Eye and ENT Hospital of Fudan University, Fenyang Road, No 83, Shanghai, China.
BMC Ophthalmol. 2020 Jan 31;20(1):40. doi: 10.1186/s12886-020-1317-5.
We aimed to evaluate the severity and prognosis of posterior segment injury between left-behind children (LBC) and guarded children (NLBC).
A retrospective, controlled analysis of a case series was performed. Patients diagnosed with posterior segment injury in Department of vitreous and retinal, the Affiliated Ophthalmology and Otolaryngology Hospital of Fudan University were included in this study. Patients were divided into two groups, including LBC group (n = 48) and NLBC group (n = 44). All the children underwent 25G transconjunctival sutureless pars plana vitrectomy.
Compared with NLBC, LBC had delayed treatment, worse baseline vision and visual prognosis, lower OTS rating, more times of vitrectomies, more complicated surgical procedures, and higher rate of lens removal and silicone oil tamponade.
Due to lack of care and delayed treatment, posterior segment ocular trauma in the LBC was more severe, more common complicated with infectious endophthalmitis, and had worse visual prognosis. It was urgent to enforce the guardianship in LBC.
我们旨在评估留守儿童（LBC）和非留守儿童（NLBC）的后段损伤严重程度和预后。
对玻璃体视网膜疾病科的病例系列进行回顾性、对照分析。纳入本研究的患者均诊断为后段损伤，所有患儿均接受 25G 经结膜无缝合巩膜外玻璃体切除术。将患儿分为 LBC 组（n=48）和 NLBC 组（n=44）。
与 NLBC 相比，LBC 治疗延迟，基线视力和视力预后更差，OTS 评分更低，玻璃体切除术次数更多，手术更复杂，晶状体切除和硅油填充的比例更高。
由于缺乏照顾和治疗延迟，LBC 的后段眼部创伤更严重，更常见的是感染性眼内炎，且视力预后更差。迫切需要加强对 LBC 的监护。
