Eye injuries in road traffic accidents. Injury 5: 41–46 (1973).

    Google Scholar 

  • Timm, G. & Osterburg, L. Die Häufigkeit der Bulbusenukleation nach perforierenden Augapfelverletzungen im Beziehung zum Lebensalter. Z. Alterforsch. 30: 337–346 (1975).

    Google Scholar 

  • Witmer, R. Décollement de la rétine posttraumatique. Arch. Ophtal. (Paris) 36: 697–702 (1976).

    Google Scholar 

Download references

Author information

Author notes

  1. L. A. K. Bastiaensen

    Present address: Ophthalmological Department, St. Elisabeth Hospital, Tilburg, The Netherlands

Authors and Affiliations

  1. Tilburg, The Netherlands

    L. A. K. Bastiaensen

Authors
  1. L. A. K. Bastiaensen
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bastiaensen, L.A.K. The visual prognosis of a perforation of the eyeball: A retrospective study. Doc Ophthalmol 50, 213–231 (1981). https://doi.org/10.1007/BF00158002

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00158002

Keywords

Search

Navigation