Optimal timing of vitrectomy for severe mechanical ocular trauma: A retrospective observational study
Optimal timing of vitrectomy for severe mechanical ocular trauma: A retrospective observational study
复制标题
严重机械性眼外伤玻璃体切除术的最佳时机：一项回顾性观察研究
DOI：
10.1038/s41598-019-54472-9
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发表时间：
2019-11-29
影响因子：
4.6
通讯作者：
Yuan, Ling
中科院分区：
文献类型：
--
作者：
Yu, Honghua;Li, Jianhua;Yuan, Ling
机械性眼外伤可导致灾难性的视力结果。对于这种情况下玻璃体切除术的时机一直存在争议。目的探讨严重机械性眼外伤玻璃体切除术的最佳时机。入选接受玻璃体切除术的严重机械性眼外伤患者并随访至少6个月。根据伤后1-7 d、B 8-14 d、C> 14 d 3组玻璃体切除术的时机，比较3组患者术后视力、玻璃体切除术的效果及并发症。共入组62例，其中A组20眼，B组25眼，C组17眼。3组患者的性别、年龄、OTS差异均无统计学意义。功能成功率和视力结果均以B组最好，A组次之，C组最差。这些结果表明，严重机械性眼外伤玻璃体切除术的最佳时机是伤后8-14天;其次是1-7天;最差的是14天后。
Mechanical ocular trauma could lead to disastrous visual outcomes. There has been a controversy regarding the timing of vitrectomy for such cases. This study aimed to find out the optimal timing of vitrectomy for severe mechanical ocular trauma. Patients with severe mechanical ocular trauma who had undergone vitrectomy were enrolled and followed up for at least 6 months. Clinical data were collected including ocular trauma score (OTS), the timing of vitrectomy upon injury, visual acuity, vitrectomy results, post-operation complications and etc. All cases were classified according to the timing of vitrectomy upon injury into 3 groups: group A 1-7 days, group B 8-14 days, group C more than 14 days. A total of 62 cases were enrolled, including 20 eyes in group A, 25 eyes in group B, and 17 eyes in group C. No significant differences were shown of the gender, age or OTS among the 3 groups. Both functional success rate and visual outcome were optimal in group B, then in group A, and worst in group C. These results suggested that the best timing of vitrectomy for severe mechanical ocular trauma is 8-14 days upon injury; second best is 1-7 days; worst is after 14 days.