Ho Haochi, Foo Jane, Li Yi-Chiao, Bobba Samantha, Go Christopher, Chandra Jaya, Fung Adrian T
Department of Ophthalmology, Westmead Hospital, Corner of Hawkesbury and Darcy Roads, Westmead, Sydney, NSW, 2145, Australia.
Sarawak General Hospital, Kuching, Sarawak, Malaysia.
BMC Ophthalmol. 2021 Apr 10;21(1):173. doi: 10.1186/s12886-021-01929-z.
To identify prognostic factors determining final visual outcome following open globe injuries.
Retrospective case series of patients presenting to Westmead Hospital, Sydney, Australia with open globe injuries from 1st January 2005 to 31st December 2017. Data collected included demographic information, ocular injury details, management and initial and final visual acuities.
A total of 104 cases were identified. Predictors of poor final visual outcomes included poor presenting visual acuity (p < 0.001), globe rupture (p < 0.001), retinal detachment (p < 0.001), Zone III wounds (p < 0.001), hyphema (p = 0.003), lens expulsion (p = 0.003) and vitreous hemorrhage (p < 0.001). Multivariate analysis demonstrated presenting visual acuity (p < 0.001), globe rupture (p = 0.013) and retinal detachment (p = 0.011) as being statistically significant for predicting poor visual outcomes. The presence of lid laceration (p = 0.197) and uveal prolapse (p = 0.667) were not significantly associated with the final visual acuity.
Poor presenting visual acuity, globe rupture and retinal detachment are the most important prognostic factors determining final visual acuity following open globe injury.
确定开放性眼球损伤后决定最终视力结果的预后因素。
对2005年1月1日至2017年12月31日在澳大利亚悉尼韦斯特米德医院就诊的开放性眼球损伤患者进行回顾性病例系列研究。收集的数据包括人口统计学信息、眼外伤细节、治疗情况以及初始和最终视力。
共确定104例病例。最终视力不佳的预测因素包括就诊时视力差（p < 0.001）、眼球破裂（p < 0.001）、视网膜脱离（p < 0.001）、Ⅲ区伤口（p < 0.001）、前房积血（p = 0.003）、晶状体脱位（p = 0.003）和玻璃体积血（p < 0.001）。多变量分析表明，就诊时视力（p < 0.001）、眼球破裂（p = 0.013）和视网膜脱离（p = 0.011）对预测视力不佳具有统计学意义。眼睑裂伤（p = 0.197）和葡萄膜脱出（p = 0.667）的存在与最终视力无显著相关性。
就诊时视力差、眼球破裂和视网膜脱离是决定开放性眼球损伤后最终视力的最重要预后因素。
