Makhrash Mashaal A, Gosadi Ibrahim M
Department of Ophthalmology, King Fahd Central Hospital, Ministry of Health, Jazan, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2016 Dec;37(12):1328-1333. doi: 10.15537/smj.2016.12.15545.
To evaluate characteristics and prognostic factors of open globe injuries (OGI) presented to King Fahad Specialist Hospital in the Jazan region, Saudi Arabia. Methods: This study is a retrospective review of medical records of OGI patients who underwent operative repair of their injuries in King Fahad Central Hospital, Jazan, Saudi Arabia between January 2011 and December 2013. Demographic information, eye injury, preoperative, and postoperative visual acuity were collected. The initial and final visual acuity outcomes were compared to identify subjects who witnessed any improvement in their visual acuity. Logistic regression was used to assess characteristics associated with improvements in the visual acuity. Results: Number of included cases was 120. Most frequently reported causes of injury were blunt trauma (20%) and shattered glass (18.3%). Approximately half of the cases were reported to have iris injuries or hyphema. Most cases suffered penetration (37.5%) of the eye globe. Only zone I injury was significantly associated with better visual acuity outcomes (odds ratio [OR]: 2.447, p=0.036). Among the variables that were associated with poorer prognostic outcomes, only aphakia (OR: 0.180), retinal damage (OR: 0.062), vitreous hemorrhage (OR: 0.266), and zone III injuries (OR: 0.092) were statistically significant (p less than 0.05). Conclusion: Zone I injury appears to have a better prognostic effect on visual acuity where injuries related to Zone III were associated with worse prognostic outcomes.
评估沙特阿拉伯吉赞地区法赫德国王专科医院收治的开放性眼球损伤（OGI）的特征及预后因素。方法：本研究是一项对2011年1月至2013年12月期间在沙特阿拉伯吉赞法赫德中央医院接受手术修复损伤的OGI患者病历的回顾性研究。收集人口统计学信息、眼部损伤情况、术前和术后视力。比较初始和最终视力结果，以确定视力有任何改善的受试者。采用逻辑回归分析评估与视力改善相关的特征。结果：纳入病例数为120例。最常报告的损伤原因是钝挫伤（20%）和碎玻璃伤（18.3%）。约一半的病例报告有虹膜损伤或前房积血。大多数病例（37.5%）眼球遭受穿透伤。只有I区损伤与更好的视力结果显著相关（优势比[OR]：2.447，p = 0.036）。在与较差预后结果相关的变量中，只有无晶状体（OR：0.180）、视网膜损伤（OR：0.062）、玻璃体积血（OR：0.266）和III区损伤（OR：0.092）具有统计学意义（p小于0.05）。结论：I区损伤似乎对视力有较好的预后影响，而III区相关损伤与较差的预后结果相关。
