IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study
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
2015-09-01
DOI10.1111/ceo.12534
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
资助者Clinical Characteristic Application Research Project of Capital Beijing ; National Basic Research Program of China (973 Program) ; Clinical Characteristic Application Research Project of Capital Beijing ; National Basic Research Program of China (973 Program)
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
资助者Clinical Characteristic Application Research Project of Capital Beijing ; National Basic Research Program of China (973 Program) ; Clinical Characteristic Application Research Project of Capital Beijing ; National Basic Research Program of China (973 Program)
WOS记录号WOS:000362530200005
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/53074
专题北京大学第三临床医学院
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
推荐引用方式
GB/T 7714
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.
APA Feng, Kang.,Wang, Chang-guan.,Hu, Yun-tao.,Yao, Yi.,Jiang, Yan-rong.,...&Ma, Zhi-zhong.(2015).Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study.CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY,43(7),629-636.
MLA Feng, Kang,et al."Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study".CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY 43.7(2015):629-636.
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