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学科主题临床医学
Prognostic Indicators for No Light Perception After Open-Globe Injury: Eye Injury Vitrectomy Study
Feng, Kang; Hu, Yun Tao; Ma, Zhizhong
刊名AMERICAN JOURNAL OF OPHTHALMOLOGY
2011-10-01
DOI10.1016/j.ajo.2011.04.004
152期:4页:654-662
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]MASSIVE SUPRACHOROIDAL HEMORRHAGE ; TRAUMATIC CHOROIDAL RUPTURE ; PARS-PLANA VITRECTOMY ; SYMPATHETIC OPHTHALMIA ; OCULAR SURVIVAL ; CLASSIFICATION ; SURGERY ; EPIDEMIOLOGY ; MANAGEMENT ; SECONDARY
英文摘要

PURPOSE: To describe ocular characteristics, surgical interventions, and anatomic and visual outcomes of traumatized eyes with no light perception (NLP) following open-globe injury and to investigate prognostic predictors for NLP cases after open-globe injury.

DESIGN: Interventional case series study.

METHODS: Thirty-three traumatized eyes with NLP were selected from the Eye Injury Vitrectomy Study database, a hospital-based multicenter prospective cohort study. Inclusion criteria were NLP cases following open-globe injury with outcomes of anatomic restoration, phthisis bulbi, or enucleation. Exclusion criteria were cases with missing records, undergoing vitrectomy after injury at nonparticipating hospitals, direct optic head injury, endophthalmitis, and hypotonous or silicone oil-sustained eyes. All cases underwent vitreoretinal surgery or enucleation after exploratory surgery and were followed up for at least 6 months. Two outcomes were assessed: favorable outcome (anatomically restored eye globes with light perception [LP] or better vision) and unfavorable outcome (NLP, phthisis bulbi, or enucleation).

RESULTS: The following 7 risk factors were significant between the 2 groups: rupture (P = .021); open globe III (P = .046); scleral wound >= 10 mm (P = .001); ciliary body damage (P < .001); severe intraocular hemorrhage (P = .005); closed funnel retinal detachment or retinal prolapse (P = .005); and choroidal damage (P =.001).

CONCLUSIONS: These 7 risk factors are possible predictors of poor prognosis. Traumatized eyes with NLP can be anatomically restored with LP or better vision if vitreoretinal surgery is attempted, and a favorable anatomic and visual outcome is increased by having a decreased number of these risk factors. (Am J Ophthalmol 2011;152:654-662. (C) 2011 by Elsevier Inc. All rights reserved.)

语种英语
WOS记录号WOS:000295657800019
项目编号03-9-02
资助机构PEKING UNIVERSITY HEALTH SCIENCE CENTER ; 211 Evidence-Based Medicine Discipline Groups, Beijing, China
引用统计
被引频次:26[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/400002259/55046
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, Hosp 3, Ctr Eye, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Feng, Kang,Hu, Yun Tao,Ma, Zhizhong. Prognostic Indicators for No Light Perception After Open-Globe Injury: Eye Injury Vitrectomy Study[J]. AMERICAN JOURNAL OF OPHTHALMOLOGY,2011,152(4):654-662.
APA Feng, Kang,Hu, Yun Tao,&Ma, Zhizhong.(2011).Prognostic Indicators for No Light Perception After Open-Globe Injury: Eye Injury Vitrectomy Study.AMERICAN JOURNAL OF OPHTHALMOLOGY,152(4),654-662.
MLA Feng, Kang,et al."Prognostic Indicators for No Light Perception After Open-Globe Injury: Eye Injury Vitrectomy Study".AMERICAN JOURNAL OF OPHTHALMOLOGY 152.4(2011):654-662.
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