摘要
目的 探讨眼内异物的预后因素和视力。方法 对 32例 ( 33眼 )眼内异物病例进行回顾性分析 ,随访至少 6月。结果 随访末 2 3眼 ( 69 7% )最好矫正视力≥ 0 5 ;金属物相敲时 ,金属碎屑溅入致伤显著多于其它受伤方式 (P <0 0 1) ,且随访末矫正视力≥ 0 5的眼显著多于其它组 (P <0 0 1) ;伤后和随访末矫正视力≥ 0 0 2组比较无差异 (P >0 0 5 ) ;伤后 63 14 %( 2 1眼 )的眼发生玻璃体积血。结论 随访末 69 7%的眼可获得好的视力结果 ,受伤后的视力是眼内异物治疗后视力好坏的重要因素 ,受伤方式和玻璃体积血也是影响视力预后的因素。
Objective To study prognostic factors and visual outcomes in patients with intraocular foreign bodies (IOFB). Methods The characteristics of 32 cases (33 eyes) with IOFB were analyzed retrospectively. All patients had followed up at least 6 months. Results Final best corrected visual acuity of 0.5 or more was obtained in 23 eyes (69.70%). Eyes injuried by hammering metal on metal were more than other mechanism of injury ( P <0.01), and the number of eye with final best corrected visual acuity of 0.5 or more was more than other groups ( P <0.01). There was no statistical difference between the final and initial group with best visual acuity of 0.02 or more ( P >0.05). 63.64% of eyes occured vitreous hemorrhage. Conclusion Final visual outcomes were excellent in 69.7% of patiens with IOFB. The initial visual acuity was the strongest predictor of final visual outcome in this study. Additional predictive factors included the mechanism of injury and vitreous hemorrhage.
出处
《眼外伤职业眼病杂志》
北大核心
2001年第5期483-484,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
眼内异物
预后因素
视力
Foreign body, intraocular Prognossis Factor Visual acuity
