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学科主题: 临床医学
题名:
CASE-CONTROL STUDY OF RISK FACTORS FOR NO LIGHT PERCEPTION AFTER OPEN-GLOBE INJURY Eye Injury Vitrectomy Study
作者: Feng, Kang1; Shen, Lijun2; Pang, Xiuqin3; Jiang, Yanrong4; Nie, Hongping5; Wang, Zhijun6; Hu, Yuntao1; Ma, Zhizhong1
关键词: choroidal damage ; ciliary body damage ; closed funnel retinal detachment ; eye injury ; globe exploration ; no light perception ; open-globe injury ; risk factor ; visual outcome ; vitreoretinal surgery
刊名: RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES
发表日期: 2011-11-01
DOI: 10.1097/IAE.0b013e318213d8c7
卷: 31, 期:10, 页:1988-1996
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]: OCULAR TRAUMA ; EPIDEMIOLOGY ; HEMORRHAGE ; CLASSIFICATION ; POPULATION ; AUSTRALIA ; SINGAPORE ; RABBITS ; VISION
英文摘要:

Purpose: Investigate possible risk factors of no light perception (NLP) after open-globe injury. Explore whether these risk factors are predictors for an unfavorable visual outcome.

Methods: This case-control study matched 72 eyes with NLP according to type and zone of injury to 2 controls per case with light perception or better vision. Cases were selected from the Eye Injury Vitrectomy Study database. All injured eyes in the study underwent surgical intervention.

Results: Ciliary body damage (odds ratio = 2.94), closed funnel retinal detachment (odds ratio = 2.43), and choroidal damage (odds ratio = 2.80) were independent risk factors for NLP after open-globe injury. There were 67 traumatized eyes with NLP that had >= 1 of these risk factors. In 43 of the cases (64.2%), the eyes recovered light perception or better after vitreoretinal surgery. The five traumatized NLP cases without these risk factors obtained a favorable visual outcome after vitreoretinal surgery. There was no statistical significance in visual outcome between them (P = 0.162).

Conclusion: Ciliary body damage, closed funnel retinal detachment, and choroidal damage are independent risk factors for NLP posttrauma but not prognostic indicators for NLP visual outcome. Traumatized eyes with NLP may recover light perception or better vision if appropriate interventional measures are used for treatment of the injured ciliary body, retina, and choroid. RETINA 31:1988-1996, 2011

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
WOS记录号: WOS:000296558500003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66866
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: 1.Peking Univ, Ctr Eye, Hosp 3, Beijing 100191, Peoples R China
2.Hosp Optometry & Ophthalmol, Wenzhou Med Coll, Wenzhou, Zhejiang, Peoples R China
3.Capital Univ Med Sci, Dept Ophthalmol, Tongren Hosp, Beijing, Peoples R China
4.Peking Univ, Peoples Hosp, Dept Ophthalmol, Beijing 100191, Peoples R China
5.Peking Univ, Dept Ophthalmol, Hosp 1, Beijing 100191, Peoples R China
6.Chinese Peoples Liberat Army Gen Hosp, Beijing, Peoples R China

Recommended Citation:
Feng, Kang,Shen, Lijun,Pang, Xiuqin,et al. CASE-CONTROL STUDY OF RISK FACTORS FOR NO LIGHT PERCEPTION AFTER OPEN-GLOBE INJURY Eye Injury Vitrectomy Study[J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES,2011,31(10):1988-1996.
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