Sonographic features of patients with ocular trauma at the University of Benin Teaching Hospital, Benin-City

  • Sally N. Ozougwu Department of Radiology, UBTH, benin-City
  • Ademola A. Adeyekun http://orcid.org/0000-0001-7395-070X
  • Juliet N. Ese-Onakehwor Department of Ophthalmology, UBTH, Benin-City
  • Elo E. Efe-Aluta
Keywords: Assault, Intra-ocular foreign body, Ocular trauma, Retinal detachment, Ultrasound, Vitreous haemorrhage

Abstract

 

Background: The human eye is vulnerable to various external injuries. This is in spite of the seemingly adequate protection offered by the bony orbit. Ultrasound, as a non-invasive and safe imaging modality, is very useful in evaluating the orbit as the globe provides a perfect acoustic window. There is a need for an update on the sonographic patterns of ocular trauma in Nigeria.

Objective: To sonographically assess the features of ocular trauma at the University of Benin Teaching Hospital.

Methods: Eighty patients with ocular injuries were studied over an 8-month period. After detailed history taking, using a closed eye technique, each patient was scanned with a 5-12MHz linear array probe of a SONOACE X4 Machine.

Results: The 18-35 years age group was most affected and the right eye was more frequently involved. The most common sources of injury were intraocular foreign bodies (26; 32.5%), assault (20; 25%) and road traffic accidents (18; 22.50%). Mechanical injuries were more common, comprising 44 (56.4%) cases of blunt trauma and 34 (43.6%) cases of penetrating trauma. The most common sonographic findings included vitreous haemorrhage, intraocular foreign bodies and retinal detachment.

Conclusion: Posterior chamber findings (vitreous haemorrhage and retinal detachment) were more frequent than anterior chamber findings in ocular trauma.

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Published
2018-12-09
Section
Original Research