儿童外伤性玻璃体出血的临床特征和结果。

眼科学报 Pub Date : 2014-06-01

Aditya Sudhalkar, Jay Chhablani, Subhadra Jalali, Raja Narayanan

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引用次数: 0

摘要

目的:探讨18岁以下儿童外伤性玻璃体出血(TVH)的临床特点、病因及预后。方法:回顾性计算机辅助图表复习。464例儿童501只眼(女性103只;其中包括2001年至2012年期间出现TVH的361名男性。所有儿童都接受了完整的眼部和全身检查和调查。小儿TVH的病因、视觉和解剖结果是结局指标。结果:中位年龄:12.27±4.51岁。双侧VH 37例;其中43.24%为鞭炮伤害。最常见的主诉是视力下降(96.45%)。首发时的平均BCVA(logMAR)为2.64±1.11 logMAR。棍子(43.43%)和板球(13.24%)是最常见的原因。治疗包括药物治疗(局部和/或全身;56只眼)，激光光凝(34只眼)和/或手术(387只眼)。平均最终BCVA显著改善(1.01±0.58 logMAR;P = 0.011, Z检验)。闭合性和开放性球外伤的平均随访时间分别为47±12.47和36.24±9.72个月。结论:儿童TVH具有重要意义。爆竹伤是众所周知的双侧VH。

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Traumatic vitreous hemorrhage in children-clinical features and outcomes.

Purpose: To determine the clinical profile, causes, and outcomes of traumatic vitreous hemorrhage (TVH) in children (< 18 years of age).

Methods: Retrospective computer assisted chart review. 501 eyes of 464 children (103 females; 361 males) who presented with TVH between 2001 and 2012 were included. All children underwent a complete ocular and systemic examination and investigation. The etiology, visual, and anatomic results of pediatric TVH were the outcome measures.

Results: Median age: 12.27 ± 4.51 years. 37 patients had bilateral VH; 43.24% of these were firecracker injuries. Commonest complaint was diminished vision (96.45%). Mean BCVA(logMAR) at presentation was 2.64 ± 1.11 logMAR. Sticks (43.43%) and cricket balls (13.24%) were the commonest causes. Treatment included medical therapy (topical and/or systemic; 56 eyes), laser photocoagulation (34 eyes), and/ or surgery (387 eyes). Mean final BCVA was significantly better (1.01 ± 0.58 logMAR; P = 0.011, Z test). Mean follow up in the closed and open globe trauma was 47 ± 12.47 and 36.24 ± 9.72 months, respectively.

Conclusion: TVH has significant implications in children. Firecracker injuries are notorious for bilateral VH.

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来源期刊

眼科学报

自引率

0.00%

发文量

1312

期刊介绍： Eye science was founded in 1985. It is a national medical journal supervised by the Ministry of Education of the People's Republic of China, sponsored by Sun Yat-sen University, and hosted by Sun Yat-sen University Zhongshan Eye Center (in October 2020, it was changed from a quarterly to a monthly, with the publication number: ISSN: 1000-4432; CN: 44-1119/R). It is edited by Ge Jian, former dean of Sun Yat-sen University Zhongshan Eye Center, Liu Yizhi, director and dean of Sun Yat-sen University Zhongshan Eye Center, and Lin Haotian, deputy director of Sun Yat-sen University Zhongshan Eye Center, as executive editor. It mainly reports on new developments and trends in the field of ophthalmology at home and abroad, focusing on basic research in ophthalmology, clinical experience, and theoretical knowledge and technical operations related to epidemiology. It has been included in important databases at home and abroad, such as Chemical Abstract (CA), China Journal Full-text Database (CNKI), China Core Journals (Selection) Database (Wanfang), and Chinese Science and Technology Journal Database (VIP).