Missed diagnosis of occult scleral rupture analysis of 9 cases.docVIP

 PAGE \* MERGEFORMAT 10 Missed diagnosis of occult scleral rupture analysis of 9 cases [Abstract] Objective To analyze the missed diagnosis of occult scleral rupture related factors. Methods Retrospective analysis of 9 cases (9 eyes) with occult scleral rupture missed the clinical data. The results of this small group of cases are due to the wound, location too far or in the rectus muscle, the ball material extrusion few good elasticity and integrity of conjunctival or scleral hemorrhage deep to cover the wound, it is caused by missed diagnosis. but a clear diagnosis underwent surgical treatment, 8 cases of corrected visual acuity at discharge reached 1.0 , 1 case was 0.6. Conclusion intensive specialist examination is the key to reduce and avoid misdiagnosis. [Keywords:] scleral rupture; occult; missed Eye occult scleral rupture is a special type of rupture, the case of minor injuries, minor wounds, or conjunctival hemorrhage thick cover and other factors, could easily be missed, thus delaying treatment. Review of the hospital 19,982,008 in admissions of 48 patients (48 eyes) cases of scleral rupture, of which 9 cases (9 eyes) Retrospective analysis of missed diagnosis is as follows. 1 Clinical data 1.1 General Information The group of 9 patients (9 eyes), are unilateral injury, 6 cases of left eye, right eye in 3 cases. Including 8 males and 1 female, aged 17 to 50 years (mean 27.4 + -1.9 years). Injury treatment time of 2 h ~ 8 d, the average (2.5 + -1.3) d. diagnosis time 5 ~ 19 d, average (8.2 + -2.6) d. 2 cases of missed diagnosis in the township hospital, hospital community health center, emergency department, Eye of the missed 2, 1,4 cases. The causes of injury for the masonry injured four, wound two sticks, impact injury, accident injury, each a boxing injury. suffering from visual acuity one hand, the index 1, The other 7 0.3 ~ 0.8. 1.2 wounds signs 2 eyes with eyelid laceration, the wound length of 10 mm and 50 mm. Conjunctiva