Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, Singapore.
Department of Ophthalmology, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India.
Int Ophthalmol. 2020 Nov;40(11):2797-2806. doi: 10.1007/s10792-020-01429-x. Epub 2020 Jun 15.
To evaluate the factors influencing final visual outcome after surgical repair of open globe injuries (OGIs) and to correlate the Ocular Trauma Score (OTS) system.
Prospective cross-sectional study of patients with OGIs from International Globe and Adnexal Trauma Epidemiology Study (IGATES) database at a tertiary referral eye centre in Central India over 2 years. Pre-operative factors affecting final visual outcome and correlation with OTS were evaluated.
208 patients had ocular trauma, of which data from 42 eyes with OGIs were reviewed. The majority of the patients were men (32, 76.2%) below the age of 40 (31, 73.8%). Patients were followed up for at least 6 months. Initial visual acuity (VA) was ≥ 20/40; 2 (4.8%), 20/200 to 20/50; 2 (4.8%), 1/200 to 19/200; 7 (16.7%), LP to HM; 26 (61.9%) and NLP (5, 11.9%). Final VA was ≥ 20/40; 1 (2.4%), 20/50 to 20/200; 8 (19.1%), 1/200 to 19/200; 9 (21.4%), LP to HM; 17 (40.5%) and NLP; 7 (16.7%). Univariate analysis of pre-operative variables showed initial VA (p = 0.0004), presence of hyphaema (p = 0.0323), laceration involving cornea visual axis (p = 0.0192) and retinal detachment (p = 0.0299) were significant prognostic factors in final visual outcome. OTS in our study does not fully correlate with international OTS system.
Initial VA, hyphaema, visual-axis involving cornea laceration and retinal detachment are significant prognostic factors in OGIs. OTS remains a largely effective tool in counselling trauma patients.
评估影响开放性眼外伤（OGI）手术修复后最终视力结果的因素，并对眼外伤评分（OTS）系统进行相关性分析。
这是一项在印度中部一家三级转诊眼科中心进行的为期 2 年的国际眼球和附属器创伤流行病学研究（IGATES）数据库中患有 OGIs 的患者的前瞻性横断面研究。评估了术前影响最终视力结果的因素，并与 OTS 进行了相关性分析。
208 例患者发生了眼部创伤，其中对 42 例 OGIs 患者的数据进行了回顾性分析。大多数患者为男性（32 例，76.2%），年龄均在 40 岁以下（31 例，73.8%）。所有患者的随访时间至少为 6 个月。最初的视力（VA）≥20/40 者为 2 例（4.8%），20/200-20/50 者为 2 例（4.8%），1/200-19/200 者为 7 例（16.7%），光感至手动者为 26 例（61.9%），无光感者为 5 例（11.9%）。最终 VA≥20/40 者为 1 例（2.4%），20/50-20/200 者为 8 例（19.1%），1/200-19/200 者为 9 例（21.4%），光感至手动者为 17 例（40.5%），无光感者为 7 例（16.7%）。对术前变量的单因素分析显示，初始 VA（p=0.0004）、前房积血（p=0.0323）、累及角膜视轴的裂伤（p=0.0192）和视网膜脱离（p=0.0299）是最终视力结果的显著预后因素。在我们的研究中，OTS 与国际 OTS 系统不完全相关。
初始 VA、前房积血、累及角膜视轴的裂伤和视网膜脱离是 OGIs 的显著预后因素。OTS 仍然是一种对创伤患者进行咨询的有效工具。
