Prognostic indicators of open globe injuries in children
Prognostic indicators of open globe injuries in children
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DOI：
10.1016/j.ajem.2008.04.004
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发表时间：
2009-06-01
影响因子：
3.6
通讯作者：
Yang, Meng-Ling
中科院分区：
文献类型：
--
作者：
Lee, Ching-Hsing;Lee, Lan;Yang, Meng-Ling
目的：探讨开放性眼球损伤儿童视力预后指标。基本程序：回顾了62例16岁或以下因开放球损伤而接受治疗的患者。主要表现：损伤类型包括穿透（30眼）、破裂（20眼）、眼内异物（10眼）、穿孔（2眼）。锋利的物体，如刀或剪刀，是造成开放性眼球损伤的最常见原因。仅角膜损伤的80.8%(21/26)，晶状体附加损伤的45.5%(5/11)，广泛前后侧损伤的17.4%（4/23）的视力达到20/40以上。结论：不良结局与损伤部位、损伤程度、首发前房积血、玻璃体出血、视网膜脱离、横跨瞳孔的角膜创面以及眼内炎的发生有关。(C) 2009爱思唯尔公司版权所有。
Purpose: To determine the prognostic indicators of visual outcome in children with open globe injuries.Basic procedures: The charts of 62 patients, 16 years of age or younger, who had been treated for open globe injuries were reviewed.Main findings: The types of injury included penetrating (30 eyes), rupture (20 eyes), intraocular foreign body (10 eyes), and perforation (2 eyes). Sharp objects, such as knives or scissors, were the most common causes of open globe injuries. A visual acuity (VA) of at least 20/40 was achieved in 80.8% (21/26) of eyes with a corneal injury only, in 45.5% (5/11) of eyes with additional lens damage, and in 17.4% (4/23) of eyes with extensive anterior and posterior injuries.Conclusions: Unfavorable outcomes were related to the location of injury, the extent of injury, the initial presentation of hyphema, vitreous hemorrhage, retina detachment, cornea wound across the pupil, and the development of endophthalmitis. (C) 2009 Elsevier Inc. All rights reserved.