The Value of Central Corneal Thickness Measurements in Forensic Cases with Blunt Eye Injury
DOI:
https://doi.org/10.17986/blm.2009142690Keywords:
blunt eye trauma, ultrasonic pachymeter, central corneal thicknessAbstract
In this study we aimed to determine forensic report process of blunt eye trauma cases and to determine central corneal thickness (CCT) value by ultrasonic pachymeter. We examined 76 cases with blunt eye trauma who were sent by public prosecutors to Gaziantep University Department of Forensic Medicine between 2004 and 2007. We measured central corneal thickness by ultrasonic pachymeter in these cases. We considered to classify trauma time and duration to medical examination, in two groups: group I is up to three months; group II is more than 3 months. These cases’ healthy eyes were accepted as control group. Besides descriptive information like sex, age and étiologie factors of the trauma of these cases, mean and standard deviations of variables were calculated. Statistical analysis and calculations were performed using SPSS 13.0. The differences in CCT mean values of trauma and healthy eyes between groups were examined with the student’s t test. A p value less than 0.05 was considered statistically significant. In the study 47 of 76 cases were male, 29 were female (mean age 34.8 (16-56)). The étiologie factors of the trauma in order of decreasing percentage were 59.2% beat, 18.4% traffic accident, 13.2% industrial accident, 9.2% crash-dropping accident. In group I (30 cases), the mean CCT value in the eyes without trauma was 545.2 + 10.18 fi; 565.9 + 22.4 fi in the eyes with trauma (p0.05). Because the mean CCT values are higher in the eyes with blunt trauma compared to normal eyes in group I we suggested that it is suitable to wait for at least three months for forensic reports.
Key words: Blunt eye trauma, ultrasonic pachymeter, central corneal thickness
Downloads
References
Viestenz A, Küchle M. Blunt ocular trauma. Part I: blunt anterior segment trauma. Ophthalmologe 2004;101(12):1239-57. DOI: https://doi.org/10.1007/s00347-004-1118-x
Canavan YM, Archer DB. Anterior segment consequences of blunt ocular injury. Br J Ophthalmol 1982;66(9):549-55. DOI: https://doi.org/10.1136/bjo.66.9.549
Duman M, Akkan F, Umurhan JC, Eltutar E. Künt Göz Travmalarının Değerlendirilmesi. Istanbul Tıp Dergisi 2004;1:22-6.
Sezen F. Künt cisimlerle meydana gelen göz travmaları. T Oft Gaz 1982;12:341-6.
Lucena Dda R, Ribeiro JA, Cruz AA, de Lucena AR, Lucena Lda R. Ultrasonographic evaluation of optic nevre avulsion with 10 and 20 MHZ probes: case report. Arq Bras Oftalmol 2008;71(5):740-2.
Brasil OF, Brasil OM. Management of traumatic macular holes: case report. Arq Bras Oftalmol 2008;71(4):581-4. DOI: https://doi.org/10.1590/S0004-27492008000400022
Grewal DS, Jain R, Brar GS, Grewal SP. Posterior capsule rupture following closed globe injury: Sche- impflug imaging, pathogenesis, and management. Eur J Ophthalmol 2008;18(3):453-5. DOI: https://doi.org/10.1177/112067210801800323
Ocakoğlu O, Avras S, Müftüoğlu G, Akar S. Künt glob travmalarında arka segment bulguları. Ret-vit 1994;2:170-4.
Hard JC, Natsikos VE, Raistrick ER, Doran RM. Indirect choroidal tears at the posterior pole: a flo- urescein angiographic and perimetric study. Br J Ophthalmol 1980:64(l):59-67. DOI: https://doi.org/10.1136/bjo.64.1.59
Bozkurt B, İrkeç M. Glokomlu ve oküler hipertan- siyonlu hastalarda ultrasonik pakimetri ile yapdan santral kornea kalınlığı ölçümlerinin uzun dönem tekrarlanabilirliği. Glokom-Katarakt 2006;3:177-80.
Mimouni F, Colin J, Bonissent JF. Ocular contusion and cellular density of the corneal endothelium. J Fr Ophtalmol 1986;9(10):641-3.
Çakırer D, Güzey M, Dikici K, Tolun H. Göz travması olgularımızın epidemiyolojik incelemesi. T Klin Oftalmoloji 1995;4:13-6.
Kargı ŞH, Hosal B, Saygı S, Gürsel E. Göz travmalarının epidemiyolojik değerlendirdmesi. MN Oftalmoloji 1998;5:385-9.
Dürük K, Budak K, Turaçlı E, Işıkçelik Y, Çekiç O: Delici göz yaralanması (497 olgunun sonuçları). T Oft Gaz 1993;23:299-303.
Kaya M, Kulaçoğlu DN, Baykal O, Tüfekçi A, Energin F. 688 Olguda Perforan Göz Travmaları. Türkiye Klinikleri J Ophthalmol 1998;7:120-3.
Canavan YM, O’Flaherty MJ, Archer DB, Ehvood JH. A 10 year survey of injuries in Northern Ireland 1967-76. Br J Ophthalmol 1980;64(8):618-25. DOI: https://doi.org/10.1136/bjo.64.8.618
Karlson TA, Klein BE. The incidence of acute hospital treated eye injuries. Arch Ophtalmol 1986;104(10):1473-6. DOI: https://doi.org/10.1001/archopht.1986.01050220067028
Karslıoğlu Ş, Hacıbekiroğlu A, Tamsel Ş, Tümşen D, Ziylan Ş, Akmut T. Göz travmalarının epidemiyolojik yönden incelenmesi. T Oft Gaz 2001;31:484- 91.
Yıldırım C, Yaylalı V, Kıldacı B, Özden S: Açık göz yaralanmalarının epidemiyolojik özelliklerinin incelenmesi. MN Oftalmoloji 1998;5:390-5.
Koval R, Teller J, Belkin M, Römern M, Yanko L, Savir H. The Israeli Ocular Injuries Study: a nationwide collaborative study. Arch Ophthalmol 1988;106(6):776-80. DOI: https://doi.org/10.1001/archopht.1988.01060130846037
Akıncı A, İleri D, Polat S, Can C, Zilelioğlu O. Does blunt ocular trauma induce corneal astigmatism? Cornea 2007;26(5):539-42. DOI: https://doi.org/10.1097/ICO.0b013e31803e8740
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.