Prognostic factors affecting functional and anatomical outcome in globe injuries.

Autor: Demir, Mehmet, Akpolat, Cetin, Akar, Solmaz, Muftuoglu, Gulipek, Ozkan, Sehirbay
Předmět:
Zdroj: Medicine Science; Sep2021, Vol. 10 Issue 3, p804-811, 8p
Abstrakt: To analyze prognostic factors associated with functional and anatomical results in closed globe injuries (CGIs) and open globe injuries (OGIs). One hundred and twenty patients who applied due to globe injuries were retrospectively examined in terms of prognostic factors affecting final visual acuity (FVA). The demographic features and clinical characteristics of the patients were evaluated in various parameters. Most traumas were open globe injuries (82.50%) and occurred at work (50%). CGIs had better baseline visual acuity (BVA) values and also showed better FVA outcomes. Among patients with OGIs, Intraocular foreign body (53.33%) and penetrating (36.11%) OGIs had the highest ratios for FVA ≥1/10. Eyes with zone II + III wounds had a tendency of FVA <1/10. Ninety percent of the globe injuries with concomitant retinal detachment resulted in FVA <1/10. Concomitant vitreous hemorrhage plus lens damage affected the level of FVA (r=-0.718, P=0.001). Additional vitreoretinal surgery and ocular trauma score category 1 had negative effects on FVA (P=0.002 and P<0.001, respectively). BVA <1/10, ocular trauma score category 1, perforating OGIs, wound location of Zone II + III, additional vitreoretinal surgery, concomitant findings of retinal detachment and vitreous hemorrhage plus lens damage showed poor prognostic and detrimental effects on FVA in multivariate analysis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index