Lyginamieji regėjimo rezultatai ir jų prognostiniai veiksniai akies plyšimų ir penetruojančių žaizdų atvejais ; Ocular globe ruptures and penetrating injuries: visual outcomes and prognostic factors

Purpose. To compere visual outcomes of globe ruptures and penetrating injuries and to determine prognostic factors of poor visual results (visual acuity VA≤ 0,02). Material and methods. The prospective data of 218 cases of severe open globe injuries is presented. Final visual results and prognostic factors of poor visual outcome (VA≤ 0.02) of globe ruptures (n=39) and penetrating injuries (n=179) are analysed. Results. Predominant grade of injury in both groups was grade D (VA 1/∞–0.02): 66.67% for globe ruptures and 64.25% for penetrating injuries. The rate of grade D and E (VA=0) in globe ruptures was significantly higher than in penetrating injuries (p<0.05). The blunt mechanism of injury significantly predominated in globe ruptures, and the sharp mechanism – in penetrating injuries (82.05% 32/39 vs. 66.48% 119/179)(p<0,05). Analysis of the rate of visual loss contributing factors demonstared hypotony (OR 3.93 CI 3.06–5.04 ±95% ; p<0.05), vitreous opacity (OR 3.78 CI 2.93–4.88 ±95% ; p<0.05), retinal pathology (OR 3.92 CI 3.15–4.88 ±95%; p<0.05), aphakia (OR 3.16 CI 2.53–3.94 ±95%; p<0.05), glaucoma (OR 2.81 CI 1.56–5.07 ±95%; p<0.05) to be significantly higher in ruptures than in penetrating injuries. Conclusion. Prognostic factors of poor visual outcome in globe ruptures were injuries of the eyelids, iris, vitreous, retina and orbit. Injuries of the eyelids, iris, anterior chamber and lens were predictors or poor visual outcome in penetrating injuries, but the data were. [to full text]