Vitreous hemorrhage in pediatric age group.

Vitreous hemorrhage in pediatric age group.
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DOI:
10.1155/2014/497083
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发表时间:
2014
影响因子:
1.9
通讯作者:
Abu El-Asrar AM
Abu El-Asrar AM
中科院分区:
医学4区
文献类型:
--
作者:
AlHarkan DH;Kahtani ES;Gikandi PW;Abu El-Asrar AM

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目的。确定和研究儿童年龄组玻璃体出血(VH)的原因,并探讨预测视力和解剖学结果的因素。程序。2005年1月至2010年12月诊断为玻璃体出血的16岁及以下患者的回顾分析。结果。总共确定了230名患者(240只眼)。外伤性玻璃体积血占82.5%。在意外伤病例中,最终视力20/200时与≥20/200时视力及末次随访时无视网膜脱离显著相关。非外伤性玻璃体出血患者年龄明显小于外伤性玻璃体出血患者,术后眼球摘除/摘除/摘除及视网膜脱离发生率明显高于外伤性玻璃体出血患者。结论。创伤是儿童VH最常见的原因。在这组患者中,最初的视力是最重要的预测视力结果的因素,而视网膜脱离的存在是最终良好视力的负面预测因素。与创伤性病例相比,非创伤性病例的结果明显更差。
Purpose. To identify and study causes of vitreous hemorrhage (VH) in pediatric age group and to investigate factors predicting visual and anatomical outcomes. Procedure. A retrospective review of patients aged 16 years or less with the diagnosis of vitreous hemorrhage from January 2005 until December 2010. Results. A total number of 230 patients (240 eyes) were identified. Traumatic vitreous hemorrhage accounted for 82.5%. In cases of accidental trauma, final visual acuity of 20/200 was significantly associated with visual acuity of ≥20/200 at presentation and the absence of retinal detachment at last follow-up. Patients with nontraumatic vitreous hemorrhage were significantly younger with higher rates of enucleation/evisceration/exenteration and retinal detachment at last follow-up compared to traumatic cases. Conclusion. Trauma is the most common cause of VH in pediatric age group. In this group, initial visual acuity was the most important predictor for visual outcome, and the presence of retinal detachment is a negative predictor for final good visual outcome. The outcome is significantly worse in nontraumatic cases compared to traumatic cases.
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