LiLi Wang, Lianhai Chai
Department of Cardiovascular surgery 1, Tangshan Gongren Hospital, Tangshan, 063000, Hebei, China
Objective: To analyze the main factors influencing visual prognosis after vitrectomy for mechanical ocular trauma, and to ex- plore the measures to improve visual prognosis after trauma.
Methods: 174 patients with mechanical ocular trauma of primary vitrectomy treated from October 2016 to December 2017 in Tangshan Gongren Hospital were observed. The age, gender, cause of injury, type of injury were recorded, and if treated within 24 hours, whether there was vitreous blood, and whether there were complications that may affect the prognosis of the visual prognosis were also recorded. And SPSS17.0 software was used for statistical analysis.
Results: Of the 174 patients, only 6 cases recovered completely before treatment, but after treatment, the vision was improved at the last follow-up. Among the influencing factors listed, age, gender, and type of injury were not related to the prognosis of the patients (P > 0.05); the following 4 factors were associated with the visual prognosis, including cause of injury, if treated within 24 hours, whether there was vitreous blood, and whether there were complications (P < 0.05). Among these factors, whether there were compli- cations has the greatest impact on the visual prognosis, and the treatment effect of the patients is 2.53 times different. The second factor is whether there is a primary vitreous blood and the cause of injury.
Conclusion: The prognosis of visual vitrectomy in mechanical ocular trauma is related to a variety of factors. The cause of in- jury, if treated within 24 hours, whether there was vitreous blood, and whether there are complications are independent risk factors for the prognosis of postoperative visual acuity. Patients should be treated immediately after injury, and the complications of eye should be treated in time. Regular reexamination should be made to prevent visual impairment and improve vision as far as possible.
vitrectomy, ocular trauma, visual prognosis, influencing factors