Analysis of prognostic factors of endoscopic optic nerve decompression in traumatic blindness.

Abstract

CONCLUSIONS:

Hemorrhage within the ethmoid and/or sphenoid sinus and an interval between the time of injury and the time of operation exceeding 3 days are the risk factors for the visual prognosis of traumatic blindness.

OBJECTIVES:

To investigate the therapeutic efficacy of endoscopic optic nerve decompression in the treatment of traumatic blindness and to evaluate the relevant prognostic factors.

METHODS:

Eighty-five cases of traumatic blindness were analyzed retrospectively. Univariate analysis and multiple logistic regression were performed to evaluate potential prognostic factors.

RESULTS:

The overall rate of vision acuity improvement was 44.7% (38 of 85). Univariate analysis indicated that hemorrhage within the ethmoid and/or sphenoid sinus was significantly associated with unrecovered visual acuity. However, multiple logistic regression analysis identified that an interval between the time of injury and the time of operation exceeding 3 days, and hemorrhage within the ethmoid and/or sphenoid sinus were significantly correlated with the efficacy of treatment of traumatic blindness.

• Authors: Yexun Song, Heqing Li, Yanhong Ma, Wei Li, Xiaowei Zhang, Xueying Pan, Guolin Tan
• Journal: Acta oto-laryngologica (Acta Otolaryngol) Vol. 133 Issue 11 Pg. 1196-200 (Nov 2013) ISSN: 1651-2251 [Electronic] England
• PMID: 23919669 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Blindness (etiology, surgery)
• Child
• Decompression, Surgical
• Female
• Humans
• Logistic Models
• Male
• Middle Aged
• Natural Orifice Endoscopic Surgery
• Optic Nerve Injuries (complications, diagnosis, surgery)
• Prognosis
• Retrospective Studies
• Young Adult