控制与眼内异物并发的膜撕裂以及影响结果的因素
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Srishti Raksheeth Ramamurthy1,2, Anthony Vipin Das3, Rupesh Agrawal4,5,6,7
1Academy for Eye Care Education, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India.
Eye (London, England)
|August 2, 2023
概括
有留在眼内外体的膜撕裂有34.5%的有利视觉结果. 眼内膜炎的缺失和成功的异物清除显著改善了这些眼睛损伤的解剖结果.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 眼睛的创伤 眼睛的创伤
背景情况:
- 带有留存眼内外体 (RIOFB) 的膜撕裂是严重的眼睛损伤.
- 在这些情况下,预测结果对于有效管理至关重要.
研究的目的:
- 为了确定临床环境和预测结局的因素,在患有膜撕裂和RIOFB的患者.
- 分析特定因素与解剖和功能恢复之间的关联.
主要方法:
- 从2014年1月到2021年1月,对139个眼睛进行了回顾性分析,这些眼睛具有膜/角膜膜伤口和RIOFB,从2014年1月到2021年1月.
- 确定有利的解剖结果 (球体完整性,视网膜附着,没有低垂体/炎症) 和功能结果 (视觉敏度> 20/200).
- 使用几率比率 (OR) 来确定预测因素的统计分析.
主要成果:
- 34.5%的眼睛获得了有利的功能结果,而2/3的眼睛具有有利的解剖结果.
- 缺少内炎 (OR=6.25) 和成功移除异物 (OR=7.05) 预测了有利的解剖结果.
- 更好地呈现视敏度 (OR=2.77),明显的膜撕裂 (OR=3.36),以及缺少内眼炎 (OR=50) 预测了有利的功能结果.
结论:
- 有很大比例的眼睛具有膜撕裂和RIOFB,可以获得有利的解剖结果,但视觉结果不那么有利.
- 缺少内炎是有利的解剖学和功能结果的关键预测因素.
- 早期干预和感染管理是改善患者预后的关键.
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