gms | German Medical Science

21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem
8. Symposium der International Society of Ocular Trauma

Deutsche Gesellschaft für Retinologie
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Standard and high resolution OCT in ocular lesions after eye injuries

Meeting Abstract

  • Edward Wylegala - Katowice/Poland
  • D. Dobrowolski - Katowice/Poland
  • A. Nowinska - Katowice/Poland
  • D. Tarnawska - Katowice/Poland

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008P27

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/rg2008/08rg169.shtml

Veröffentlicht: 18. Juni 2008

© 2008 Wylegala et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: To evaluate usefulness of anterior segment optical coherence tomography (AS OCT) in diagnosis and monitoring treatment results in different cases of eye injuries.

Methods: We examined 38 eyes of 34 patients with different types of ocular injuries: penetrating injury (8 eyes), perforating injury (2 eyes), intraocular foreign body (4 eyes), ocular burn (9 eyes), contusion (13 eyes) and lamellar laceration (2 eyes). The mean age of patients was 33,8. AS OCT examination was performed directly after injury and was repeated during further treatment pathway. We evaluated anterior chamber components and corneal pachymetry. When standard scans were unsufficient, spectral OCT high resolution (HR) mode had been used to establish the diagnosis.

Results: Slit-lamp examination did not reveal a clear diagnosis in 3 eyes after contusion because of a nontransparent cornea. In case of 44-year old male patient only the corneal edema was noticed during the slit-lamp examination, while AS OCT revealed the Descemet’s membrane detachment. In case of 17-year old male patient with corneal infiltration by blood, OCT revealed acute angle closure with pupillary block. In all patients with corneal burns, OCT was valuable in monitoring of corneal healing progress after amniotic membrane application. In qualification for corneal transplantation OCT helped us to decide whether lamellar or penetrating technique should be applied. In patients with foreign bodies we used OCT to establish localization and size of foreign bodies in the anterior segment. For some controversies HR spectral OCT was useful device to conform diagnosis.

Conclusions: In the ophthalmic departments dealing with ocular trauma AS OCT is a very valuable tool in early diagnosis and further monitoring.