Bastiaensen L A
Doc Ophthalmol. 1981 Mar 20;50(2):213-31. doi: 10.1007/BF00158002.
In the literature there is agreement about the variable prognosis of an ocular perforation, but analysis of the factors which affect the prognosis is rare. In this article the factors which determined the final visual in 60 perforation cases are discussed. One third of the total number of eye lost useful vision (visual acuity less than 0.1) while 43% retained good sight (visual acuity greater than 0.8). The visual outcome is considered for each prognostic factor. It is striking that the three most unfavourable prognostic factors often occur together: a traffic accident, a large to extremely large perforation and a corneo-scleral localization. Suggestions for the prevention of the most frequent causes are made, and early therapeutic measures are described which should be able to be performed in every large clinic.
文献中对于眼穿孔预后的多变性存在共识，但对影响预后因素的分析却很少见。本文讨论了决定60例穿孔病例最终视力的因素。总数的三分之一的眼睛失去了有用视力（视力低于0.1），而43%的眼睛保留了良好视力（视力大于0.8）。针对每个预后因素考虑了视觉结果。令人惊讶的是，三个最不利的预后因素常常同时出现：交通事故、大至极大的穿孔以及角巩膜定位。针对最常见病因提出了预防建议，并描述了早期治疗措施，这些措施应能在每个大型诊所实施。
