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预测间接创伤性视神经病的视力不良结果的因素:一个回顾性队列研究

Thansit Srisombut¹, Paradee Ittipanichpong², Niracha Arjkongharn³

¹Department of Surgery, Sawanpracharak Hospital, 3 Attakavee, Pak Nam Pho, Mueang Nakhon Sawan, Nakhon Sawan, 60000, Thailand.

|December 13, 2023

概括

高龄和初始视力差是间接创伤性视神经病变 (ITON) 结果差的关键风险因素. 这项研究确定了预测因素,以帮助咨询患者在ITON后的视觉预后.

科学领域:

眼科医生眼科眼科
创伤学创伤学创伤学
神经学神经学

背景情况:

间接创伤性视神经病变 (ITON) 缺乏明确的黄金标准治疗方法.
了解视觉预后和不良结果的风险因素对于患者咨询至关重要.
在泰国人口中,关于ITON的数据有限.

研究的目的:

确定与诊断为ITON的患者视力不佳相关的风险因素.
分析泰国队列中ITON患者的临床特征.
为改善患者管理和咨询提供见解.

主要方法:

两家泰国医院从2016年1月至2022年12月的ITON病例的回顾性审查.
采用二进制物流回归分析来确定视觉预后不佳的风险因素.
评估了临床特征,初始视力敏度和治疗反应.

主要成果:

分析了101名ITON患者 (平均年龄36.17岁,73.3%男性);机动车辆事故是主要原因 (79.2%).
年龄较大 (≥40岁) 和初始视力敏度 (VA) 较差是视力不佳的重要预测因素 (分别为OR 3.447和OR 6.628).
在改善和不改善组之间没有观察到CT发现或对静脉注射葡萄皮质激素的反应的显著差异.

结论:

静脉注射葡萄皮质激素在治疗ITON时没有明显的益处.
40岁或以上的患者和初始视力敏度较差的患者面临较高的不良视力结果风险.
这些发现有助于对ITON的风险分层和患者咨询.

关键词:

间接创伤性视觉神经病变是一种间接创伤性视觉神经病变.静脉注射葡萄糖皮质类药物轨道骨折骨折轨道骨折骨折轨道骨折风险因素风险因素风险因素视觉上的结果.

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