Risk Factors and Prognosis of Pediatric Open Globe Injuries without Initial Light Perception
| Autor: | Cheng Li, Xin Wen, Miner Yuan, Chongde Long, Xiaofeng Lin, Zhaohui Yuan, Jieting Zeng |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Visual Acuity Endophthalmitis Atrophy Risk Factors Ophthalmology Vitrectomy Medicine Humans Child Retrospective Studies Intraocular hemorrhage Open globe business.industry Retinal Detachment Retinal detachment General Medicine Vitreoretinal surgery Light perception medicine.disease Prognosis Sensory Systems Eye Injuries Penetrating Case-Control Studies business |
| Zdroj: | Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde. 244(2) |
| ISSN: | 1423-0267 |
| Popis: | Purpose: The aim of this study was to investigate the possible risk factors and prognosis of initial no light perception (NLP) in pediatric open globe injuries (POGI). Procedures: This retrospective, comparative, interventional case-control study included 865 eyes of POGI patients presenting to a tertiary referral ophthalmic center from January 1, 2011 to December 31, 2015. Eyes were divided into 2 groups: the NLP group included eyes with initial NLP, and the light perception (LP) group included eyes with initial LP or vision better than LP. Results: The following risk factors were significantly related to initial NLP: severe intraocular hemorrhage (OR 3.287, p = 0.015), retinal detachment (RD; OR 2.527, p = 0.007), choroidal damage (OR 2.680, p = 0.016), and endophthalmitis (OR 4.221, p < 0.001). Choroidal damage is related to remaining NLP after vitreoretinal surgery (OR 12.384, p = 0.003). At the last visit, more eyes in the NLP group suffered from silicone oil-sustained status (OR 0.266, p = 0.020) or ocular atrophy (OR 0.640, p = 0.004), and fewer eyes benefitted from final LP (OR 41.061, p < 0.001) and anatomic success (OR 4.515, p < 0.001). Conclusion: Severe intraocular hemorrhage, RD, choroidal damage, and endophthalmitis were possible predictors of initial NLP in POGI. Choroidal damage was the major factor related to an NLP prognosis. Traumatized eyes with initial NLP could be anatomically and functionally preserved by vitreoretinal surgery. |
| Databáze: | OpenAIRE |
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