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学科主题临床医学
Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study
Feng, Xuefeng; Feng, Kang; Hu, Yuntao; Ma, Zhizhong
关键词Children Eye Injury Vitrectomy Study Eye Injury Trauma Vitrectomy
刊名INDIAN JOURNAL OF OPHTHALMOLOGY
2014-04-01
DOI10.4103/0301-4738.120222
62期:4页:450-453
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 INJURIES ; NO LIGHT PERCEPTION ; PROGNOSTIC INDICATORS ; CHILDREN ; CHILDHOOD ; EPIDEMIOLOGY ; TRAUMA
英文摘要

Context: Severe pediatric ocular injury remains a frequent and difficult problem. Vitrectomy is a major technique that has been used to manage severely damaged eyes. However, limited follow-up studies exist currently. Aims: To evaluate the clinical features and predictive factors of visual and anatomic outcomes in Eye Injury Vitrectomy Study (EIVS). Settings and Design: Retrospective, consecutive, interventional case series. Materials and Methods: Reviewing and analyzing records of children, aged 15 years or younger, who had undergone vitrectomy for eye injuries in EIVS database between January 1997 and December 2009. Statistical analysis used: Descriptive analyses and multiple Logistic regressions were employed for all variables using SPSS software (version 17.0, SPSS Inc.). Results: Eighty-seven children (89 eyes) with more than 6 months follow-up and complete records identified in EIVS were included in this study. Average follow-up was 12.7 months. The mean age was 9.4 +/- 3.8 years. Seventy-seven eyes (86.5%) had open globe injuries, and 12 (13.5%) had closed globe injuries. Seventeen eyes (19.3%) presented with endophthalmitis. Seventy-five eyes (88.2%) presented with visual acuity of 4/200 or worse; however, 42 eyes (47.7%) achieved 4/200 or better vision with anatomical restoration after vitrectomy. Multiple analysis showed that choroidal damage, large scleral wound, and endophthalmitis were significantly associated with unfavorable outcome, the OR values were 16.7 (95% CI: 2.7-102.4, P = 0.002), 10.9 (95% CI: 1.7-71.6, P = 0.013), and 6.6 (95% CI: 1.0-42.4, P = 0.048), respectively. Conclusions: Vitrectomy intervention resulted in favorable visual and anatomic outcomes in almost half of the injured eyes. Choroidal damage, large scleral wound, and endophthalmitis were the prognostic indicators of unfavorable outcome.

语种英语
WOS记录号WOS:000348551300014
项目编号Z121107001012045 ; 2011CB510200
资助机构Clinical characteristic application research project of Capital Beijing ; National Basic Research Program of China (973 Program)
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/400002259/54607
专题北京大学第三临床医学院_眼科
北京大学基础医学院
作者单位Peking Univ, Key Lab Vis Loss & Restorat, Dept Ophthalmol, Hosp 3,Minist Educ, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Feng, Xuefeng,Feng, Kang,Hu, Yuntao,et al. Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study[J]. INDIAN JOURNAL OF OPHTHALMOLOGY,2014,62(4):450-453.
APA Feng, Xuefeng,Feng, Kang,Hu, Yuntao,&Ma, Zhizhong.(2014).Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study.INDIAN JOURNAL OF OPHTHALMOLOGY,62(4),450-453.
MLA Feng, Xuefeng,et al."Clinical features and outcomes of vitrectomy in pediatric ocular injuries-eye injury vitrectomy study".INDIAN JOURNAL OF OPHTHALMOLOGY 62.4(2014):450-453.
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