Prognostic Factors After Repair of Open Globe Injuries
Prognostic Factors After Repair of Open Globe Injuries
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DOI：
10.1097/ta.0b013e3181c9f395
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发表时间：
2010-10-01
影响因子：
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通讯作者：
Abu El-Asrar, Ahmed M.
中科院分区：
文献类型：
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作者：
Al-Mezaine, Hani S.;Osman, Essam A.;Abu El-Asrar, Ahmed M.
方法：回顾1996年5月至2008年1月在阿卜杜勒-阿齐兹国王大学医院收治的443例开放性眼球损伤患者的临床资料。结果：视力良好(20/200或以上)的预后因素有：年龄小于或等于18岁，数指初始视力良好或更好，损伤机制锐利，伤口长度小于或等于10 mm，仅限于角膜的伤口，出现时无眼部损伤，包括晶状体损伤，玻璃体出血，玻璃体脱出和视网膜脱离，无眼内炎，未行玻璃体切除手术，最终评估的结果包括透明的玻璃体、附着的视网膜和无低眼压。在最终评估时，预测持续性视网膜脱离的因素是手运动的初始视力较差或更差、后部伤口位置和玻璃体切割操作。最终评估时预测低眼压的因素有：初始视力差或更差、伤口脏污、出现玻璃体出血、出现玻璃体脱垂、出现培养阳性眼内炎、行玻璃体切割术、以及最终随访时持续性视网膜脱离。结论：年龄、初始视力、损伤机制、初始损伤的位置和程度以及眼内炎的发展是影响开放性眼球损伤修复后预后的因素。
Background: To identify prognostic factors for visual acuity and anatomic outcomes after repair of open globe injuries.Methods: We retrospectively reviewed the medical records of 443 patients with open globe injuries admitted to King Abdulaziz University Hospital between May 1996 and January 2008.Results: Predictors of good visual outcome (20/200 or better) were age of 18 years or younger, good initial visual acuity of counting fingers or better, sharp mechanism of injury, wound length of 10 mm or less, wounds limited to the cornea, absence of associated ocular injuries at presentation including lens injury, vitreous hemorrhage, vitreous prolapse and retinal detachment, absence of endophthalmitis, vitrectomy not performed, and findings at final evaluation including clear vitreous, attached retina, and absence of hypotony. Predictors of persistent retinal detachment at final evaluation were poor initial visual acuity of hand motions or worse, posterior wound location, and performance of vitrectomy. Predictors of hypotony at final evaluation were poor initial visual acuity of hand motions or worse, dirty wound, presence of vitreous hemorrhage, and vitreous prolapse at presentation, development of culture-positive endophthalmitis, performance of vitrectomy, and persistent retinal detachment at final follow-up.Conclusions: Prognosis after repair of an open globe injury is influenced by age, initial visual acuity, mechanism of injury, location and extent of initial damage, and development of endophthalmitis.