日本患者职业性开放性眼球损伤的临床特征和视力预后。
Clinical characteristics and visual outcomes of work-related open globe injuries in Japanese patients.
机构信息
Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Department of Ophthalmology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
出版信息
Sci Rep. 2020 Jan 27;10(1):1208. doi: 10.1038/s41598-020-57568-9.
PURPOSE
To investigate the clinical characteristics and visual outcomes of patients with work-related open globe injuries (OGIs) and compare them with patients with non-work-related OGIs.
DESIGN
Retrospective, observational, multicentre, case-control study.
METHODS
A total of 374 patients with work-related OGIs and 170 patients with non-work-related OGIs who presented to hospitals that belong to the Japan-Clinical Research of Study group from 2005 to 2015 were included in this study. Clinical data including age, sex, initial and final visual acuity, type of open globe injury, lens status, zone of injury, wound length, and presence of proliferative vitreoretinopathy, retinal detachment, expulsive haemorrhage, and endophthalmitis were recorded.
MAIN OUTCOME MEASURES
Visual acuity. Results Work-related OGIs were associated with younger age, male sex, better initial and final visual acuity, more laceration, smaller wounds, presence of retinal detachment, and expulsive haemorrhage, compared with non-work-related OGIs. Multiple regression analysis revealed that final visual acuity is significantly associated with initial visual acuity, wound length, and the presence of proliferative vitreoretinopathy in work-related OGIs.
CONCLUSIONS
Work-related OGIs showed better visual outcomes than other OGIs. Initial visual acuity, wound length, and the presence of proliferative vitreoretinopathy are predictors of visual outcomes in patients with work-related OGIs.
目的
研究职业性开放性眼球损伤（OGI）患者的临床特征和视力预后，并与非职业性 OGIs 患者进行比较。
设计
回顾性、观察性、多中心、病例对照研究。
方法
本研究纳入了 2005 年至 2015 年期间向属于日本临床研究组的医院就诊的 374 例职业性 OGIs 患者和 170 例非职业性 OGIs 患者。记录了包括年龄、性别、初始和最终视力、开放性眼球损伤类型、晶状体状态、损伤区、伤口长度以及是否存在增生性玻璃体视网膜病变、视网膜脱离、眼内出血和眼内炎等临床数据。
主要观察指标
视力。
结果
与非职业性 OGIs 相比，职业性 OGIs 患者更年轻、男性居多、初始和最终视力更好、更多为裂伤、伤口更小、更易发生视网膜脱离和眼内出血。多因素回归分析显示，最终视力与初始视力、伤口长度和增生性玻璃体视网膜病变的存在显著相关。
结论
职业性 OGIs 的视力预后优于其他 OGIs。初始视力、伤口长度和增生性玻璃体视网膜病变的存在是职业性 OGIs 患者视力预后的预测因素。
Zotero 插件