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学科主题: 临床医学
题名:
RISK FACTORS, ANATOMICAL, AND VISUAL OUTCOMES OF INJURED EYES WITH PROLIFERATIVE VITREORETINOPATHY Eye Injury Vitrectomy Study
作者: Feng, Kang1; Hu, Yuntao1; Wang, Changguan1; Shen, Lijun2; Pang, Xiuqin3; Jiang, Yanrong4; Nie, Hongping5; Wang, Zhijun6; Ma, Zhizhong1
关键词: anatomical outcome ; eye injury ; ocular trauma ; proliferative vitreoretinopathy ; risk factor ; visual outcome ; vitreoretinal surgery
刊名: RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES
发表日期: 2013-09-01
卷: 33, 期:8, 页:1512-1518
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Ophthalmology
研究领域[WOS]: Ophthalmology
关键词[WOS]: OPEN-GLOBE INJURY ; NO LIGHT PERCEPTION ; OCULAR TRAUMA ; UNITED-STATES ; PROGNOSTIC INDICATORS ; RETINAL-DETACHMENT ; CLASSIFICATION ; RETINECTOMY ; SURVIVAL
英文摘要:

Purpose: To investigate potential risk factors for development of proliferative vitreoretinopathy (PVR) post trauma and evaluate the effect of PVR on anatomical and visual outcomes in injured eyes.

Methods: Overall, 179 eyes with PVR and 221 eyes without PVR after injury were selected from the database of the Eye Injury Vitrectomy Study, a multicenter cohort study launched in 1997. Multivariate logistic regression was used to ascertain the independent risk factors for development of PVR and to evaluate the influence of PVR on anatomical and visual outcomes.

Results: An interval of injury and vitrectomy of more than 28 days (odds ratio, 139.25; confidence interval, 50.09-387.10), severe vitreous hemorrhage (odds ratio, 2.72; confidence interval, 1.13-6.52), and total retinal detachment (odds ratio, 12.67; confidence interval, 3.96-40.52) were important independent risk factors for PVR. One hundred and fifteen eyes (52.0%) and 49 eyes (27.4%) without and with PVR, respectively, were anatomically restored with ambulant visual acuity (>= 4/200). Proliferative vitreoretinopathy, poor initial visual acuity, relative afferent pupillary defect, total retinal detachment, and retinal tear or retinal defect were unfavorable prognostic indicators.

Conclusion: Proliferative vitreoretinopathy occurs frequently in injured eyes and is associated with poor outcomes. Its onset depends on interval of injury and vitrectomy, wound location, vitreous hemorrhage, and retinal detachment. Early vitrectomy (before 2 weeks) and aggressive therapy should be considered for specific high-risk cases.

语种: 英语
所属项目编号: 2011CB510200 ; 03-9-02
项目资助者: National Basic Research Program of China (973 Program) ; Peking University Health Science Center, 211 Evidence-Based Medicine Discipline Groups, Beijing, China
WOS记录号: WOS:000330233200004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51245
Appears in Collections:北京大学第三临床医学院_眼科_期刊论文

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作者单位: 1.Peking Univ, Ctr Eye, Minist Educ, Key Lab Vis Loss & Restorat,Hosp 3, Beijing 100191, Peoples R China
2.Wenzhou Med Coll, Hosp Optometry & Ophthalmol, Hangzhou, Zhejiang, Peoples R China
3.Capital Univ Med Sci, Tongren Hosp, Dept Ophthalmol, Beijing, Peoples R China
4.Peking Univ, Peoples Hosp, Dept Ophthalmol, Beijing 100191, Peoples R China
5.Peking Univ, Hosp 1, Dept Ophthalmol, Beijing 100191, Peoples R China
6.Chinese Peoples Liberat Army Gen Hosp, Beijing, Peoples R China

Recommended Citation:
Feng, Kang,Hu, Yuntao,Wang, Changguan,et al. RISK FACTORS, ANATOMICAL, AND VISUAL OUTCOMES OF INJURED EYES WITH PROLIFERATIVE VITREORETINOPATHY Eye Injury Vitrectomy Study[J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES,2013,33(8):1512-1518.
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