Bai Hai-Qing, Yao Lin, Meng Xu-Xia, Wang Yun-Xiao, Wang Da-Bo
Department of Ophthalmology, Affiliated Hospital of Medical College, Qingdao University, Qingdao, China.
Eur J Ophthalmol. 2011 Jan-Feb;21(1):98-103. doi: 10.5301/ejo.2010.2210.
To determine the main prognostic factors related to final visual acuity (VA) after intraocular ocular foreign body (IOFB) extraction.
We performed a retrospective chart review of 80 patients (84 eyes) who underwent surgical removal of IOFBs and repair of associated ocular trauma. Data on age, gender, presenting clinical features, characteristics of IOFB, complications, interval between time of injury and IOFB removal, and final VA were recorded and analyzed.
Male adults were the major population affected by IOFBs. Improved vision outcome was obtained after the removal of IOFBs and surgical repair of the eyes (p=0.011). Factors showing statistical association with final VA included initial VA (p=0.000), size of IOFB (p=0.010), IOFB location inside the eye (p=0.000), and preoperative retinal detachment (p=0.011). Factors showing no statistical association with final VA included nature of IOFB (p=0.445), entrance wound location, other IOFB-related complications (such as cataract, vitreous hemorrhage, secondary glaucoma, hyphema, endophthalmitis, siderosis, and atrophia bulbi), and interval between injury and IOFB removal.
Prognostic factors for poor final VA related to IOFBs included poor initial VA, large IOFB size, posterior segment location, and preoperative retinal detachment.
确定与眼内异物（IOFB）取出术后最终视力（VA）相关的主要预后因素。
我们对80例（84只眼）接受IOFB手术取出及相关眼外伤修复的患者进行了回顾性病历审查。记录并分析了患者的年龄、性别、就诊时的临床特征、IOFB的特点、并发症、受伤至IOFB取出的间隔时间以及最终视力。
成年男性是受IOFB影响的主要人群。IOFB取出及眼部手术修复后视力得到改善（p = 0.011）。与最终视力有统计学关联的因素包括初始视力（p = 0.000）、IOFB大小（p = 0.010）、IOFB在眼内的位置（p = 0.000）以及术前视网膜脱离（p = 0.011）。与最终视力无统计学关联的因素包括IOFB的性质（p = 0.445）、入口伤口位置、其他与IOFB相关的并发症（如白内障、玻璃体积血、继发性青光眼、前房积血、眼内炎、铁锈症和眼球萎缩）以及受伤至IOFB取出的间隔时间。
与IOFB相关的最终视力不佳的预后因素包括初始视力差、IOFB尺寸大、后段位置以及术前视网膜脱离。
