[Contusive pre-equatorial syndrome. Apropos of 12 cases].
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24 patients were re-examined 19--20 years and another 37 patients 10--11 years after blunt injury to the eye. 24 eyes showed marked angle rears but there was not a single case of glaucoma. In case of initial a. c. hemorrhage these tears are significantly more ofter seen. 9 of the injured eyes had a reduction of visual acuity to 0.5 or less as a consequence of lens or central fundus changings.
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Peritoneal lavage is a simple and useful method for the detection of visceral damage. It decreases the number of late diagnoses and deaths in closed traumas without overt symptoms, in multiple injuries and unexplained collapses, in alcoholic patients, or when transportation or anaesthesia are required. The results proved reliable in 91.8 p. cent of 378 cases of peritoneal lavage. The incidence of false positive results (mainly due to retroperitoneal haematoma) was 7.4 p. cent, and the risk of false negative results was estimated at 0.8 p. cent. The precautions required are recalled, and the problem of minimal intraperitoneal lesions is discussed. All patients with negative or doubtful results must be kept under close clinical surveillance.