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Aperito Journal of Ophthalmology

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Forensic Aspects of Ocular Trauma

Claudia Florida Costea1*, Anca Sava2, Gabriela Florenta Dumitrescu3, Mircea Albert4, Aandrei Cucu5, Serban Turliuc6 and Dana Turliuc5, 7
Corresponding Author: Claudia Florida Costea
Received: Mar 07, 2015
Accepted: Apr 06, 2015
Published: Apr 09, 2015
Views: 3
DOI: 10.14437

Abstract

Introduction: Sometimes, in cases of ocular trauma, the 
ophthalmologist must provide forensic evidence showing 
the status of the victim, and this requires a detailed eye 
examination, including an accurate description of lesions 
and appropriate investigations to support the diagnosis. 
Aim of the Paper: We present the epidemiological 
characteristics of a series of 109 cases of ocular trauma, 
in order to analyze the age, sex, type of injury, impaired 
eye and injured eye structures, and their forensic aspects.  
Material and Methodology: Of the 6839 patients 
admitted in the Ophthalmology Department of the "Prof. 
Dr. Nicolae Oblu" Emergency Clinical Hospital, Iassy, 
Romania, for a period of three years (01.01.2010
01.12.2012), a number of 109 patients with ocular trauma 
were studied. The electronic medical record of each 
patient was reviewed and informations were extracted 
and entered into a database. Cases were analyzed by age, 
gender, type of trauma, the affected eye, and ocular 
structures involved.  
Results: During a three years period (01.01.2010
31.12.2012), 109 patients (26 women and 83 men) were 
diagnosed with ocular trauma. They represented a rate of 1.59% of the total of 6839 patients admitted in the 
Ophthalmology Department of the "Prof. Dr. Nicolae Oblu" 
Clinic Hospital of Emergency, Iassy, Romania. Males were 
more affected than females (76.14% and 23.86%, 
respectively). 32.12% of patients were aged 3-20 years, 
33.94% were aged 20-50 years and 33.94% of patients were 
over 50 years. The two eyeballs were affected in similar 
percentage (53.22% right eyeball and 46.78% left eyeball). 
Penetrating or perforating ocular injuries that mostly 
required eyeball reconstruction were the most common 
(88.07%).  
Conclusion: Open globe injuries are an ophthalmological 
emergency and require fast medical attention, as visual 
acuity recovery is extremely important. In certain cases, 
such as severe physical aggression, eye injury may result in 
eyeball loss and thus permanently mutilate the patient. Any 
ophthalmologist must be familiar with the laws in effect, in 
order to be able to detect forensic cases and to draft 
documentation, as thorough as possible of each clinical 
case. 

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Claudia Florida Costea (2015), Forensic Aspects of Ocular Trauma. Aperito J Ophthalmol 1:109
Copyright: Copyright: © 2015 AJO. This is an open-access article distributed under the terms of the Creative Commons Attribution License, Version 3.0, which permits unrestricted
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