角膜盲的病因：一项多中心回顾性研究。
Causes of corneal blindness: a multi-center retrospective review.
作者信息
Prabhasawat Pinnita, Trethipwanit Kanok-orn, Prakairungthong Nualjira, Narenpitak Sudarat, Jaruroteskulchai Sunsern, Anantachai Jirapas
机构信息
Department of Ophthalmology, Siriraj Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand.
出版信息
J Med Assoc Thai. 2007 Dec;90(12):2651-7.
OBJECTIVE
To assess prevalence and causes of corneal blindness in four hospitals in Thailand and to compare the causes between hospitals.
MATERIAL AND METHOD
A retrospective chart review of six hundred and sixty four patients records with best-corrected visual acuity not better than 6/60 in at least one eye due to corneal disease in Siriraj, Mettapracharak, Sappasitthiprasong and Banmee Hospitals in a one-year period were reviewed. The collected data included age, sex, laterality, causes of corneal blindness, and prognosis.
RESULTS
Seven hundred and sixty nine eyes with corneal blindness and a median age of 55.0 years were reviewed Leading causes of cornea blindness were corneal infection (35.6%), surgical bullous keratopathy (27.8%), and trauma (14.0%). The prevalence at Siriraj Hospital was 1.7% (498/28,728 patients). Most of the treatable cases (84.6%) underwent penetrating keratoplasty procedures and 73% of patients had a chance of recovery.
CONCLUSION
Corneal infection and surgical bullous keratopathy were the leading causes of corneal blindness.
目的
评估泰国四家医院角膜盲的患病率及病因，并比较各医院之间的病因差异。
材料与方法
对诗里拉吉医院、玛塔普拉查拉克医院、萨帕西提普拉松医院和班米医院一年内664例因角膜疾病导致至少一只眼睛最佳矫正视力不超过6/60的患者病历进行回顾性图表审查。收集的数据包括年龄、性别、患侧、角膜盲病因及预后情况。
结果
对769只角膜盲眼睛进行了审查，中位年龄为55.0岁。角膜盲的主要病因是角膜感染（35.6%）、手术性大疱性角膜病变（27.8%）和外伤（14.0%）。诗里拉吉医院的患病率为1.7%（498/28728例患者）。大多数可治疗病例（84.6%）接受了穿透性角膜移植手术，73%的患者有恢复机会。
结论
角膜感染和手术性大疱性角膜病变是角膜盲的主要病因。
Zotero 插件