Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Intraocular foreign bodies. Factors influencing final visual outcome
Autore:
Chiquet, C; Zech, JC; Denis, P; Adeleine, P; Trepsat, C;
Indirizzi:
Hop Edouard Herriot, Dept Ophthalmol, F-69437 Lyon 03, France Hop Edouard Herriot Lyon France 03 t Ophthalmol, F-69437 Lyon 03, France Hospices Civils Lyon, Dept Biostat, Lyon, France Hospices Civils Lyon Lyon France ivils Lyon, Dept Biostat, Lyon, France
Titolo Testata:
ACTA OPHTHALMOLOGICA SCANDINAVICA
fascicolo: 3, volume: 77, anno: 1999,
pagine: 321 - 325
SICI:
1395-3907(199906)77:3<321:IFBFIF>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
PENETRATING EYE INJURY; OCULAR INJURIES; RHESUS-MONKEY; PROGNOSTIC FACTORS; POSTERIOR SEGMENT; CORE VITRECTOMIES; TRAUMA; MANAGEMENT; FEATURES;
Keywords:
intraocular foreign body; perforating trauma; ocular injury; prognostic factors; retinal detachment; vitrectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Trepsat, C Hop Edouard Herriot, Dept Ophthalmol, Pl Arsonval, F-69437 Lyon03, France Hop Edouard Herriot Pl Arsonval Lyon France 03 Lyon 03, France
Citazione:
C. Chiquet et al., "Intraocular foreign bodies. Factors influencing final visual outcome", ACT OPHTH S, 77(3), 1999, pp. 321-325

Abstract

Purpose: To identify the prognostic factors of poor visual outcome (visualacuity less than or equal to 6/240) in eyes with intraocular foreign bodies,Methods: The records of 95 consecutive patients were retrospectively reviewed for 6 years (1990-1995), All eyes underwent a primary surgical repair and foreign-body removal (electromagnet or vitrectomy), The mean follow-up period was 25 months (6-72 months). Single analysis and multiple logistic stepwise regression analysis were performed to determine predictors of poor vision. Results: Thirty patients (31.6%) showed 6/240 or worse vision at the end of their follow-up period. Three significant predictive factors had independent and combined effects on post-operative visual outcome: a corneo-scleralentry wound (odds ratio (OR)=14.5, p=0.001), largest diameter of IOFB (OR=1.21, p=0.01) and the presence of secondary retinal detachment (OR=9.48, p=0.0002), Post-operative complications included traumatic cataracts (51%), retinal detachments (28%) and phthisis bulbi (8%). Conclusion: Using multivariate analysis, corneo-scleral entry wound, largest diameter of foreign body and secondary retinal detachment were found to be predictors of poor visual outcome after intraocular foreign body removal. Our results suggest that patients with high-risk intraocular foreign bodytrauma should be candidates for pars plana vitrectomy rather than electromagnet procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 14:16:03