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初始视力是视网膜分支静脉阻塞患者的一个重要预后因素。

Initial visual acuity is an important prognostic factor in patients with branch retinal vein occlusion.

机构信息

Department of Ophthalmology, University Hospital, Palacky University, Olomouc, Czech Republic.

出版信息

Ophthalmic Res. 2011;45(4):204-9. doi: 10.1159/000321701. Epub 2010 Nov 16.

Abstract

PURPOSE

To evaluate the role of initial visual acuity (VA) as a potential prognostic factor for final VA in patients with branch retinal vein occlusion (BRVO).

METHODS

A retrospective data analysis involving 163 patients with macular edema secondary to BRVO treated according to the recommendations of the Branch Vein Occlusion Study Group was performed using univariate and multivariate logistic regression models, and receiver-operating characteristics analysis. The analyses take factors into account that can potentially influence final visual result: sex, age, type of occlusion (major temporal or macular), grid photocoagulation and ischemia.

RESULTS

The final VA ≤ 0.1 was statistically significantly related to initial VA ≤ 0.16 and age > 70 years. Sex, type of occlusion, grid photocoagulation and ischemia did not significantly influence the prediction of final VA based on age and initial VA.

CONCLUSIONS

The analysis shows that initial VA and age > 70 years significantly influence the prognosis for final visual results in patients with BRVO.

摘要

目的

评估初始视力(VA)作为预测分支视网膜静脉阻塞(BRVO)患者最终 VA 的潜在预后因素的作用。

方法

对 163 例因 BRVO 导致黄斑水肿的患者进行回顾性数据分析,这些患者根据分支静脉阻塞研究组的建议进行治疗。采用单变量和多变量逻辑回归模型以及受试者工作特征分析。分析考虑了可能影响最终视觉结果的因素:性别、年龄、阻塞类型(主要颞部或黄斑部)、格栅光凝和缺血。

结果

最终 VA≤0.1 与初始 VA≤0.16 和年龄>70 岁有统计学显著关系。性别、阻塞类型、格栅光凝和缺血对基于年龄和初始 VA 预测最终 VA 没有显著影响。

结论

分析表明,初始 VA 和年龄>70 岁显著影响 BRVO 患者最终视觉结果的预后。

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