265 cases of head injury who visited the Department of Ophthalmology and Neurosurgery of the Catholic Medical Center from Jan. 1963 to Aug. 1964 were studied clinically. The ocular signs associated with head injuries were classified and analyzed.
The results of the study are as followings:
1. 118 cases had the associated ocular signs among the 265 cases of head injury.
2. Males were greater than females in number, and age 11 to 30 had in the highest incidence.
3. As the cause of the injury, vehicle accident occupied the largest number, and the next was fall down cases from the higher places.
4. As to the location of the head injury, the frontal was the most frequent region.
5. The cause of the death were the most frequent by the subdural hematoma followed to the vehicle accident.
6. The most frequent ocular signs of head injury revealed as following order: ecchymosis, hemorrhage of the lid and conjunctiva, optic nerve changes, extraocular muscle paralysis. In frontal injuries ecchymosis, hemorrhage of the lid and conjunctiva, extraocular muscle paralysis were more frequently seen. The pupillary changes were rather often to show in parietal region injury. The prognosis of the patients who had mydriatic pupil was unfavorable. Most of those cases who resulted in death had the mydriasis without light, reaction.
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