Porapaktham Tuangprot, Choovuthayakorn Janejit, Nanegrungsunk Onnisa, Phinyo Phichayut, Tanasombatkul Krittai, Watanachai Nawat, Kunavisarut Paradee, Chaikitmongkol Voraporn, Patikulsila Direk
Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Clinical Epidemiology and Clinical Statistics Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Clin Ophthalmol. 2023 Jan 25;17:365-373. doi: 10.2147/OPTH.S401643. eCollection 2023.
To determine characteristics and factors associated with no vision survival (included no light perception, enucleation, and evisceration) following open globe injury (OGI) and to correlate the proportion of final vision to predictive values of ocular trauma score (OTS).
The medical records of consecutive patients diagnosed as OGI between January 2015 and December 2020 were retrospectively reviewed. Data collected included demographics, mechanisms and modes of injuries, ophthalmic presentations, managements, and visual outcomes at the final visit.
Three hundred and seventy-one patients with a mean (standard deviation, SD) age of 44.0 (17.4) years were included. Male with workplace injury was the most frequent scenario. High-velocity metallic objects were the predominant causative materials. Following treatments, fifty-six eyes (14.9%) obtained no vision survival. Factors associated with no vision survival following OGI were low presenting vision, globe perforation, larger wound, presence of relative afferent pupillary defect, retinal detachment, and vitreous hemorrhage. Compared to OTS predictive values, eyes in OTS categories 1 and 2 had a lower proportion of no vision survival.
This study identified the importance of workplace injuries. Overall, there were comparable final visions between OTS and this study. However, a reduced proportion of no vision survival among severely injured eyes signifies the challenges of OGI management.
确定开放性眼球损伤（OGI）后无光感存活（包括无光感、眼球摘除和眼内容剜除）的特征及相关因素，并将最终视力比例与眼外伤评分（OTS）的预测值进行关联。
回顾性分析2015年1月至2020年12月期间连续诊断为OGI的患者的病历。收集的数据包括人口统计学资料、损伤机制和方式、眼科表现、治疗方法以及末次随访时的视力结果。
纳入371例患者，平均（标准差，SD）年龄为44.0（17.4）岁。男性在工作场所受伤是最常见的情况。高速金属物体是主要的致伤物。治疗后，56只眼（14.9%）无光感存活。OGI后无光感存活的相关因素包括初始视力低、眼球穿孔、伤口较大、存在相对性传入瞳孔障碍、视网膜脱离和玻璃体出血。与OTS预测值相比，OTS 1类和2类的眼中无光感存活的比例较低。
本研究确定了工作场所受伤的重要性。总体而言，OTS与本研究的最终视力相当。然而，重伤眼中无光感存活比例的降低表明了OGI治疗的挑战。
