Retinal detachment in ocular trauma


Summary: Retinal detachment is the separation of the sensory retina from retinal pigment epithelium, it is a serious blinding condition, early diagnosis and treatment have important role in the visual outcome. Aim of the study: To ensure the importance of immediate and subsequent full ocular assessment for each patient with ocular trauma.Patients & Methods: Thirty patients with uniocular trauma were included in this study. All were fully assessed including doing fundoscopy immediately and after primary repair in cases of penetrating injuries.Whenever there was media opacity obscuring the view with direct and indirect opthalmoscopy ultrasonography was done.Results: Retinal detachment was a prevalent complication seen in (13)46% of cases after ocular trauma. It was found in (1)25% of patients with blunt trauma, (12)46% of patients with penetrating injuries. Most of eyes were with media opacities so just 4 of 13 cases were diagnosed by direct and indirect fundoscopy, others by B-scan ultrasonography. Cystic changes were more frequent in cases of long standing ocular trauma; more than one year. Higher frequency of traumatic retinal detachment was found in the 20-30 years age group.