Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study
<b>Background/Objectives</b>: The aim of this study was to evaluate computed tomography (CT) findings in penetrating globe injuries and their relationship with ocular trauma scores (OTSs). <b>Methods</b>: Patients with penetrating globe injuries who had orbital CT images were...
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MDPI AG
2025-03-01
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| author | Berire Şeyma Durmuş Ece Zübeyir Yozgat Yusuf İnançlı Bunyamin Ece Sonay Aydin |
| author_facet | Berire Şeyma Durmuş Ece Zübeyir Yozgat Yusuf İnançlı Bunyamin Ece Sonay Aydin |
| author_sort | Berire Şeyma Durmuş Ece |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: The aim of this study was to evaluate computed tomography (CT) findings in penetrating globe injuries and their relationship with ocular trauma scores (OTSs). <b>Methods</b>: 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. <b>Results</b>: This study included 30 eyes of 30 patients. The majority of patients (<i>n</i> = 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, <i>p</i> < 0.001), and a significant positive correlation was found between the number of CT findings and clinically measured wound size (r = 0.600, <i>p</i> < 0.001). <b>Conclusions</b>: CT findings help assess ocular trauma severity, but clinical examination remains essential for accurate diagnosis. |
| format | Article |
| id | doaj-art-3b746e91db1d4970bd2c2c5b56f0c526 |
| institution | DOAJ |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
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| series | Diagnostics |
| spelling | doaj-art-3b746e91db1d4970bd2c2c5b56f0c5262025-08-20T03:06:16ZengMDPI AGDiagnostics2075-44182025-03-0115783010.3390/diagnostics15070830Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary StudyBerire Şeyma Durmuş Ece0Zübeyir Yozgat1Yusuf İnançlı2Bunyamin Ece3Sonay Aydin4Department of Ophthalmology, Kastamonu University, Kastamonu 37150, TurkeyDepartment of Ophthalmology, Kastamonu University, Kastamonu 37150, TurkeyDepartment of Ophthalmology, Kastamonu University, Kastamonu 37150, TurkeyDepartment of Radiology, Kastamonu University, Kastamonu 37150, TurkeyDepartment of Radiology, Erzincan Binali Yıldırım University, Erzincan 24100, Turkey<b>Background/Objectives</b>: The aim of this study was to evaluate computed tomography (CT) findings in penetrating globe injuries and their relationship with ocular trauma scores (OTSs). <b>Methods</b>: 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. <b>Results</b>: This study included 30 eyes of 30 patients. The majority of patients (<i>n</i> = 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, <i>p</i> < 0.001), and a significant positive correlation was found between the number of CT findings and clinically measured wound size (r = 0.600, <i>p</i> < 0.001). <b>Conclusions</b>: CT findings help assess ocular trauma severity, but clinical examination remains essential for accurate diagnosis.https://www.mdpi.com/2075-4418/15/7/830penetrating globe injuryopen globe injurycomputed tomographyocular trauma scoreglobe wall irregularity |
| spellingShingle | Berire Şeyma Durmuş Ece Zübeyir Yozgat Yusuf İnançlı Bunyamin Ece Sonay Aydin Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study Diagnostics penetrating globe injury open globe injury computed tomography ocular trauma score globe wall irregularity |
| title | Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study |
| title_full | Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study |
| title_fullStr | Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study |
| title_full_unstemmed | Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study |
| title_short | Relationship Between Ocular Trauma Score and Computed Tomography Findings in Eyes with Penetrating Globe Injuries: A Preliminary Study |
| title_sort | relationship between ocular trauma score and computed tomography findings in eyes with penetrating globe injuries a preliminary study |
| topic | penetrating globe injury open globe injury computed tomography ocular trauma score globe wall irregularity |
| url | https://www.mdpi.com/2075-4418/15/7/830 |
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