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目的分析眼外伤的临床特点,应用眼外伤评分(OTS)对其进行预后评估。方法统计分析153例(156眼)眼外伤的性别、年龄、受伤时间、地点、初视力、治疗方案、随诊的终视力。并对伤眼进行OTS评分(对初视力、眼内炎发生情况、眼球破裂情况、是否为穿孔性伤口、有无视网膜脱离、瞳孔反射情况进行评估),根据OTS数据表推算出最终视力的概率;对比本组病例的终视力比率与OTS表的终视力概率。结果本研究病例终视力出现的比率与由OTS计算出的终视力(无光感,光感/手动,0.005～0.095,0.1～0.4,≥0.5)概率相比,无明显差异。终视力与初视力呈明显正相关(r=0.650,P<0.000)。OTS-1级的终视力在0.5者为0,OTS-5级的终视力为无光感(NLP)者也为0。结论对眼外伤最初眼部情况进行OTS评分可为患者及医生提供一个较为可靠的治疗依据及预后信息。
Objective To analyze the clinical characteristics of ocular trauma and evaluate its prognosis by ocular trauma score (OTS). Methods 153 cases (156 eyes) of traumatic gender, age, duration of injury, location, initial visual acuity, treatment plan and follow-up of final visual acuity were analyzed statistically. OTS scores were also evaluated for the injured eyes (assessment of initial vision, endophthalmitis, ocular rupture, perforation, retinal detachment, and pupillary reflexes), and the probability of the final visual acuity was calculated from the OTS data sheet ; Comparing the ratio of the final power of this group of patients with the probability of the final power of the OTS table. Results There was no significant difference in the rates of occurrence of final visual acuity between the study cases and those of the final visual acuity (lightness-free, light-sensitive / manual, 0.005-0.095, 0.1-0.4, ≥0.5) calculated by OTS. There was a significant positive correlation between final vision and primary vision (r = 0.650, P <0.000). The OTS-1 level had a final visual acuity of 0 at 0.5, and a zero visual acuity (NLP) at OTS-5 level. Conclusion The OTS score of the initial ocular trauma can provide patients and doctors with a more reliable basis for treatment and prognostic information.