De Juan E, Sternberg P, Michels R G
Ophthalmology. 1983 Nov;90(11):1318-22. doi: 10.1016/s0161-6420(83)34387-6.
The authors studied the hospital records of 453 patients who underwent primary surgical repair of penetrating ocular injuries at the Wilmer Institute from January 1970 through December 1981. The injury was due to blunt force in 22%, a sharp laceration in 37%, and a missile in 41%. The following factors correlated with the final visual outcome: (1) initial visual acuity after the injury, (2) presence of an afferent pupillary defect, (3) type of injury, (4) location and extent of the penetrating wound, (5) type of lens damage, (6) presence and severity of vitreous hemorrhage, and (7) type of intraocular foreign body. This study emphasizes that the prognosis after a penetrating injury is strongly influenced by the nature of the injury and the extent of initial damage.
作者研究了1970年1月至1981年12月期间在威尔默眼科研究所接受穿透性眼外伤一期手术修复的453例患者的医院记录。损伤原因是钝器伤的占22%，锐器伤的占37%，导弹伤的占41%。以下因素与最终视力结果相关：（1）伤后的初始视力，（2）传入性瞳孔障碍的存在，（3）损伤类型，（4）穿透伤口的位置和范围，（5）晶状体损伤类型，（6）玻璃体出血的存在及严重程度，以及（7）眼内异物类型。本研究强调，穿透性损伤后的预后受损伤性质和初始损伤程度的强烈影响。
