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. 1982 Sep;66(9):549–555. doi: 10.1136/bjo.66.9.549

Anterior segment consequences of blunt ocular injury.

Y M Canavan, D B Archer
PMCID: PMC1039854  PMID: 6980668

Abstract

The anterior segments of 212 eyes (205 patients) were evaluated one to 14 years after contusional eye injuries. Anterior chamber angle recession was the commonest complication, occurring in 153 of 190 eyes examined (80.5%). However, only one patient developed ocular hypertension. Iris abnormalities were found in 37.3% of eye injured, the most common abnormalities being marginal tears and pupillary defects. Cataract or lens dislocation attributable to trauma occurred in 24.5% of eyes, but most lens opacities were localised, stationary, and not associated with significant loss of vision. 15.4% of eyes developing lens opacities had cataract extraction within 18 months of the injury. Functional corneal sequelae were rare, but occasionally corneal opacities masked perforating injuries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALPER M. G. Contusion angle deformity and glaucoma. Gonioscopic observations and clinical course. Arch Ophthalmol. 1963 Apr;69:455–467. doi: 10.1001/archopht.1963.00960040461007. [DOI] [PubMed] [Google Scholar]
  2. BLANTON F. M. ANTERIOR CHAMBER ANGLE RECESSION AND SECONDARY GLAUCOMA. A STUDY OF THE AFTEREFFECTS OF TRAUMATIC HYPHEMAS. Arch Ophthalmol. 1964 Jul;72:39–43. doi: 10.1001/archopht.1964.00970020041010. [DOI] [PubMed] [Google Scholar]
  3. BRITTEN M. J. FOLLOW-UP OF 54 CASES OF OCULAR CONTUSION WITH HYPHAEMA, WITH SPECIAL REFERENCE TO THE APPEARANCE AND FUNCTION OF THE FILTRATION ANGLE. Br J Ophthalmol. 1965 Mar;49:120–127. doi: 10.1136/bjo.49.3.120. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Brodrick J. D. Corneal blood staining after hyphaema. Br J Ophthalmol. 1972 Aug;56(8):589–593. doi: 10.1136/bjo.56.8.589. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Canavan Y. M., O'Flaherty M. J., Archer D. B., Elwood J. H. A 10-year survey of eye injuries in Northern Ireland, 1967-76. Br J Ophthalmol. 1980 Aug;64(8):618–625. doi: 10.1136/bjo.64.8.618. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. D'OMBRAIN A. Traumatic or concussion chronic glaucoma. Br J Ophthalmol. 1949 Aug;33(8):495–500. doi: 10.1136/bjo.33.8.495. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Darr J. L., Passmore J. W. Management of traumatic hyphema. Am J Ophthalmol. 1967 Jan;63(1):134–136. doi: 10.1016/0002-9394(67)90588-0. [DOI] [PubMed] [Google Scholar]
  8. Eagling E. M. Ocular damage after blunt trauma to the eye. Its relationship to the nature of the injury. Br J Ophthalmol. 1974 Feb;58(2):126–140. doi: 10.1136/bjo.58.2.126. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Edwards W. C., Layden W. E. Monocular versus binocular patching in traumatic hyphema. Am J Ophthalmol. 1973 Sep;76(3):359–362. doi: 10.1016/0002-9394(73)90491-1. [DOI] [PubMed] [Google Scholar]
  10. Kaufman J. H., Tolpin D. W. Glaucoma after traumatic angle recession. A ten-year prospective study. Am J Ophthalmol. 1974 Oct;78(4):648–654. doi: 10.1016/s0002-9394(14)76303-2. [DOI] [PubMed] [Google Scholar]
  11. Leet D. M. Treatment of total hyphemas with urokinase. Am J Ophthalmol. 1977 Jul;84(1):79–84. doi: 10.1016/0002-9394(77)90329-4. [DOI] [PubMed] [Google Scholar]
  12. Mooney D. Angle recession and secondary glaucoma. Br J Ophthalmol. 1973 Aug;57(8):608–612. doi: 10.1136/bjo.57.8.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Mooney D. Anterior chamber angle tears after non-perforating injury. Br J Ophthalmol. 1972 May;56(5):418–424. doi: 10.1136/bjo.56.5.418. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Mortensen K. K. Changes in anterior chamber depth and angle-recession, late complications to ocular contusion. Acta Ophthalmol (Copenh) 1978 Dec;56(6):876–882. doi: 10.1111/j.1755-3768.1978.tb03808.x. [DOI] [PubMed] [Google Scholar]
  15. Oksala A. Treatment of traumatic hyphaema. Br J Ophthalmol. 1967 May;51(5):315–320. doi: 10.1136/bjo.51.5.315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. PIERSE D., LEGRICE H. THE USE OF UROKINASE IN THE ANTERIOR CHAMBER OF THE EYE. J Clin Pathol. 1964 May;17:362–362. doi: 10.1136/jcp.17.3.362. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Pilger I. S. Medical treatment of traumatic hyphema. Surv Ophthalmol. 1975 Jul-Aug;20(1):28–34. doi: 10.1016/0039-6257(75)90035-1. [DOI] [PubMed] [Google Scholar]
  18. Rakusin W. Urokinase in the management of traumatic hyphaema. Br J Ophthalmol. 1971 Dec;55(12):826–832. doi: 10.1136/bjo.55.12.826. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Read J. Traumatic hyphema: surgical vs medical management. Ann Ophthalmol. 1975 May;7(5):659-62, 664-6, 668-70. [PubMed] [Google Scholar]
  20. Roper-Hall M. J. Treatment of traumatic cataracts. Int Ophthalmol Clin. 1974 Winter;14(4):111–127. doi: 10.1097/00004397-197401440-00008. [DOI] [PubMed] [Google Scholar]
  21. Slingsby J. G., Forstot S. L. Effect of blunt trauma on the corneal endothelium. Arch Ophthalmol. 1981 Jun;99(6):1041–1043. doi: 10.1001/archopht.1981.03930011041011. [DOI] [PubMed] [Google Scholar]
  22. Spaeth G. L. Traumatic hyphema, angle recession, dexamethasone hypertension, and glaucoma. Arch Ophthalmol. 1967 Dec;78(6):714–721. doi: 10.1001/archopht.1967.00980030716005. [DOI] [PubMed] [Google Scholar]
  23. Tönjum A. M. Gonioscopy in traumatic hyphema. Acta Ophthalmol (Copenh) 1966;44(4):650–664. doi: 10.1111/j.1755-3768.1966.tb08084.x. [DOI] [PubMed] [Google Scholar]
  24. Tönjum A. M. Intraocular pressure and facility of outflow late after ocular contusion. Acta Ophthalmol (Copenh) 1968;46(5):886–908. doi: 10.1111/j.1755-3768.1968.tb00927.x. [DOI] [PubMed] [Google Scholar]
  25. Tönjum A. M. Lens dislocation following ocular contusion. Acta Ophthalmol (Copenh) 1968;46(5):860–873. doi: 10.1111/j.1755-3768.1968.tb00925.x. [DOI] [PubMed] [Google Scholar]
  26. WOLFF S. M., ZIMMERMAN L. E. Chronic secondary glaucoma. Associated with retrodisplacement of iris root and deepening of the anterior chamber angle secondary to contusion. Am J Ophthalmol. 1962 Oct;54:547–563. [PubMed] [Google Scholar]
  27. WOLTER J. R. COUP-CONTRECOUP MECHANISM OF OCULAR INJURIES. Am J Ophthalmol. 1963 Nov;56:785–796. doi: 10.1016/0002-9394(63)92943-x. [DOI] [PubMed] [Google Scholar]

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