Clinical features and impact factors in patients with open ocular trauma

Xiaxia* Yang; Chunxia* MA; Pengfei Liu; Chaowei Tian; Manhong LI; Dan HU; Yusheng Wang; Zifeng Zhang

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Clinical features and impact factors in patients with open ocular trauma

VernacularTitle:开放性眼外伤患者临床特征及视力影响因素分析
Author: Xiaxia* YANG ^{1
,

2} ; Chunxia* MA ^{1
,

2} ; Pengfei LIU ^{1
,

2} ; Chaowei TIAN ^{1
,

2} ; Manhong LI ^{1
,

2} ; Dan HU ^{1
,

2} ; Yusheng WANG ^{1
,

2} ; Zifeng ZHANG ^{1
,

2}
Author Information

1. Department of Ophthalmology, Xijing Hospital of Air Force Medical University
2. Eye Institute of PLA, Xi'an 710032, Shaanxi Province, China
Publication Type:Journal Article
Keywords: open ocular trauma; prognosis; ocular trauma score
From: International Eye Science 2024;24(11):1846-1850
CountryChina
Language:Chinese
Abstract: AIM:To summarize the clinical features and prognostic factors of patients with open ocular trauma in northwest China, and to explore the application of ocular trauma score(OTS)in open ocular trauma.METHODS:The clinical data of 91 patients(91 eyes)with open ocular trauma admitted to Xijing Hospital from June 2021 to June 2023 were retrospectively analyzed. The correlation analysis of visual acuity prognosis was carried out by age, treatment time, initial visual acuity, trauma zone and other factors, and the relationship between different OTS and prognostic visual acuity was discussed.RESULTS:Univariate analysis showed that age(0-20 years), treatment time(<24 h), initial visual acuity, trauma zone, trauma type(penetrating injury), anterior chamber hematoma, vitreous hematoma were correlated with prognostic visual acuity(all P<0.1); multivariate Logistic regression analysis showed that initial visual acuity and treatment time(<24 h)were risk factors(both P<0.05). There was a significant correlation between different OTS and prognostic visual acuity(rs=0.639,P<0.001).CONCLUSION:Patients with open ocular trauma should be diagnosed and treated as early as possible. The main factors influencing the visual prognosis are age, treatment time, initial visual acuity, trauma zone, trauma type, anterior chamber hematoma and vitreous hematoma. OTS has good application value in visual acuity evaluation of open ocular trauma prognosis.