开放球损伤后视网膜脱落:风险因素和结果
Alina K Sinha1, Asad F Durrani2, Katie X Li3
1University of Missouri Kansas City School of Medicine, Kansas City, Missouri; Department of Ophthalmology and Visual Sciences, W K Kellogg Eye Center, Ann Arbor, Michigan.
Ophthalmology. Retina
|October 16, 2023
概括
视网膜脱落 (RD) 在开放球损伤 (OGI) 后发生在28.4%的眼睛中,后部损伤和玻璃体出血是关键风险因素. 大多数患者在RD手术后取得了成功的解剖修复和改善视力.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 创伤护理 创伤护理
背景情况:
- 开放球损伤 (OGI) 对二次并发症构成重大风险.
- 视网膜脱落 (RD) 是OGI后的一个严重并发症,影响视觉结果.
- 了解风险因素和修复结果对于管理OGI患者至关重要.
研究的目的:
- 确定在开放球损伤 (OGI) 后视网膜脱落 (RD) 的危险因素.
- 为了评估 RD 修复 OGI 眼睛的结果.
- 为了确定RD修复后OGI后视力敏度的预测因素.
主要方法:
- 追溯的病例控制研究.
- 对786个经过手术管理的OGI进行分析,随访至少30天.
- 多变量回归和卡普兰-梅尔分析以确定风险因素和结果.
主要成果:
- 28.4%的眼睛 (223/786) 在OGI后发展RD,大多数病例在一个月内被诊断出来.
- 后部受伤,玻璃体出血,以及比指数 (CFs) 更糟糕的视力敏度预测了RD的发展.
- RD修复实现了69.7%的单一手术解剖学成功率,最终成功率为88%.
- 51.2%的眼睛在修复后获得了CF或更好的视力.
结论:
- 后部受伤,玻璃体出血和初始视力不佳增加了OGI后的RD风险.
- RD修复为许多患者提供了有利的解剖成功和视觉恢复.
- 之前的眼科手术,增殖性玻璃红蛋白病变,阿法基亚和重新分离与较差的结果有关.
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