THE VALUE OF ULTRASONOGRAPHY IN DETERMINING PUPILLARY LIGHT REFLEX IN PATIENTS WITH TRAUMATIC OCULAR INJURIES

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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EMERGENCYMED14_065

تاریخ نمایه سازی: 26 بهمن 1398

Abstract:

Background and Aim : Head trauma and hits on the skull are the most dangerous brainemergency, and head trauma is the most common cause of death in accidents. this study wasintended to investigate the value of sonography in determining pupil size and reflex in head traumapatients with hyphema, hematoma, and orbital cellulitis, and to compare it to normal physicalexaminations.Methods : This study is an observational analysis regarding the value of sonography examina t ionin determining pupil size and light response in head trauma patients suffering from eye injuriesvisiting the Shahid Sadooghi and Shahid Rahnemoun hospitals in Yazd from 2017 to 2018. Thesample size was 80 patients and the method was consecutive sampling. All head trauma patientssuffering from hyphema, hematoma, and orbital cellulitis in one eye who visited the ShahidSadooghi and Shahid Rahnemoun hospitals’ emergencies. Patients with injuries to both eyes,penetrating trauma, history of any chronic disease (glaucoma, cataract, retina, etc.), or previouseye surgeries were removed from the study.Results : 74 trauma patients were tested in this study. There were 9 women and 65 men, with anaverage age of 20.30 ± 44.9 years. While measuring pupil size through physical examination andsonography, no significant differences were observed regarding the healthy eye (p value = 0.065).This is while there was a significant difference between two groups regarding sonography andphysical examination differences about the injured eye (p value=0.001).Conclusion : In conclusion, the use of ultrasound is more accurate than a clinical examination inemergencies. It is a very comfortable and accessible method, which improves examina t ionaccuracy.

Authors

Ali Raee Ezzabadi

Emergency Department, Shahid Sadoughi University of Medical Science, Yazd, Iran