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外伤性白内障手术治疗后开放性和闭合性眼球损伤最终视力结果的对比研究。

Comparative study of final visual outcome between open- and closed-globe injuries following surgical treatment of traumatic cataract.

机构信息

Drashti Netralaya, Nr. GIDC, Chakalia Road, Dahod, 389151, Gujarat, India.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2011 Dec;249(12):1775-81. doi: 10.1007/s00417-011-1732-7. Epub 2011 Jul 7.

DOI:10.1007/s00417-011-1732-7
PMID:21735239
Abstract

OBJECTIVE

The objective of this work is to compare final visual outcomes in cases of surgically treated traumatic cataract between open-globe and closed-globe groups, as classified by the Birmingham Eye Trauma Terminology system.

DESIGN

Observational cohort study.

SETTING

Tertiary eye-care center at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India.

METHODS

We enrolled patients meeting specific inclusion criteria, examined their eyes to review any co-morbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were re-examined 6 weeks postoperatively. We classified the cases of traumatic cataract as either open-globe (group 1) or closed-globe (group 2), according to the Birmingham Eye Trauma Terminology (BETT) system, and compared visual acuity.

OUTCOME MEASURES

Visual Acuity.

RESULTS

Our cohort of 687 eyes with traumatic cataracts included 496 eyes in group 1 and 191 in group 2. Six weeks postoperatively, the visual acuity was >20/60 in 298 (58%) and 75 (39.1%) operated eyes in groups 1 and 2, respectively (p < 0.001, ANOVA). At follow-up, >20/60 vision was significantly higher in group 1 than in group 2 (OR = 1.61; 95% CI, 0.85-3.02). Overall, 373 eyes (54.3%) regained final visual acuity >20/60.

CONCLUSIONS

Open-globe injury has a more favorable prognosis for satisfactory (>20/60) visual recovery after management of traumatic cataracts.

摘要

目的

本研究旨在通过 Birmingham 眼外伤术语系统（BETT）对开放性眼外伤和闭合性眼外伤进行分类，比较两组外伤性白内障手术患者的最终视力结果。

设计

观察性队列研究。

地点

位于印度中西部古吉拉特邦、中央邦和拉贾斯坦邦交界处的三级眼科中心。

方法

我们纳入了符合特定纳入标准的患者，检查了他们的眼睛以评估是否有因外伤导致的合并症，对外伤性白内障进行手术并植入晶状体。患者在术后 6 周进行复查。我们根据 BETT 系统将外伤性白内障病例分为开放性眼外伤（第 1 组）和闭合性眼外伤（第 2 组），并比较视力。

观察指标

视力。

结果

我们的外伤性白内障队列共纳入 687 只眼，其中第 1 组 496 只眼，第 2 组 191 只眼。术后 6 周，第 1 组和第 2 组分别有 298 只（58%）和 75 只（39.1%）手术眼的视力>20/60（p<0.001，方差分析）。随访时，第 1 组的视力>20/60 明显高于第 2 组（OR=1.61；95%CI，0.85-3.02）。总体而言，373 只眼（54.3%）最终视力恢复>20/60。

结论

开放性眼外伤在外伤性白内障手术后获得满意（>20/60）视力恢复的预后较好。

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A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area.一项对地中海地区因眼外伤住院患者的流行病学特征和视力预后的五年回顾性研究。
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Pediatric ocular trauma score as a prognostic tool in the management of pediatric traumatic cataracts.小儿眼外伤评分作为小儿外伤性白内障治疗中的一种预后评估工具。
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Author's response: Maximizing the visual outcome in traumatic cataract cases: the value of a primary posterior capsulotomy and anterior vitrectomy.作者回复：创伤性白内障病例中视觉效果最大化：一期后囊切开术和前部玻璃体切除术的价值。
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Maximizing the visual outcome in traumatic cataract cases: The value of a primary posterior capsulotomy and anterior vitrectomy.创伤性白内障病例中视觉效果最大化：一期后囊切开联合前部玻璃体切除术的价值
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