АНАЛИЗ ФАКТОРОВ, АССОЦИИРОВАННЫХ С НЕБЛАГОПРИЯТНЫМ ФУНКЦИОНАЛЬНЫМ РЕЗУЛЬТАТОМ ВОССТАНОВЛЕНИЯ ОСТРОТЫ ЗРЕНИЯ, У ПАЦИЕНТОВ С ПРОНИКАЮЩИМ РАНЕНИЕМ ГЛАЗНОГО ЯБЛОКА С НАЛИЧИЕМ ВНУТРИГЛАЗНОГО ИНОРОДНОГО ТЕЛА

Abstract

Introduction. The problem of penetrating ocular injuries with a retained intra-ocular foreign body is socially important; the assessment of the prognosis of the visual outcome in patients remains relevant. Materials and Methods. The objects of the study were 122 patients (119 men, 3 women) with a penetrating ocular injuries with the presence of an intraocular foreign body, who were treated in the microsurgery department № 2 of the 10-th city clinical hospital for a 10-year period. A set of methods was used, including a basic ophthalmological examination and additional instrumental methods. Two groups of patients were distinguished – with favorable (final best corrected visual acuity ≥0,3) and unfavorable (<0,3) outcomes. Results. The general group of the patients was characterized by the predomi-nance of people of young working-age (34.0 [26.0; 47.0] years). The percentage of unfavorable visual outcome was 40.16 %. Retinal detachment (p = 0,012), vit-reous hemorrhage (p = 0,041), inflammatory complications, incl. endophthalmitis (p = 0,001), intraocular foreign body volume (U = 984,0, p < 0,0001) were signif-icantly associated with poor outcome of penetrating injury. The intraocular for-eign body volume associated with poor visual outcome was determined to be more than 4,5 mm3. Conclusion: Establishing of the factors associated with an unfavorable out-come will make it possible to develop effective predictive models for identifying risk groups at an early stage and improve the tactics of treating patients with a penetrating ocular injuries with a retained intraocular foreign body.