Gursoy Huseyin, Bilgec Mustafa Deger, Sahin Afsun, Colak Ertugrul
Department of Ophthalmology, Eskisehir Osmangazi University Medical Faculty, Eskisehir, Turkey.
Department of Biostatistics, Eskisehir Osmangazi University Medical Faculty, Eskisehir, Turkey.
J Ophthalmol. 2017;2017:1320457. doi: 10.1155/2017/1320457. Epub 2017 Jan 12.
. To analyze the effects of factors other than the ocular trauma score parameters on visual outcomes in open globe injuries. . Open globe injuries primarily repaired in our hospital were reviewed. The number of surgeries, performance of pars plana vitrectomy (PPV), lens status, affected tissues (corneal, scleral, or corneoscleral), intravitreal hemorrhage, intraocular foreign body, glaucoma, anterior segment inflammation, loss of iris tissue, cutting of any prolapsed vitreous in the primary surgery, penetrating injury, and the time interval between the trauma and repair were the thirteen variables evaluated using linear regression analysis. . In total, 131 eyes with a mean follow-up of 16.1 ± 4.7 (12-36) months and a mean age of 33.8 ± 22.2 (4-88) years were included. The regression coefficients were 0.502, 0.960, 0.831, -0.385, and -0.506 for the performance of PPV, aphakia after the initial trauma, loss of iris tissue, penetrating injury, and cutting of any prolapsed vitreous in the primary surgery, respectively ( < 0.05 for these variables). . The performance of PPV, aphakia after the initial trauma, and loss of iris tissue were associated with poor visual outcomes, whereas cutting any prolapsed vitreous in the primary repair and penetrating-type injury were associated with better visual outcomes.
分析开放性眼球损伤中除眼外伤评分参数外的其他因素对视力预后的影响。回顾我院主要进行修复的开放性眼球损伤病例。手术次数、玻璃体切割术（PPV）的实施情况、晶状体状态、受累组织（角膜、巩膜或角巩膜）、玻璃体积血、眼内异物、青光眼、前段炎症、虹膜组织缺失、一期手术中对任何脱垂玻璃体的切除、穿透伤以及外伤与修复之间的时间间隔是使用线性回归分析评估的13个变量。总共纳入了131只眼，平均随访时间为16.1±4.7（12 - 36）个月，平均年龄为33.8±22.2（4 - 88）岁。PPV的实施、初始外伤后的无晶状体、虹膜组织缺失、穿透伤以及一期手术中对任何脱垂玻璃体的切除的回归系数分别为0.502、0.960、0.831、 - 0.385和 - 0.506（这些变量P < 0.05）。PPV的实施、初始外伤后的无晶状体以及虹膜组织缺失与不良视力预后相关，而一期修复中切除任何脱垂玻璃体和穿透性损伤与较好的视力预后相关。
