Analysis of relevant factors affecting the prognosis of open eye injuries(影响预后的相关因素分析打开眼睛受伤)

Analysisofrelevantfactorsaffectingtheprognosisofopeneyeinjuries[Keywords:]Open[Keywords:]developedoculartrauma,vitrectomy,influencingfactorsOculartraumaisaseriouscauseofblindness,especiallyinopenoculartraumainthegreatestdangerofsevereopenoculartraumanotonlytheeyebreaklarge,andisoftenassociatedwithintraocularforeignbody,andcanleadcrystal,vitreous,retinacombinedinjuryoftheoculartissues,andevenduetopathogeninvasioncausedbyeyeinflammation,ifnothandledproperlywillsufferfromeyeadevastatingblowtoourhospitalsincethevitreoussurgerycarriedoutinFebruary1999toJuly2004openseriouseyetraumaprognosiscanbeimproved.now94casesofseriousoculartraumacases,theirprognosticfactorswereanalyzed.1MaterialsandMethods1.1Generalinformationonthe94cases96eyesof73maleandfemale21cases;agedfrom6to62yearsold,meanage288yearsold.2casesfortheeyes,92casesof1monocular78righteye,lefteye18traumaticcataract12cases;81caseswithvitreoushemorrhage,combinedintraocularforeignbodiesin23cases(18casesofvitreousforeignbody,fivecasesofball-wallforeignbody,magneticforeignbodyin13cases,10casesofnon-magneticforeignbody,whichrocks.casesalloy3cases),foreignbodydiagnosiswasconfirmedbyX-rayorCT,combinedwithhugeretinalbreaks21,mergeeyecontentdepigmentationof27cases,15withendophthalmitis.surgeryandtraumaintervalwithin7daysof23cases,8~15d(n=52),16to30daystherewere21casesofwhich15casesofendophthalmitiswereinjuredtotheshortestoperationtimewas2dforupto13d.preoperativevisualacuitywasLP(+~02;alleyeopenThewoundswereintheA&Eunderamicroscopesuture,prolapseofeyecontentsofasmuchaspossibleisalsosatisfied,theflataftertheMinistryofsimpleballwalllacerationshouldberoutinelyriparoundretinalcondensateprocessing.Surgicalmethodsinallcaseswereclosedthreechannelsoftheparsplanavitrectomy.InstrumentsfortheStorz(UnitedStates)BP2000vitrectomy.Lensopacities2affectvisionbyaparallelcrystalremoval,intravitrealmagneticforeignbodyisnotaccompaniedbycrystalrupture,Ministrylineofflatforeignbodysuction,postoperativeanti-inflammatoryinjuryabouttwoweeksaftervitrectomy,thisperiodshouldbecloselyfolloweduptheophthalmicB-ultrasound,foundthatretinaldetachmentfromtheabove-mentionedtimelimitmergerballwallornon-magneticforeignbodiesshouldvitrectomyandremovalofforeignbody,buttheballwallbeforetheremovalofforeignbodyinforeignbodyaroundprophylacticthermalcoagulationwithendophthalmitisearlysurgery,intraoperativeperfusatejoin(4μg/mlgentamicin,retinaldetachment,withretinalmembrane,linestrippingofheavywater(Shanghai)flattenretinalphotocoagulationclosedtheholeintheeye,andthen,accordingtothespecificcircumstancesoftheappropriatechoiceeyefillermaterialwithintheC3F8(Beijing:Beijing:siliconeoil),andplacedaccordingtothedifferentcasesofencirclingand/orlocalorbitoutsidethepadbriquetting.2ResultsEyeinjuryreceivedanatomicalrepair,3thefinalbestcorrectedvisualacuity≥002isdefinedastheprognosisisgood,andultimatelytorestoretheeyestructure,retinaldetachment,butdidnotreachagoodstandardorfinallineenucleation,ocularatrophyandcannotbedefinedasreoperationprognosisbadthisgroupofpatientswerefollowedupfor6to48months,average16months.observetheprojectenteredintothedatabaseusingSPSSsoftwaretoanalyzeage,treatmenttime,thetimingofsurgery,injury,suchastheimpactontheprognosisofeyeinjury,thedifferencesignificant(P<005.2.1Ageandprognosisinthisgroup,94casesof96,theprognosisisgoodupto50(52.1%),poorprognosisforthe46(47.9%...

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