镜头损伤在设置的区域I和II开放地球上的伤害
Brian W Chou1, Shu Feng, Leona Ding
1Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Indian journal of ophthalmology
|December 26, 2024
概括
涉及透镜的开放球损伤导致视力恶化和内眼炎的风险更高. 二次眼内透镜 (IOL) 的放置改善了结果,因为IOL的位置不会影响最终的视力敏度.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 视觉成果研究研究成果
背景情况:
- 开放球损伤是严重的眼睛紧急情况.
- 在开放球体损伤中,透镜的参与可能会使视觉恢复复杂化.
- 了解视觉结果对于患者管理至关重要.
研究的目的:
- 为了描述区域I和II的视觉结果,带有透镜参与的开放球损伤.
- 为了比较眼睛之间的视觉敏度与没有透镜损伤的眼睛.
- 评估眼内镜片 (IOL) 放置对视觉结果的影响.
主要方法:
- 145个区域I和II开放地球伤害的回顾案例系列.
- 收集的数据包括透镜接触,人口统计,损伤特征,并发症,手术细节和视觉结果.
- 使用克鲁斯卡尔-瓦利斯和费舍尔精确测试的统计分析比较了结果.
主要成果:
- 眼镜损伤的眼睛有更高的内膜炎率 (11%) 和更严重的眼部创伤得分.
- 与没有透镜损伤 (中位数20/80) 的患者相比,透镜损伤 (中位数20/40) 的患者的最佳校正视敏度 (BCVA) 显著降低.
- 二次IOL安置改善了BCVA,而不是仍然是aphakic,无论IOL的位置.
结论:
- 与透镜卷入的开放球损伤与较差的视觉预后有关.
- 在透镜受伤的眼睛中,内炎的增加率可能会导致更糟糕的结果.
- 二次内腔镜植入有利于视力恢复,基于内腔镜位置没有显著差异.
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