Related factors of vision recovery after complex traumatic and non - traumatic retinal detachment
10.3980/j.issn.1672-5123.2018.7.25
- VernacularTitle:复杂性外伤性和非外伤性视网膜脱离视力恢复相关因素的分析
- Author:
Jiang-Bo ZHAN
1
;
Shi-Ming CHENG
;
Shu-Yun GUO
;
Yun-Fang ZHANG
;
Rui GUO
Author Information
1. 湖北医药学院附属太和医院眼科
- Keywords:
complex retinal detachment;
ocular trauma;
vision recovery;
influence factor
- From:
International Eye Science
2018;18(7):1271-1274
- CountryChina
- Language:Chinese
-
Abstract:
·AIM: To investigate the visual recovery factors in patients with complex traumatic and non-traumatic retinal detachment. ·METHODS: According to the history of ocular trauma before admission, 135 patients with complex retinal detachment were divided into traumatic group ( n=66, 66 eyes) and non-traumatic group (n=69, 69 eyes). The results of visual recovery and complications were compared between the two groups. Logistic regression was used to analyze the related factors of visual recovery in the two groups. ·RESULTS: There was no significant difference in the recovery rate between the two groups within 24h after surgery (77. 3% vs 78. 3%, P>0. 05), and there was no significant difference in the total incidence of complications at 3mo after surgery(18. 2% vs 17. 4%, P>0. 05). Multifactorial Logistic regression analysis showed significant correlation between age, injury type, time since retinal detachment, rage of retinal detachment, preoperative vitreous blood,proliferative vitreoretinopathy ( PVR ) and postoperative visual recovery in patients with complex traumatic retinal detachment ( P < 0. 05 ); age, time since retinal detachment, rage of retinal detachment and macular status were significantly associated with visual recovery in patients with complex non-traumatic retinal detachment (P<0. 05). ·CONCLUSION: Age, time since retinal detachment and rage of retinal detachment were significantly associated with traumatic and non-traumatic retinal detachment. The injury type, preoperative vitreous hemorrhage, PVR were significantly correlated with the visual recovery of traumatic retinal detachment patients. The condition of macular was significantly associated with the visual recovery of non-traumatic retinal detachment patients.