Werner M S, Dana M R, Viana M A, Shapiro M
Department of Ophthalmology and Visual Science, University of Illinois, Chicago College of Medicine 60612.
Ophthalmology. 1994 Dec;101(12):1941-4. doi: 10.1016/s0161-6420(94)31079-7.
To determine which signs are sensitive and specific in the setting of trauma to establish the diagnosis of an occult scleral rupture.
The charts of patients with presumed scleral rupture were identified retrospectively. The ocular findings among the patients who had a rupture based on findings at surgery were compared with those patients who were noted to have normal findings at surgery.
Visual acuity worse than 20/400, decreased intraocular pressure, intraocular pressure less than that in the nontraumatized eye, and an afferent pupillary defect were all significant indicators of an open globe.
Determining the likelihood of an occult rupture can be facilitated by noting the presence or absence of those indicators that are significant and carry a high specificity.
确定在创伤情况下哪些体征对于隐匿性巩膜破裂的诊断具有敏感性和特异性。
回顾性分析疑似巩膜破裂患者的病历。将手术中发现巩膜破裂的患者的眼部检查结果与手术中发现正常的患者的检查结果进行比较。
视力低于20/400、眼压降低、伤眼眼压低于未受伤眼以及传入性瞳孔障碍均是眼球穿通伤的重要指标。
通过留意那些具有重要意义且特异性高的指标的有无，有助于判断隐匿性破裂的可能性。
