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| 1 | 正确认识儿童开放性眼外伤诊疗的复杂性,不断提高其诊疗效果显示文摘儿童开放性眼外伤是引起儿童非先天性单眼致盲的主要原因。儿童的心理和日常活动与成人不同;眼部组织结构尚未发育成熟且对损伤的高反应性及对各种诊疗手段的不配合性等特点决定了儿童开放性眼外伤在致伤因素、致伤环境、诊疗和预后等方面均较成人更为复杂。对于儿童开放性眼外伤的急诊一期和二期诊疗,应在遵循成人开放性眼外伤处置原则的前提下,结合儿童自身特点,尽量做到手术前明确眼外伤解剖定位、一期手术闭合伤口的同时尽量减少眼内组织扰动、二期手术时机和手术设计个体化,同时手术后用药和护理也应结合儿童特点。儿童眼外伤重在预防,新信息时代下应充分利用临床研究和公共信息平台,推进儿童眼外伤流行病学研究,更加科学地指导儿童眼外伤防治体系建设。 | 卢海 刘敬花 | 2021 | 中华眼底病杂志2021，37，5： | 6 |
| 2 | Reliability of the ocular trauma score for the predictability of traumatic and post-traumatic retinal detachment after open globe injury显示文摘AIM: To elucidate the question of whether the ocular trauma score(OTS) and the zones of injury could be used as a predictive model of traumatic and post traumatic retinal detachment(RD) in patients with open globe injury(OGI).METHODS: A retrospective observational chart analysis of OGI patients was performed. The collected variables consisted of age, date, gender, time of injury, time until repair, mechanism of injury, zone of injury, injury associated vitreous hemorrhage, trauma associated RD, post traumatic RD, aphakia at injury, periocular trauma and OTS in cases of OGI. RESULTS: Totally 102 patients with traumatic OGI with a minimum of 12 mo follow-up and a median age at of 48.6 y(range: 3-104 y) were identified. Final best corrected visual acuity(BCVA) was independent from the time of repair, yet a statistically significant difference was present between the final BCVA and the zone of injury. Severe trauma presenting with an OTS score Ⅰ(P<0.0001) or Ⅱ(P<0.0001) revealed a significantly worse BCVA at last follow up when compared to the cohort with an OTS score >Ⅲ. OGI associated RD was observed in 36/102 patients(35.3%), whereas post traumatic RD(defined as RD following 14 d after OGI) occurred in 37 patients(36.3%). OGI associated RD did not correlate with the OTS and the zone of injury(P=0.193), yet post traumatic RD correlated significantly with zone Ⅲ injuries(P=0.013). CONCLUSION: The study shows a significant association between lower OTS score and zone Ⅲ injury with lower final BCVA and a higher number of surgeries, but only zone Ⅲ could be significantly associated with a higher rate of RD. | Simon Dulz Vasilis Dimopoulos Toam Katz Robert Kromer Eileen Bigdon Martin Stephan Spitzer Christos Skevas | 2021 | International Journal of Ophthalmology(English edition)2021，14，10： | 4 |
| 3 | 儿童开放性眼外伤的临床特点及预后因素分析显示文摘目的探讨儿童开放性眼外伤的临床特点及预后相关因素。方法回顾性分析2017年6月~2018年5月于我院就诊的儿童开放性眼外伤76例(76眼),对其性别、年龄、致伤因素、就诊时视力、受伤区域、就诊时间、受伤地点、二次手术及最终视力等进行统计,相关影响因素用Logistic回归进行分析。结果 76例开放性眼外伤儿童中男、女比例3.75∶1;学龄前儿童发生率最高,占53.9%(41/76);剪刀伤是最常见的致病因素,占19.7%(15/76);伤口位置位于Ⅰ区者51例(67.1%),Ⅱ区者20例(26.3%),Ⅲ区者5例(6.6%);最常见的受伤地点是家中(68.4%);70例(92.1%)患者能够伤后24 h内就诊;58例(76.3%)患者伤后半年内接受二次或多次手术。结论儿童开放性眼外伤以学龄前儿童居多,剪刀穿孔伤是最常见的外伤类型,就诊时视力、受伤区域、二次玻璃体切除术是视力预后差的相关危险因素。 | 王开杰 袁博伟 王海燕 朱思泉 | 2019 | 哈尔滨医科大学学报2019，53，3： | 3 |
| 4 | 马来西亚西部小儿眼外伤研究(英文)显示文摘目的:调查5a期间就诊于马来西亚西部三级转诊中心的小儿眼外伤患者的视力结果。方法:回顾性研究。对所有2009-01/2013-12就诊于急诊创伤科的连续患者进行筛检,选取年龄在15岁以下的眼外伤患者纳入研究对象。排除随访患者。收集患者人口统计学数据、既往治疗和眼部病史资料。详细记录眼外伤情况,治疗和疾病发展情况。结果:小儿眼外伤的患病率为每年17.6/100000。其中男性患者占69.5%(296/426例)。患者的平均年龄为6.08±2.24岁。家用工具(19.7%)和摔伤(19.7%)是致眼外伤最常见的原因。多数患者(79.9%)救诊时的视力≥6/12。眼前节(93.9%)最容易受伤,22.8%的患者需要手术治疗。相对性瞳孔传入障碍与闭合性眼球损伤程度(P=0.001)及不良视力预后(P=0.001)相关。大多数患者(92.7%)的最终视力≥6/12。结论:须提高对小儿眼外伤的预防意识并及时进行治疗,以确保患者视力的最大程度恢复。 | Fiona Chew Lee Min Fazilawati Qamaruddin | 2016 | 国际眼科杂志2016，16，7： | 1 |
| 5 | Ocular trauma in an urban Spanish population:epidemiology and visual outcome显示文摘AIM:To describe epidemiological aspects,clinical findings,and visual results in eye trauma patients requiring urgent surgery at a tertiary hospital.METHODS:Retrospective review of adult patients requiring urgent surgery for trauma to the eyeball from January 2010 and April 2020.Data was collected relative to age,gender,mechanism of the injury,type of wound,initial and final visual acuity,number and type of surgeries carried out.Injuries were classed according to the Birmingham Eye Trauma Terminology(BETT)and the Ocular Trauma Score(OTS)categories.RESULTS:The survey included 92 eyes.Mean age was 54.76±22.18 y.The most frequent cause was domestic accidents(44.6%),followed by aggression(22.80%)and occupational accidents(17.4%).Trauma from aggression was more frequent in men(P=0.006)and accidents in the home more common in women(P=0.011).Patients over 65 y presented an odds ratio(OR)of 10.71 for suffering a domestic accident.Patients between 15-45 and 46-65 y were at higher risk of trauma from aggression(OR=17.52 and OR=10.94,respectively).As for the type of injury,63.04%were open-globe lesions,Zone II being the most frequently affected(27.2%).In Logistic regression analysis,old age(P=0.05)and retinal involvement(P=0.001)were found to be associated with higher rate of unfavourable visual outcome.CONCLUSION:The epidemiological aspects of eye trauma are highly dependent on the area of population studied.Domestic accidents are more relevant than workplace accidents in older urban areas with high socioeconomic status.A better knowledge of the epidemiological characteristics is useful for implementing specific prevention measures and appropriate treatment strategies. | Marta Belmonte-Grau Guadalupe Garrido-Ceca Paula Marticorena-álvarez | 2021 | International Journal of Ophthalmology(English edition)2021，14，9： | 1 |
| 6 | Hydration with Cefuroxime-a method for sealing a small leaking corneal perforation显示文摘Dear Sir,Iam Dr.Gilad Allon from the Department of Ophthalmology of the Rambam Health Care Campus,Haifa,Israel.I write to present a case report of corneal hydration with Cefuroxime in order to seal a traumatic corneal perforation.In the case of a penetrating trauma limited to the cornea,the immediate objective of treatment is to seal the globe and avoid later intraocular infection.Sealing the globe can | Gilad Allon Itzchak Beiran Eytan Z.Blumenthal | 2016 | International Journal of Ophthalmology(English edition)2016，9，5： | 1 |
| 7 | 开放性眼球外伤视力预后相关因素的研究进展显示文摘开放性眼球外伤的视力预后一直是备受关注的话题,和闭合性眼球外伤相比,开放性眼球外伤损伤更重,视力结局也更差。相关研究显示,患者外伤的初始眼部情况、合并损伤情况以及玻璃体手术时机等因素均与开放性眼球外伤的视力预后相关。现笔者就影响开放性眼球外伤视力预后相关因素的研究进展做一综述,为开放性眼球外伤的病情评估及治疗的选择方案提供理论基础。 | 刘永浩 路艳艳 于红影 金燕 | 2021 | 中华眼视光学与视觉科学杂志2021，23，7： | 1 |
| 8 | 徐州市眼科医院近五年眼球穿通伤流行病学研究及预后相关因子分析显示文摘目的:调查分析徐州市眼科医院近五年来眼球穿通伤的流行病学特点及和视力预后相关的因子。方法:收集2010年5月2015年5月因眼球穿通伤在徐州市眼科医院住院的130例患者临床资料,对其进行回顾性分析。分析了人口数据,致伤原因,初诊视力,眼部受伤情况,手术处理,随访六个月后的视力。对可能对预后视力产生影响的因子进行统计分析。结果:入院患者中,74%为男性。大部分(62.3%)的外伤是金属物件刺伤所致,玻璃体腔注射万古霉素率为34%。14例眼(10.8%)诊断为眼内炎;2例眼(1.5%)最终行眼内容物剜除。89例眼(68.5%)出院视力较入院时提高。与预后视力较差相关的因素包括入院视力较差(P=0.000),伤口位置(P=0.000),晶体损伤(p=0.001)等.结论:该研究显示在眼球穿通伤中与预后视力相关的重要因素包括首诊视力,晶体损伤,伤口位置等。 | 李影 张莹 刘浩 高明 邵新香 | 2015 | 黑龙江医药2015，28，6： | 0 |
| 9 | 开放性眼外伤视觉质量预后相关因素的研究进展显示文摘目前开放性眼外伤(open globe injury,OGI)越来越受到人们的重视,因其病情复杂,是导致视力障碍的最重要原因之一。根据以往的报道,眼外伤通常分别是导致双眼失明和单眼失明的第三和第四大原因[1]。按照致伤原因分类可分为机械性和非机械性,而机械性眼外伤则分为闭合性眼外伤(closed globe injury,CGI)和OGI,OGI可继发于由钝性物体引起的破裂伤或尖锐物体引起的裂伤. | 周其亮 周金红 李小义 | 2023 | 四川医学2023，44，12： | 0 |
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