ROLE OF VISUAL EVOKED POTENTIAL AND OCULAR TRAUMA SCORE AS PREDICTORS OF VISUAL RECOVERY IN EYE GLOBE INJURIES.

IF 2.3 2区 医学 Q2 OPHTHALMOLOGY
Brice N Vofo, Ayala Katzir, Mohammad Homiedat, Antonio Rivera, Fernando Estrella, Samer Khateb, Tareq Jaouni
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引用次数: 0

Abstract

Purpose: Evaluate visual evoked potential (VEP) and ocular trauma score efficacy in predicting visual potential in globe trauma without optic nerve involvement.

Methods: A retrospective cohort study analyzed clinical data from eye globe injury cases undergoing flash VEP between January 2000 and May 2021. Inclusion criteria: flash VEP completion within 48 hours and presurgical intervention. Exclusion criteria: head trauma and optic nerve injuries. Abnormal VEP: amplitudes <7 µ V and latencies >120 milliseconds. The ocular trauma score was computed, and penetrating injuries were categorized.

Results: Of 85 eyes meeting the criteria (mean age: 31.9 ± 20.6 years, 82.4% male), the median follow-up was 22 months. Ocular trauma score directly correlated with the amount of Early Treatment Diabetic Retinopathy Study letters gained at follow-up and was inversely correlated with ocular penetration extent and VEP signal amplitude. Visual evoked potential amplitude is inversely correlated with maintaining/improving visual acuity. Positive predictive value for normal VEP predicting maintained/improved visual acuity: 75.6%, negative predictive value: 21.3%. In blunt trauma, baseline VEP amplitude had superior predictive value compared with penetrating injury.

Conclusion: This study highlights a correlation between VEP signal amplitude and ocular trauma score with visual outcomes in traumatic eye injuries without optic nerve involvement. Ocular trauma score emerges as a reliable VEP substitute, particularly in blunt trauma cases, where baseline VEP amplitude predicts visual recovery more accurately than penetrating injuries.

视觉诱发电位和眼外伤评分对眼球损伤患者视力恢复的预测作用
目的:评估视觉诱发电位(VEP)和眼外伤评分(OTS)在预测无视神经受累的眼球外伤的视觉潜力方面的有效性:一项回顾性队列研究分析了2000年1月至2021年5月期间接受闪光VEP的眼球损伤病例的临床数据。纳入标准:48 小时内完成闪光 VEP,手术前干预。排除:头部外伤、视神经损伤。异常 VEP:120 毫秒潜伏期。计算 OTS,并对穿透性损伤进行分类:在符合标准的 85 只眼睛中(平均年龄:31.9±20.6 岁,82.4% 为男性),中位随访时间为 22 个月。OTS 与随访时获得的早期治疗糖尿病视网膜病变研究字母数量直接相关,与眼球穿透程度和 VEP 信号振幅成反比。VEP 振幅与视力的保持/提高成反比。正常 VEP 预测视力维持/提高的阳性预测值为 75.6%,阴性预测值为 21.3%。在钝性创伤中,基线 VEP 振幅的预测价值高于穿透性损伤:本研究强调了在无视神经受累的眼外伤中,VEP 信号振幅和 OTS 与视觉结果之间的相关性。OTS 是一种可靠的 VEP 替代物,尤其是在钝性外伤病例中,基线 VEP 振幅比穿透性损伤更能准确预测视力恢复情况。
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来源期刊
CiteScore
5.70
自引率
9.10%
发文量
554
审稿时长
3-6 weeks
期刊介绍: ​RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.
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