Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study.

Autor:	Feng K; Department of Ophthalmology, Ministry of Education's Key Laboratory of Vision Loss and Restoration, Peking University Third Hospital, Beijing, China., Wang CG; Department of Ophthalmology, Ministry of Education's Key Laboratory of Vision Loss and Restoration, Peking University Third Hospital, Beijing, China., Hu YT; Department of Ophthalmology, Ministry of Education's Key Laboratory of Vision Loss and Restoration, Peking University Third Hospital, Beijing, China., Yao Y; Department of Ophthalmology, Chinese PLA General Hospital, Beijing, China., Jiang YR; Department of Ophthalmology, Peking University People's Hospital, Beijing, China., Shen LJ; Hospital of Optometry and Ophthalmology, Wenzhou Medical College, Zhejiang Province, China., Pang XQ; Department of Ophthalmology, Tongren Hospital, Capital University of Medical Sciences, Beijing, China., Nie HP; Department of Ophthalmology, Peking University First Hospital, Beijing, China., Ma ZZ; Department of Ophthalmology, Ministry of Education's Key Laboratory of Vision Loss and Restoration, Peking University Third Hospital, Beijing, China.
Jazyk:	angličtina
Zdroj:	Clinical & experimental ophthalmology [Clin Exp Ophthalmol] 2015 Sep-Oct; Vol. 43 (7), pp. 629-36. Date of Electronic Publication: 2015 Jun 19.
DOI:	10.1111/ceo.12534
Abstrakt:	Background: The objective of the study was to delineate clinical characteristics, surgical interventions, anatomic and visual outcomes of ruptured eye balls after trauma, and establish the prognostic indicators, which can assist clinicians in making correct surgical decisions during globe exploration for ruptured eyes. Design: The study design used was a multicentre prospective cohort study, including six university-affiliated tertiary hospitals. Participants: We selected 242 cases of ruptured globe from the Eye Injury Vitrectomy Study database, until 31 December 2012. Methods: All selected cases underwent vitreoretinal surgery, enucleation or evisceration, and were followed up for at least 6 months. Age, visual acuity (VA) after injury, ocular trauma zone, time to surgery, corneal laceration, scleral wound, extrusion of iris or lens, ciliary body damage, intraocular haemorrhage, retinal detachment or defect, proliferative vitreoretinopathy (PVR) and choroidal damage were the predisposing factors evaluated by logistic regression models. Main Outcome Measures: We compared the pre-surgical indicators between cases of anatomically restored eyes with VA of 4/200 or better, or eyes with initial no light perception restored light perception or better, and cases of VA worse than 4/200, silicone oil-sustained eyes, phthisis or enucleation. Results: Nearly 40% of cases with ruptured globe were anatomically restored through vitreoretinal surgery. The closed-funnel retinal detachment or extensive retinal loss (odds ratio [OR] = 3.38, P = 0.026), PVR-C (OR = 3.45, P = 0.008), and choroidal damage (OR = 4.20, P = 0.004) were correlated with poor outcomes. Conclusion: The closed-funnel retinal detachment or extensive retinal loss, PVR-C, and choroidal damage are the risk factors for unfavourable outcomes in globe ruptures. (© 2015 Royal Australian and New Zealand College of Ophthalmologists.)
Databáze:	MEDLINE
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