摘要
目的 探讨机械性眼外伤分类系统对开放性眼外伤预后评价的意义.方法 连续入选2011年4月至2014年3月住院开放性眼外伤连续病例140例（142眼）,对眼外伤的类型、程度、区域、相对性瞳孔传入障碍（RAPD）及其他可能影响预后的因素如前房积血、外伤性白内障、继发性青光眼、视神经挫伤、玻璃体积血、眼内容物脱出、就诊延迟时间、手术次数、伤口长度等进行单因素及多因素逐步Logistic回归分析,以观察对视力预后的影响.结果 病例随访至少6个月,最终视力好（视力≥0.5）29眼占20.42％,最终视力差（视力＜0.5）113只眼,占79.58％.单因素分析显示：损伤类型、损伤程度、损伤区域、手术次数、伤口长度、就诊延误时间是影响视力预后的危险因素.多因素逐步Logistic回归分析显示：损伤区域、损伤程度、损伤类型及伤口长度是影响预后视力的独立危险因素.结论 损伤程度、区域、类型及伤口长度是影响开放性眼外伤视力预后的主要因素.机械性眼外伤分类系统有助于开放性眼外伤的预后判断.
Objective To evaluate the value of mechanical injury classifying system on prognostic judgement of the open-globe injuries.Methods Medical records of 142 eyes of 140 consecutive patients with open-globe injury were retrospectively reviewed.Specific variables of a system for classifying mechanical injuries of the eye were analyzed including the type of injury,grade of injury,zone of injury,and relative afferent pupillary defect.Additional variables,such as hyphema,traumatic cataract,vitreous hemorrhage,secondary glaucoma,optic nerve contusion,elapsed time between the injury and presentation,number of operation,prolapse of intraocular contents,and length of the wound were also included in the analysis.Final visual outcome were recorded.Data were analyzed for predictors with univariate analysis and multivariate logistic regression analysis.Results After a follow-up of 6 months,the visual acuity was 0.5 or better in 29 eyes （20.42%）,and worse than 0.5 in 113 eyes （79.58%）.According to univariate analysis results,the following parameters were predictors of visual outcome including type of injury,grade of injury,zone of injury,number of operation,length of the wound,and elapsed time between the injury and presentation.However,multivariate logistic regression analyses revealed that zone of injury,grade of injury,type of injury and length of the wound were the only significant factors for visual outcome.Conclusion Zone of injury,grade of injury,type of injury and length of the wound are significant prognostic factors for visual outcome in open-globe injury.The classification system may be an useful prognostic tool for visual outcome in open-globe injury.
出处
《中华眼外伤职业眼病杂志》
2015年第5期349-353,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
基金
江苏省南通市社会事业科技创新与示范项目HS2013059
关键词
眼外伤
开放性
分类法
视力
预后
Injury,open-globe
Classification
Visual acuity
Prognosis
