Clinical characteristics and outcomes of fall-related open globe injuries in Japan
Clinical characteristics and outcomes of fall-related open globe injuries in Japan
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DOI：
10.1007/s00417-018-3959-z
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发表时间：
2018-07-01
影响因子：
2.7
通讯作者：
Oshika, Tetsuro
中科院分区：
文献类型：
--
作者：
Morikawa, Shohei;Okamoto, Yoshifumi;Oshika, Tetsuro
为了研究日本跌倒相关开放性地球仪损伤患者的临床特征和视力结局，并评价跌倒相关和非跌倒相关开放性地球仪损伤之间的差异，对2005年至2015年期间在日本临床研究研究（J-CREST）医院就诊的开放性地球仪损伤患者进行了回顾性分析。记录年龄、性别、初始视力、最终视力、损伤类型、晶体透镜状态、损伤区域、伤口长度、是否存在视网膜脱离、增殖性玻璃体视网膜病变、排出性出血和眼内炎等临床信息。其中120例（32.1%）发生跌倒相关损伤，平均年龄为73.7 ± 15.9岁（范围：11-101岁）。大多数患者为女性（55.8%）。在120例跌倒相关损伤患者中，109例（90.8%）出现破裂，11例（9.2%）出现撕裂。多元回归分析显示，最终视力与初始视力显著相关（r = 0.99，P < 0.001）。与非跌倒相关的开放性地球仪损伤相比，跌倒相关的开放性地球仪损伤与老年、女性、初始和最终视力较差、破裂、透镜缺失、伤口尺寸较大、视网膜脱离、排出性出血、无眼内炎老年女性跌倒致开放性地球仪伤的发生率较高，且伤口较长，眼部并发症较多。跌倒相关开放性地球仪损伤患者的视力结果与初始视力有关。
To investigate the clinical characteristics and visual outcomes in patients with fall-related open globe injuries and to evaluate differences between fall-related and non-fall-related open globe injuries in Japan.A retrospective review of patients with open globe injury who presented to Japan-Clinical Research of Study (J-CREST) hospitals between 2005 and 2015 was enrolled. Clinical information including age, sex, initial visual acuity, final visual acuity, type of injury, status of the crystalline lens, zone of injury, wound length, presence of retinal detachment, proliferative vitreoretinopathy, expulsive hemorrhage, and endophthalmitis was recorded.A total of 374 eyes were enrolled, of which 120 (32.1%) suffered from fall-related injury with average age of 73.7 +/- 15.9 years (range, 11-101 years). A majority of patients were female (55.8%). Of 120 patients with fall-related injury, 109 (90.8%) presented with rupture and 11 (9.2%) with laceration. A multiple regression analysis revealed that final visual acuity was significantly associated with initial visual acuity (r = 0.99, P < 0.001). Compared to non-fall-related open globe injuries, fall-related open globe injuries were associated with elderly age, female sex, poorer initial and final visual acuity, rupture, absence of the lens, larger wound size, retinal detachment, expulsive hemorrhage, and absence of endophthalmitis (P < 0.01).Fall-related open globe injuries were more frequent in elderly female and accompanied by larger wound lengths and severer ocular complications. Visual outcomes in patients with fall-related open globe injuries were related to initial visual acuity.