Computed Tomography Diagnostic Abilities for Open-Globe Injuries in Pediatric Versus Adult Patients

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dc.authoridBozgul, Pembegul/0000-0002-9427-3610
dc.authoridFirat, Murat/0000-0001-6040-9332
dc.authorwosidBozgul, Pembegul/AAQ-4951-2020
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosidYilmaz, Turgut/S-1198-2017
dc.authorwosiddikci, seyhan/A-3311-2019
dc.contributor.authorDikci, Seyhan
dc.contributor.authorYildirim, Ismail Okan
dc.contributor.authorFirat, Murat
dc.contributor.authorFirat, Penpe Gul
dc.contributor.authorDemirel, Soner
dc.contributor.authorYilmaz, Turgut
dc.contributor.authorTuncer, Ilknur
dc.date.accessioned2024-08-04T20:49:23Z
dc.date.available2024-08-04T20:49:23Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives The aim of this study was to compare the role of computed tomography (CT) in the diagnosis of open-globe trauma and intraocular foreign body (IOFB) in pediatric and adult age groups. Methods Medical records of cases with open-globe trauma at Inonu University Hospital's Ophthalmology Emergency Service were retrospectively evaluated. Preoperative orbital CT images of the cases obtained at emergency services and their clinical and/or surgical findings were compared in pediatric and adult groups. Results We included 47 eyes of 47 cases aged 18 years and below (pediatric group) and 85 eyes of 82 cases over 18 years (adult group). The mean +/- SD age was 10.80 +/- 5.11 years (range, 2-18 years) in the pediatric group and 46.34 +/- 19.01 years (range, 19-82 years) in the adult group. Computed tomography images revealed 21.7% of the cases with corneal lacerations, 55.5% with scleral lacerations, and 91.6% with corneoscleral lacerations in the pediatric group, whereas the respective numbers were 48.4%, 66.6%, and 61.9% in the adult group. The detection rates of corneal penetrations and vitreous hemorrhage with CT were significantly lower in the pediatric group than in the adult group (P < 0.05). The CT scans diagnosed 66.6% of the pediatric cases and 90% of the adult cases with an IOFB. Conclusions Corneal lacerations and IOFBs can be missed, especially in the pediatric group, because the eye is smaller in adults. Pediatric patients with a history of ocular trauma should undergo an examination under general anesthesia followed by surgical exploration if necessary.en_US
dc.identifier.doi10.1097/PEC.0000000000001747
dc.identifier.endpageE104en_US
dc.identifier.issn0749-5161
dc.identifier.issn1535-1815
dc.identifier.issue3en_US
dc.identifier.pmid30702650en_US
dc.identifier.scopus2-s2.0-85102445487en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE100en_US
dc.identifier.urihttps://doi.org/10.1097/PEC.0000000000001747
dc.identifier.urihttps://hdl.handle.net/11616/99811
dc.identifier.volume37en_US
dc.identifier.wosWOS:000656523900003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofPediatric Emergency Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjecteye traumaen_US
dc.subjectcomputed tomographyen_US
dc.subjectintraocular foreign bodyen_US
dc.subjectopen globe injuryen_US
dc.titleComputed Tomography Diagnostic Abilities for Open-Globe Injuries in Pediatric Versus Adult Patientsen_US
dc.typeArticleen_US

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