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学科主题: 临床医学
题名:
Prognostic Indicators for No Light Perception After Open-Globe Injury: Eye Injury Vitrectomy Study
作者: Feng, Kang; Hu, Yun Tao; Ma, Zhizhong
刊名: AMERICAN JOURNAL OF OPHTHALMOLOGY
发表日期: 2011-10-01
DOI: 10.1016/j.ajo.2011.04.004
卷: 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
所属项目编号: 03-9-02
项目资助者: PEKING UNIVERSITY HEALTH SCIENCE CENTER ; 211 Evidence-Based Medicine Discipline Groups, Beijing, China
WOS记录号: WOS:000295657800019
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55046
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: Peking Univ, Hosp 3, Ctr Eye, Beijing 100191, Peoples R China

Recommended Citation:
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.
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