在年轻患者中,真实世界中经历了全厚的创伤性黄斑洞
Ragukumar Venugopal1,2, Anthony Vipin Das1,2, Brijesh Takkar2,3
1Department of eyeSmart EMR & AEye, L V Prasad Eye Institute, Hyderabad, Telangana, India.
International journal of retina and vitreous
|February 21, 2024
概括
年轻的男性最容易受到创伤性黄斑孔 (TMH) 的影响,通常是由重的创伤引起的. 虽然玻璃切除术在大多数情况下可以关闭这些洞,但视敏度的改善通常是温和的.
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
- 创伤性眼睛损伤 创伤性眼睛损伤
背景情况:
- 创伤性黄斑洞 (TMH) 是一种严重的眼损伤.
- 了解TMH人口统计和结果对于患者管理至关重要.
研究的目的:
- 描述全厚TMH.的年轻患者的人口统计,临床表现,成像发现和视觉结果.
- 为了确定TMH之后视觉结果的预测因素.
主要方法:
- 从2010年8月到2021年6月,对患有全厚TMH的患者进行了回顾性医院研究.
- 从电子医疗记录中提取数据,用于人口统计,临床发现和成像.
- 回归分析以确定视觉结果的关联和预测因素.
主要成果:
- 确诊的TMH病例为144例 (占总患者的0.005%).
- 主要受影响的是男性 (89.58%),单边病例,平均年龄为23.37岁.
- 常见的原因:球 (22.22%),棍棒 (14.58%),烟火 (12.50%). 在演示时,LogMAR VA的平均值为1.18.
- 平均孔径为619.34微米;视网膜下液体在44.44%.
- 玻璃切除术在66.67%的眼睛中实现了闭合,平均最终VA为1.07. 基线VA预测了最终的VA (R2=0.677).
结论:
- TMH是一种单边的疾病,主要影响男性在他们的第三个十年,造成显著的视力障碍.
- 在大多数患者中,手术干预 (视切除术) 有效地关闭TMH.
- 手术后视力敏度的改善是温和的,强调了基线视力敏度作为预后因素的重要性.
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