Lens Displacement and Retinal Injury in Blunt Eye Trauma.

IF 1.8 4区 医学 Q3 OPHTHALMOLOGY
Journal of Ophthalmology Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI:10.1155/2024/1781997
Jiabei Zhou, Xinqi Ma, Fang Duan, Manli Liu, Yiyu Xie, Chongde Long
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Abstract

Introduction: We aimed to investigate the incidence and prognosis of retinal injury in patients with lens dislocation caused by blunt eye trauma. Methods: We retrospectively analyzed 53 patients who underwent lensectomy and vitrectomy for contusive lens dislocation and had no preoperative retinal injuries. Patients were categorized according to the presence of retinal injury discovered intraoperatively. The clinical features of 53 eyes were assessed during a 3-month postoperative follow-up. Results: Retinal injuries were observed intraoperatively in 28 patients (52.8%), predominantly in peripheral regions, with a single retinal tear being the most common type. Total lens dislocation was more frequent than subluxation in the group with retinal injuries. The intraocular pressure (IOP) at the 3-month follow-up was significantly lower than the initial IOP in both groups, with no significant differences between them. The corrected distance visual acuity (CDVA) significantly improved in both groups without significant differences. Conclusion: Half of the patients without preoperative retinal injuries were found to have injuries during surgery. Total lens dislocation carried a greater risk of retinal injuries than subluxation. The improvement in CDVA after prompt retinal injury treatment did not significantly differ from that in patients without retinal injury, highlighting the importance of prompt intervention.

钝性眼外伤中的晶状体移位和视网膜损伤。
简介我们旨在研究钝性眼外伤导致晶状体脱位患者视网膜损伤的发生率和预后。方法我们回顾性分析了53例因挫伤性晶状体脱位而接受晶状体切除术和玻璃体切除术且术前无视网膜损伤的患者。根据术中发现的视网膜损伤情况对患者进行分类。在术后 3 个月的随访中对 53 只眼睛的临床特征进行了评估。结果术中观察到视网膜损伤的患者有 28 例(52.8%),主要位于周边区域,最常见的类型是单个视网膜撕裂。在视网膜损伤组中,晶状体全脱位比半脱位更为常见。随访 3 个月时,两组患者的眼压均明显低于初始眼压,无明显差异。两组患者的矫正远视力(CDVA)均有明显改善,无显著差异。结论在术前未发现视网膜损伤的患者中,有一半在手术中发现了损伤。晶状体全脱位比半脱位造成视网膜损伤的风险更大。视网膜损伤得到及时治疗后,CDVA的改善情况与没有视网膜损伤的患者没有明显差异,这凸显了及时干预的重要性。
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来源期刊
Journal of Ophthalmology
Journal of Ophthalmology MEDICINE, RESEARCH & EXPERIMENTAL-OPHTHALMOLOGY
CiteScore
4.30
自引率
5.30%
发文量
194
审稿时长
6-12 weeks
期刊介绍: Journal of Ophthalmology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the anatomy, physiology and diseases of the eye. Submissions should focus on new diagnostic and surgical techniques, instrument and therapy updates, as well as clinical trials and research findings.
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