Non-traumatic open globe injuries: presenting characteristics and visual outcomes.
Non-traumatic open globe injuries: presenting characteristics and visual outcomes.
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非创伤性开放性眼球损伤：呈现特征和视觉结果。
DOI：
10.1038/s41433-021-01869-4
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Crowell,EricL
中科院分区：
文献类型：
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作者：
Gross,AndrewW;Fan,JamesZ;Pfeiffer,MargaretL;Chuang,AliceZ;Richani,Karina;Crowell,EricL
目的描述非创伤性开放性地球仪损伤的临床特征和视力结果。在大型城市医疗中心设立一级创伤中心。设计回顾性研究。方法回顾2010年1月至2015年3月期间收治于MHH-TMC的非创伤性开放性地球仪患者的图表，分析人口统计学、原因、临床特征、视力（VA）和眼球摘除术。结果包括30只眼睛：15例（50%）为男性，平均年龄为47（±28）岁。所有患者均出现1区损伤。25例（83%）有角膜溃疡穿孔。VA表现为数指（n= 3，10%）至NLP（n= 6，20%）。其中感染24例（80%），先天性5例（17%），化学烧伤3例（10%），神经营养性2例（7%）。结膜充血（n= 22，77%）、角膜混浊（n= 20，71%）和相对传入瞳孔缺损（n= 9，44%）是常见的。治疗后，23例（88%）比6/60（20/200），9例（35%）是NLP和8例（27%）需要englation.Conclusionsoften非创伤性开放性地球仪损伤区1和由于感染性溃疡穿孔。与先前报道的创伤性损伤相比，这些损伤的眼球摘除率更高（27% vs 8%），最终VA更差（88% vs 68%，比6/60 20/200更差）。
PurposeTo describe clinical characteristics and visual outcomes of non-traumatic open globe injuries.SettingA level 1 trauma centre in a large urban medical centre.DesignRetrospective study.MethodsCharts of non-traumatic open globe patients admitted to MHH-TMC from 1/2010 to 3/2015 were reviewed for demographics, cause, clinical characteristics, visual acuity (VA) and enucleation.ResultsThirty eyes were included: 15 (50%) were males with a mean age of 47 (±28) years. All presented with zone 1 injury. Twenty-five (83%) had a perforated corneal ulcer. Presenting VA was count fingers (n= 3, 10%) to NLP (n= 6, 20%). Twenty-four (80%) involved infection, 5 (17%) congenital, 3 (10%) chemical burn and 2 (7%) neurotrophic. Conjunctival injection (n= 22, 77%), corneal opacification (n= 20, 71%) and relative afferent pupillary defect (n= 9, 44%) were common. After treatment, 23 (88%) were worse than 6/60 (20/200), 9 (35%) were NLP and 8 (27%) required enucleation.ConclusionsOften non-traumatic open globe injuries are zone 1 and due to perforated infectious ulcers. Compared to previously reported traumatic injuries, these have higher rates of enucleation (27% vs 8%) and poorer final VA (88% vs 68% worse than 6/60 20/200).