Don't Use CT to Rule-Out Globe Rupture

While computed tomography had high specificity for globe rupture and can be used to rule-in the disease, its sensitivity was exceptionally poor.

Patients with significant facial trauma are often imaged via computed tomography (CT), which may identify globe rupture. These researchers performed a retrospective cohort study to determine the test characteristics of CT for patients with suspected globe rupture. CT scans were independently read by a neuroradiologist and two ophthalmologists blinded to clinical and surgical findings; clinical or surgical confirmation was the reference standard.

Of 114 patients with suspected globe rupture, 35 (31%) had confirmed rupture. Sensitivity of CT was poor (range, 51%–77%, depending on reader) while specificity was high (>97%). Specificity for the CT findings of vitreous hemorrhage and globe contour change was higher (>98%), but sensitivity was lowe…

Reviewing Author

Ali S. Raja, MD, MBA, MPH

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Board Member); American College of Healthcare Executives – Massachusetts (Board Member)

Ali S. Raja, MD, MBA, MPH

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Board Member); American College of Healthcare Executives – Massachusetts (Board Member)

Don't Use CT to Rule-Out Globe Rupture

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Reviewing Author