Cargando…
Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes
AIM: To describe epidemiologic and clinical characteristics and prognostic factors influencing visual outcome after intraocular foreign bodies (IOFBs) injury. METHODS: Medical records of 370 patients (373 eyes) with IOFBs were reviewed to identify the factors influencing visual acuity by univariate...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393895/ https://www.ncbi.nlm.nih.gov/pubmed/30895158 http://dx.doi.org/10.1155/2019/5208092 |
_version_ | 1783398780007088128 |
---|---|
author | Liu, Yang Wang, Shuang Li, Ying Gong, Qiaoyun Su, Guanfang Zhao, Jinsong |
author_facet | Liu, Yang Wang, Shuang Li, Ying Gong, Qiaoyun Su, Guanfang Zhao, Jinsong |
author_sort | Liu, Yang |
collection | PubMed |
description | AIM: To describe epidemiologic and clinical characteristics and prognostic factors influencing visual outcome after intraocular foreign bodies (IOFBs) injury. METHODS: Medical records of 370 patients (373 eyes) with IOFBs were reviewed to identify the factors influencing visual acuity by univariate and multivariate analyses. RESULTS: The majority of patients (97.0%) were men, with a mean age of 38.1 years. The most common cause of ocular injury was hammering (52.6%); magnetic IOFBs occurred in 84.7% of these cases. Factors associated with poor visual outcome (defined as <1.3 logMAR) included the following: age ≥50 years (P=0.046); worse presenting visual acuity (P < 0.001); complications of retinal breaks (P=0.006) and endophthalmitis (P=0.032); vitrectomy (P=0.035); and intraocular C(3)F(8) gas tamponade (P=0.038). Excellent visual outcome (defined as ≥0.5 logMAR) was associated with age <50 years (P=0.003); better presenting visual acuity (PVA) (P < 0.001); wound length <4 mm (P=0.005); absence of vitreous hemorrhage (P=0.026) and retinal breaks (P < 0.001); nonvitrectomy surgery (P=0.043); and use of balanced saline (P=0.029). CONCLUSIONS: Multiple prognostic factors were identified that may predict visual outcome and globe survival after IOFBs injury. Age, initial presenting visual acuity, wound length, complications (vitreous hemorrhage, retinal breaks, and endophthalmitis), surgical approach, and intraocular tamponade were significant predictors of visual outcome. |
format | Online Article Text |
id | pubmed-6393895 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-63938952019-03-20 Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes Liu, Yang Wang, Shuang Li, Ying Gong, Qiaoyun Su, Guanfang Zhao, Jinsong J Ophthalmol Research Article AIM: To describe epidemiologic and clinical characteristics and prognostic factors influencing visual outcome after intraocular foreign bodies (IOFBs) injury. METHODS: Medical records of 370 patients (373 eyes) with IOFBs were reviewed to identify the factors influencing visual acuity by univariate and multivariate analyses. RESULTS: The majority of patients (97.0%) were men, with a mean age of 38.1 years. The most common cause of ocular injury was hammering (52.6%); magnetic IOFBs occurred in 84.7% of these cases. Factors associated with poor visual outcome (defined as <1.3 logMAR) included the following: age ≥50 years (P=0.046); worse presenting visual acuity (P < 0.001); complications of retinal breaks (P=0.006) and endophthalmitis (P=0.032); vitrectomy (P=0.035); and intraocular C(3)F(8) gas tamponade (P=0.038). Excellent visual outcome (defined as ≥0.5 logMAR) was associated with age <50 years (P=0.003); better presenting visual acuity (PVA) (P < 0.001); wound length <4 mm (P=0.005); absence of vitreous hemorrhage (P=0.026) and retinal breaks (P < 0.001); nonvitrectomy surgery (P=0.043); and use of balanced saline (P=0.029). CONCLUSIONS: Multiple prognostic factors were identified that may predict visual outcome and globe survival after IOFBs injury. Age, initial presenting visual acuity, wound length, complications (vitreous hemorrhage, retinal breaks, and endophthalmitis), surgical approach, and intraocular tamponade were significant predictors of visual outcome. Hindawi 2019-02-13 /pmc/articles/PMC6393895/ /pubmed/30895158 http://dx.doi.org/10.1155/2019/5208092 Text en Copyright © 2019 Yang Liu et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Liu, Yang Wang, Shuang Li, Ying Gong, Qiaoyun Su, Guanfang Zhao, Jinsong Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes |
title | Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes |
title_full | Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes |
title_fullStr | Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes |
title_full_unstemmed | Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes |
title_short | Intraocular Foreign Bodies: Clinical Characteristics and Prognostic Factors Influencing Visual Outcome and Globe Survival in 373 Eyes |
title_sort | intraocular foreign bodies: clinical characteristics and prognostic factors influencing visual outcome and globe survival in 373 eyes |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393895/ https://www.ncbi.nlm.nih.gov/pubmed/30895158 http://dx.doi.org/10.1155/2019/5208092 |
work_keys_str_mv | AT liuyang intraocularforeignbodiesclinicalcharacteristicsandprognosticfactorsinfluencingvisualoutcomeandglobesurvivalin373eyes AT wangshuang intraocularforeignbodiesclinicalcharacteristicsandprognosticfactorsinfluencingvisualoutcomeandglobesurvivalin373eyes AT liying intraocularforeignbodiesclinicalcharacteristicsandprognosticfactorsinfluencingvisualoutcomeandglobesurvivalin373eyes AT gongqiaoyun intraocularforeignbodiesclinicalcharacteristicsandprognosticfactorsinfluencingvisualoutcomeandglobesurvivalin373eyes AT suguanfang intraocularforeignbodiesclinicalcharacteristicsandprognosticfactorsinfluencingvisualoutcomeandglobesurvivalin373eyes AT zhaojinsong intraocularforeignbodiesclinicalcharacteristicsandprognosticfactorsinfluencingvisualoutcomeandglobesurvivalin373eyes |