Han Sang Beom, Yu Hyeong Gon
Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
J Trauma. 2010 Nov;69(5):E66-72. doi: 10.1097/TA.0b013e3181cc8461.
To determine visual outcomes and prognostic factors of open globe injury in Korea and to assess the prognostic power of Ocular Trauma Score (OTS) model.
The medical records of 194 consecutive patients (194 eyes) with open globe injury were reviewed. Data including demographics, mechanisms of injuries, wound sizes and locations, initial visual acuities, presence of intraocular damage and adjacent tissue injuries, and final visual acuities, which was defined as visual acuities at 1 year, after injury were collected and analyzed. Comparison of final visual acuities with those of the OTS study was also performed.
The study group consisted of 160 (82.5%) male and 34 (17.5%) female subjects. The average age was 38.2 ± 17.8 years (range, 2-91 years). One year after injury, visual acuity of light perception or better was attained in 78.4% of the patients, and 20/200 or better in 58.2%. In multivariate analysis, poor initial visual acuity, presence of retinal detachment and relative afferent papillary defect, and larger wound (>10 mm) were related to poor final visual acuities. Final visual acuities assessed using OTS categories were similar to those of OTS study in OTS category 3, 4, and 5, and more favorable in OTS category 1 and 2.
We have identified prognostic factors of open globe injury including initial visual acuity, presence of retinal detachment, relative afferent papillary defect, and wound length. OTS may have prognostic value in open globe injuries in Asian patients.
确定韩国开放性眼球损伤的视觉预后及预后因素，并评估眼外伤评分（OTS）模型的预后预测能力。
回顾了194例连续性开放性眼球损伤患者（194只眼）的病历。收集并分析了包括人口统计学资料、损伤机制、伤口大小和位置、初始视力、眼内损伤及邻近组织损伤情况，以及最终视力（定义为伤后1年的视力）等数据。还将最终视力与OTS研究中的数据进行了比较。
研究组包括160名男性（82.5%）和34名女性（17.5%）。平均年龄为38.2±17.8岁（范围2 - 91岁）。伤后1年，78.4%的患者视力达到光感或更好，58.2%的患者视力达到20/200或更好。多因素分析显示，初始视力差、存在视网膜脱离和相对性传入性瞳孔障碍，以及较大的伤口（>10 mm）与最终视力差相关。使用OTS分类评估的最终视力在OTS分类3、4和5中与OTS研究相似，在OTS分类1和2中更优。
我们确定了开放性眼球损伤的预后因素，包括初始视力、视网膜脱离的存在、相对性传入性瞳孔障碍和伤口长度。OTS在亚洲患者开放性眼球损伤中可能具有预后价值。
