PDF(Pubmed)
Abstract：
BACKGROUND: Traffic trauma can lead to ocular damage. Open globe injuries usually have a poor prognosis, which can be ameliorated by prompt diagnosis and appropriate treatment. Nonetheless, few studies have focused on the visual outcomes of patients following traffic accidents. In this study, we aimed to examine the characteristics and prognosis of ocular complications in patients following traffic accidents at a specialized tertiary eye hospital.
METHODS: We classified 44 patients from traffic accidents (88 eyes) into groups with equal or better (better group) and worse (worse group) corrected-distance visual acuity than a logarithm of the minimum angle of resolution 0 at the initial presentation. Final corrected-distance visual acuity, intraocular pressure, corneal injury, presence of traumatic cataracts, and treatment were compared between the groups. In addition, a multivariate linear regression analysis was performed to identify factors associated with the final visual acuity.
RESULTS: Globe contusion, orbital blowout fracture, traumatic iritis, and trochlear nerve palsy were observed in 14.8%, 3.4%, 2.3%, and 2.3% of the patients, respectively. Topical instillation and ophthalmological treatment/surgery were performed in 17.0% and 9.1% of the patients, respectively. The better group (68 eyes) had significantly better final visual acuity than the worse group (20 eyes) (P < 0.001). However, there was no between-group difference in demographic characteristics. Multivariate analysis demonstrated that there was a significant correlation between the initial and final visual acuities (P < 0.001).
CONCLUSIONS: Assessing visual acuity at the initial presentation is crucial for predicting the final visual acuity. Our findings will help to inform ophthalmologists aiming to improve the prognosis and treatment of ocular trauma in patients following traffic accidents.
METHODS: We classified 44 patients from traffic accidents (88 eyes) into groups with equal or better (better group) and worse (worse group) corrected-distance visual acuity than a logarithm of the minimum angle of resolution 0 at the initial presentation. Final corrected-distance visual acuity, intraocular pressure, corneal injury, presence of traumatic cataracts, and treatment were compared between the groups. In addition, a multivariate linear regression analysis was performed to identify factors associated with the final visual acuity.
RESULTS: Globe contusion, orbital blowout fracture, traumatic iritis, and trochlear nerve palsy were observed in 14.8%, 3.4%, 2.3%, and 2.3% of the patients, respectively. Topical instillation and ophthalmological treatment/surgery were performed in 17.0% and 9.1% of the patients, respectively. The better group (68 eyes) had significantly better final visual acuity than the worse group (20 eyes) (P < 0.001). However, there was no between-group difference in demographic characteristics. Multivariate analysis demonstrated that there was a significant correlation between the initial and final visual acuities (P < 0.001).
CONCLUSIONS: Assessing visual acuity at the initial presentation is crucial for predicting the final visual acuity. Our findings will help to inform ophthalmologists aiming to improve the prognosis and treatment of ocular trauma in patients following traffic accidents.
摘要：
背景：交通创伤可导致眼部损伤。开放性眼球损伤通常预后较差，可以通过及时诊断和适当的治疗来改善。尽管如此，很少有研究关注交通事故后患者的视觉结果。在这项研究中,我们的目的是研究在一家三级眼科医院发生交通事故后患者眼部并发症的特点和预后。
方法：我们将44例交通事故患者（88只眼）分为两组，其矫正视力与初始表现时最小分辨率0角的对数相同或更好（更好组）和更差（更差组）。最终矫正远距视力,眼内压,角膜损伤,外伤性白内障的存在,并对两组治疗情况进行比较。此外,我们进行了多元线性回归分析,以确定与最终视力相关的因素.
结果：地球挫伤，眼眶爆裂性骨折,外伤性虹膜炎,滑车神经麻痹占14.8%，3.4%,2.3%,2.3%的病人，分别。17.0%和9.1%的患者进行了局部滴注和眼科治疗/手术，分别。较好组(68只眼)的最终视力明显优于较差组(20只眼)(P<0.001)。然而,人口统计学特征无组间差异.多变量分析表明，初始视力和最终视力之间存在显着相关性（P<0.001）。
结论：在初始表现时评估视力对于预测最终视力至关重要。我们的发现将有助于告知眼科医生，以改善交通事故后患者眼外伤的预后和治疗。
方法：我们将44例交通事故患者（88只眼）分为两组，其矫正视力与初始表现时最小分辨率0角的对数相同或更好（更好组）和更差（更差组）。最终矫正远距视力,眼内压,角膜损伤,外伤性白内障的存在,并对两组治疗情况进行比较。此外,我们进行了多元线性回归分析,以确定与最终视力相关的因素.
结果：地球挫伤，眼眶爆裂性骨折,外伤性虹膜炎,滑车神经麻痹占14.8%，3.4%,2.3%,2.3%的病人，分别。17.0%和9.1%的患者进行了局部滴注和眼科治疗/手术，分别。较好组(68只眼)的最终视力明显优于较差组(20只眼)(P<0.001)。然而,人口统计学特征无组间差异.多变量分析表明，初始视力和最终视力之间存在显着相关性（P<0.001）。
结论：在初始表现时评估视力对于预测最终视力至关重要。我们的发现将有助于告知眼科医生，以改善交通事故后患者眼外伤的预后和治疗。
