gms | German Medical Science

Modern diagnostics and qualified primary surgical exploration of sclera injuries play the main role in preventive maintenance of developing complications.

Methods: The clinical group was 123 patients. Enucleation was made concerning heavy posttraumatic changes of an eye in all cases. In all patients clinical symptoms were the following: absence of vision, posttraumatic uveit, retinal and uveal detachment, hypotonia, reduction an eyeball, thickening of its tissues, a sensibilization to uvea and retina.

Results: Open and not completely closed scleral wounds, located in different zones of eye ball, are revealed in 13 patients with hypotonia, uveit, blidness, and progressing subatrophy. Primary closing of wounds was done in the given group of patients in various clinics only in 6 cases. Wounds have been sutured partially at the anterior pole of an eyeball. In some cases the wound was sutured with rare, rough, thick sutures 3/0-4/0. Gaping scleral wounds has been marked in 4 cases in various terms after trauma (in 3 weeks, in 1, 2 and 14 months), than can be suggested as individual formation of scleral scars.

Conclusions: Stable hypotonia, uveit, hemosis, absence of vision, a progressive subatrophy of an eyeball can testify the incomplete closer of scleral capsule. Revision or treatment of sclera injuries should be done in case of suspicious subconjuctival rupture or insufficient treatment of sclera for survival of an eye as anatomic body.