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学科主题: 临床医学
题名:
Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study
作者: Feng, Kang1; Wang, Chang-guan1; Hu, Yun-tao1; Yao, Yi2; Jiang, Yan-rong3; Shen, Li-jun6; Pang, Xiu-qin4; Nie, Hong-ping5; Ma, Zhi-zhong1
关键词: eye injury vitrectomy study ; outcome ; ruptured globe ; vitreoretinal surgery
刊名: CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
发表日期: 2015-09-01
DOI: 10.1111/ceo.12534
卷: 43, 期:7, 页:629-636
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 ; SEVERE OCULAR TRAUMA ; VISUAL OUTCOMES ; RISK-FACTORS ; PROLIFERATIVE VITREORETINOPATHY ; POSTERIOR SEGMENT ; POPULATION ; INDICATORS
英文摘要:

BackgroundThe objective of the study was to delineate clinical characteristics, surgical interventions, anatomic and visual outcomes of ruptured eye balls after trauma, and establish the prognostic indicators, which can assist clinicians in making correct surgical decisions during globe exploration for ruptured eyes.

DesignThe study design used was a multicentre prospective cohort study, including six university-affiliated tertiary hospitals.

ParticipantsWe selected 242 cases of ruptured globe from the Eye Injury Vitrectomy Study database, until 31December2012.

MethodsAll selected cases underwent vitreoretinal surgery, enucleation or evisceration, and were followed up for at least 6 months. Age, visual acuity (VA) after injury, ocular trauma zone, time to surgery, corneal laceration, scleral wound, extrusion of iris or lens, ciliary body damage, intraocular haemorrhage, retinal detachment or defect, proliferative vitreoretinopathy (PVR) and choroidal damage were the predisposing factors evaluated by logistic regression models.

Main Outcome MeasuresWe compared the pre-surgical indicators between cases of anatomically restored eyes with VA of 4/200 or better, or eyes with initial no light perception restored light perception or better, and cases of VA worse than 4/200, silicone oil-sustained eyes, phthisis or enucleation.

ResultsNearly 40% of cases with ruptured globe were anatomically restored through vitreoretinal surgery. The closed-funnel retinal detachment or extensive retinal loss (odds ratio [OR]=3.38, P=0.026), PVR-C (OR=3.45, P=0.008), and choroidal damage (OR=4.20, P=0.004) were correlated with poor outcomes.

ConclusionThe closed-funnel retinal detachment or extensive retinal loss, PVR-C, and choroidal damage are the risk factors for unfavourable outcomes in globe ruptures.

语种: 英语
所属项目编号: Z121107001012045 ; 2011CB510200
项目资助者: Clinical Characteristic Application Research Project of Capital Beijing ; National Basic Research Program of China (973 Program)
WOS记录号: WOS:000362530200005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53074
Appears in Collections:北京大学第三临床医学院_期刊论文

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

Recommended Citation:
Feng, Kang,Wang, Chang-guan,Hu, Yun-tao,et al. Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study[J]. CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY,2015,43(7):629-636.
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