Objective: This study aims to reveal the importance of optical coherence tomography (OCT) in diagnosis and follow-up of patients with blunt trauma, as well as its usability as a substantial adjunct to ophtalmological examination.

Materials and Methods: Sixty eyes of 30 patients exposed to blunt ocular trauma were included in this study. In the first ophthalmologic examination, best-corrected visual acuity (BCVA), İntraocular pressures measured by Goldman applanation tonometry, anterior segment and fundus examination were performed. Afterwards, anterior segment and macula were scanned by OCT.

Results: Sixty eyes of 30 patients who were exposed to blunt ocular trauma (24 males, 80%) were enrolled in this study. The eye that was exposed to blunt ocular trauma was choosen to be in the study group, and the other unaffected eye was choosen to be in the control group. BCVA mean values were significantly worse in affected eyes as 0.87±0.39 than in healthy eyes as 0.10±0.15 (p<0.001). Intraocular pressure mean values were significantly higher as 20.2±5.13 in affected eyes than in healthy eyes as 13.4±3.0 (p<0.001). Central corneal thickness (CCT) mean values were significantly higher (594±93.1) in the study group than the control group (542±42.1) (p<0.001). There was no significant differance in terms of macular thickness (221±16.8 in affected eyes and 220±16.8 in healthy eyes) (p>0.05).

Conclusion: In conclusion, OCT is a noninvasive, easily applicable, repeatable tool with high speed and resolution used for diagnosis and follow-up of the ocular trauma patients. OCT should be more preferred by ophthalmologists to reveal undefined alterations in eyes exposed to blunt trauma.