Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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Original Article


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55-60


Authors Details

Sunil Ganekal*, Syril Dorairaj, Varun Ganekal


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Clinical and ultrasound biomicroscopic (UBM) correlation in eyes with closed globe injury


Original Article

Author Details : Sunil Ganekal*, Syril Dorairaj, Varun Ganekal

Volume : 8, Issue : 1, Year : 2022

Article Page : 55-60

https://doi.org/10.18231/j.ijceo.2022.011



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Abstract

Purpose: To correlate UBM and clinical findings in patients with closed globe injury.
Materials and Methods: Prospective observational study of 75 patients, ? 12 years of age presenting to ophthalmic outpatient department within one week of sustaining closed globe injury. Patients with seriously ill polytrauma and open globe injuries were excluded from the study. Comprehensive ophthalmic examination including Visual acuity assessment, slit lamp examination, fundus examination and IOP measurement. Gonioscopy and UBM examination was done in all patients on presentation except for patients with hyphema (UBM and gonioscopy done at 4 weeks to prevent rebleed).
Results: Mean age of the patients was 31.4 ±8 years, most common external findings included lid ecchymosis (47%), subconjunctival hemorrhage (93%). The common anterior segment finding included traumatic iritis (87%), traumatic hyphema (61%) and traumatic cataract in 27% of patients. Clinical evidence of zonular dialysis was seen in 13% of patients. UBM was able to detect zonular defects in 62% patients (P=0.008). Most of the patients (57%) had zonular dialysis less than 3 clock hours on UBM examination. UBM confirmed the presence of other clinical findings like iridodialysis, cyclodialysis.
Conclusion: UBM is a safe and effective adjunctive tool for clinical assessment and management of ocular trauma. It can diagnose subtle zonular dialysis and other anterior segment changes following blunt trauma. UBM should be an integral part of ophthalmic examination especially in patients requiring surgical intervention after closed globe injury.
 

Keywords: Closed globe injury, UBM, Anterior segment assessment.


How to cite : Ganekal S, Dorairaj S, Ganekal V, Clinical and ultrasound biomicroscopic (UBM) correlation in eyes with closed globe injury. Indian J Clin Exp Ophthalmol 2022;8(1):55-60

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