Department of Ophthalmology, Kayseri Research and Training Hospital, Kayseri, Turkey.
Department of Ophthalmology, Gulhane Medical School, Ankara, Turkey.
Eye (Lond). 2019 Mar;33(3):392-397. doi: 10.1038/s41433-018-0218-9. Epub 2018 Sep 26.
To determine prognostic factors for open-globe Injuries (OGI).
Open-globe injuries referred to a tertiary referral clinic in Turkey between January 1998 and January 2016 were retrospectively analyzed. Univariate and multivariate logistic regression analyses were conducted to find out the most important variables for poor visual outcome.
Six hundred and thirty-three patients were studied with an average age of 24.37 ± 11.1 years (range 1-80).The male/female ratio was 18.6/1. Most of the cases (48.2%) were conflict related, whereas the rate of work, accidental, and sports related cases were (33.1%), (17.9%) and (0.01%), respectively. Final visual acuity (VA) ranged from no perception of light (23%) to 200/200 (17.1%). The number of cases with a final VA > 20/200 were 388 (49.3%). Initial visual acuity < 20/200, ocular trauma score category 1, zone 3 injury, additional vitrectomy surgery, and lens damage were found to be the main variables related with poor visual outcome in multivariate logistic regression analysis.
Besides ocular trauma score category and initial VA; zone of injury, additional surgeries, and initial lens damage had negative effects on visual outcome in OGI.
确定开放性眼外伤（OGI）的预后因素。
回顾性分析了 1998 年 1 月至 2016 年 1 月期间在土耳其一家三级转诊诊所就诊的开放性眼外伤患者。进行单变量和多变量逻辑回归分析，以找出对视力预后不良最重要的变量。
研究了 633 例患者，平均年龄为 24.37±11.1 岁（范围 1-80）。男女比例为 18.6:1。大多数病例（48.2%）与冲突有关，而工作、意外和运动相关的病例比例分别为（33.1%）、（17.9%）和（0.01%）。最终视力从无光感（23%）到 200/200（17.1%）不等。最终视力>20/200 的病例数为 388 例（49.3%）。在多变量逻辑回归分析中，初始视力<20/200、眼外伤评分类别 1、3 区损伤、附加玻璃体切除术和晶状体损伤被认为是与视力预后不良相关的主要变量。
除了眼外伤评分类别和初始视力外；损伤区域、附加手术和初始晶状体损伤对 OGI 的视力结果有负面影响。
