Characteristics and Visual Prognosis of Pediatric Open Globe Injury in Shanghai, China
Characteristics and Visual Prognosis of Pediatric Open Globe Injury in Shanghai, China
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DOI：
10.1159/000523814
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发表时间：
2022-03
影响因子：
2.1
通讯作者：
Yue Guo;Yue Guo;R. Gu;Qian Yang;Kelin Zhu;Q. Shu;D. Gan
中科院分区：
文献类型：
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作者：
Yue Guo;Yue Guo;R. Gu;Qian Yang;Kelin Zhu;Q. Shu;D. Gan
简介：本研究的目的是描述儿童开放性地球仪损伤（OGI）的特点及其并发症与视力预后的关系。研究方法：这是一项回顾性图表审查，涉及1，664名16岁以下儿童，他们在2007年1月1日至2015年12月31日期间因OGI住院。收集每位患者的年龄、性别、受伤原因、并发症、视力和眼外伤分类进行回顾和分析。结果：平均年龄为5.6 ± 3.4岁。右眼特别容易受伤（右眼：左眼比例= 1.2：1）。外伤性白内障是最常见的并发症。平均初始和最终最佳矫正视力分别为最小分辨角的对数（logMAR）2.04 ± 0.78和logMAR 1.74 ± 0.88。Logistic回归分析显示前房积血（比值比[OR] = 1.850），虹膜脱垂（OR = 1.702），玻璃体积血（OR = 9.703），视网膜脱离（OR = 11.938），眼内炎（OR = 5.377）、眼内异物（OR = 3.346）、初始视力<0.05（OR = 9.017）是出院时视力<0.05的危险因素。结论：OGI最常见于学龄前儿童和男孩。右眼比左眼更脆弱。视力不良与前房出血、虹膜脱出、玻璃体出血、视网膜脱离、眼内炎、眼内异物和初始视力<0.05有关。
Introduction: The aim of the study was to describe the characteristics of open globe injury (OGI) and the relationship between the complications and visual outcomes in children with this type of injury. Methods: This was a retrospective chart review of 1,664 children, under the age of 16 years, who were hospitalized for OGI between January 1, 2007, and December 31, 2015. Each patient’s age, sex, cause and agent of injury, complications, visual acuity, and classification of ocular trauma were collected for review and analysis. Results: The mean age was 5.6 ± 3.4 years. Right eyes were particularly vulnerable to injury (right eye:left eye ratio = 1.2:1). Traumatic cataract was the most common complication. The average initial and final best corrected visual acuity were logarithm of the minimum angle of resolution (logMAR) 2.04 ± 0.78 and logMAR 1.74 ± 0.88, respectively. Logistic regression analysis showed that hyphema (odds ratio [OR] = 1.850), iris prolapse (OR = 1.702), vitreous hemorrhage (OR = 9.703), retinal detachment (OR = 11.938), endophthalmia (OR = 5.377), intraocular foreign body (OR = 3.346), and initial visual acuity <0.05 (OR = 9.017) were risk factors for visual acuity <0.05 at hospital discharge. Conclusion: OGI was most frequent in preschool children and boys. Right eyes were more vulnerable than left eyes. Poor visual outcomes were associated with hyphema, iris prolapse, vitreous hemorrhage, retinal detachment, endophthalmia, intraocular foreign body, and an initial visual acuity <0.05.