Department of Opthalmology, Manchester Royal Eye Hospital, Lister Centre, Manchester, UK.
Eye (Lond). 2009 Mar;23(3):621-5. doi: 10.1038/eye.2008.32. Epub 2008 Mar 7.
Eye injuries are the leading cause of monocular blindness in children and are challenging to manage. However, limited follow-up studies currently exist. We describe the clinical characteristics and outcomes of open globe injuries presenting to a major UK centre and discuss factors affecting long-term prognosis.
Identification of (1) demographic features, (2) causes, types and location of injuries, (3) initial clinical features and correlation with visual outcome, and (4) predictors of poor visual outcome.
Retrospective study by reviewing and analysing records of 20 patients, aged 16 years and below, who had undergone repair of an open globe injuries at the Manchester Royal Eye Hospital, UK. Data recorded included demographic data, mechanisms and location of injury, visual acuity, clinical signs on presentation, surgical procedures, postoperative complications, and final visual acuity.
The study group comprised of 85% male subjects, 15% female subjects. The average age was 9.8 years (range: 1-15). Average follow-up was 16.3 months (range: 3-48 months). Sharp objects (mainly glass or knife) accounted for the majority (65%) of injuries. Initial clinical signs associated with poor visual outcomes included poor initial visual acuity, cataract, RAPD, and no initial red reflex. Younger patients and blunt injuries (especially BB gun injuries) had worse visual outcomes.
Factors suggesting unfavourable final visual acuity after open globe injuries in children are (1) young age at presentation, (2) poor initial visual acuity, (3) presence of a relative afferent papillary defect, (4) absence of red reflex, (5) cataract, and (6) types and number of surgeries performed.Awareness and education with regard to prevention of paediatric injuries need to be actively implemented.
眼部损伤是儿童单眼失明的主要原因，且处理具有挑战性。然而，目前相关的随访研究有限。我们描述了在英国一家主要中心就诊的开放性眼球损伤患者的临床特征和结局，并讨论了影响长期预后的因素。
确定（1）人口统计学特征，（2）病因、损伤类型和部位，（3）初始临床特征与视力结局的相关性，以及（4）视力预后不良的预测因素。
回顾性研究，分析了在英国曼彻斯特皇家眼科医院接受开放性眼球损伤修复手术的 20 名 16 岁及以下患者的记录。记录的数据包括人口统计学数据、损伤机制和部位、视力、就诊时的临床体征、手术程序、术后并发症以及最终视力。
研究组包括 85%的男性和 15%的女性，平均年龄为 9.8 岁（范围：1-15 岁）。平均随访时间为 16.3 个月（范围：3-48 个月）。锐器（主要是玻璃或刀）造成的损伤占大多数（65%）。与视力不良结局相关的初始临床特征包括初始视力差、白内障、相对性传入性瞳孔障碍（RAPD）和初始无红光反射。较年轻的患者和钝器伤（特别是气枪伤）的视力结局更差。
儿童开放性眼球损伤后视力预后不良的因素包括（1）就诊时年龄较小，（2）初始视力差，（3）存在相对性传入性瞳孔障碍，（4）无红光反射，（5）白内障，以及（6）手术的类型和次数。需要积极开展针对儿童损伤预防的宣传和教育。
