Liu Yang, Wang Shuang, Li Ying, Gong Qiaoyun, Su Guanfang, Zhao Jinsong
Eye Center, The Second Hospital of Jilin University, 218 Ziqiang Street, Changchun, Jilin 130021, China.
J Ophthalmol. 2019 Feb 13;2019:5208092. doi: 10.1155/2019/5208092. eCollection 2019.
To describe epidemiologic and clinical characteristics and prognostic factors influencing visual outcome after intraocular foreign bodies (IOFBs) injury.
Medical records of 370 patients (373 eyes) with IOFBs were reviewed to identify the factors influencing visual acuity by univariate and multivariate analyses.
The majority of patients (97.0%) were men, with a mean age of 38.1 years. The most common cause of ocular injury was hammering (52.6%); magnetic IOFBs occurred in 84.7% of these cases. Factors associated with poor visual outcome (defined as <1.3 logMAR) included the following: age ≥50 years (=0.046); worse presenting visual acuity ( < 0.001); complications of retinal breaks (=0.006) and endophthalmitis (=0.032); vitrectomy (=0.035); and intraocular CF gas tamponade (=0.038). Excellent visual outcome (defined as ≥0.5 logMAR) was associated with age <50 years (=0.003); better presenting visual acuity (PVA) ( < 0.001); wound length <4 mm (=0.005); absence of vitreous hemorrhage (=0.026) and retinal breaks ( < 0.001); nonvitrectomy surgery (=0.043); and use of balanced saline (=0.029).
Multiple prognostic factors were identified that may predict visual outcome and globe survival after IOFBs injury. Age, initial presenting visual acuity, wound length, complications (vitreous hemorrhage, retinal breaks, and endophthalmitis), surgical approach, and intraocular tamponade were significant predictors of visual outcome.
描述眼内异物（IOFBs）损伤后的流行病学和临床特征以及影响视力预后的因素。
回顾370例（373眼）IOFBs患者的病历，通过单因素和多因素分析确定影响视力的因素。
大多数患者（97.0%）为男性，平均年龄38.1岁。眼外伤最常见的原因是锤击（52.6%）；其中84.7%的病例为磁性IOFBs。与视力预后差（定义为<1.3 logMAR）相关的因素包括：年龄≥50岁（=0.046）；初始视力较差（<0.001）；视网膜裂孔并发症（=0.006）和眼内炎（=0.032）；玻璃体切除术（=0.035）；以及眼内CF气体填塞（=0.038）。良好的视力预后（定义为≥0.5 logMAR）与年龄<50岁（=0.003）；较好的初始视力（PVA）（<0.001）；伤口长度<4 mm（=0.005）；无玻璃体出血（=0.026）和视网膜裂孔（<0.001）；非玻璃体切除手术（=0.043）；以及使用平衡盐溶液（=0.029）有关。
确定了多个可能预测IOFBs损伤后视力预后和眼球存活的预后因素。年龄、初始视力、伤口长度、并发症（玻璃体出血、视网膜裂孔和眼内炎）、手术方式和眼内填塞是视力预后的重要预测因素。
