Analysis of prognostic factors of endoscopic optic nerve decompression in traumatic blindness. (November 2013)

• Record Type: Journal Article
• Authors: Song, Yexun; Li, Heqing; Ma, Yanhong; Li, Wei; Zhang, Xiaowei; Pan, Xueying; Tan, Guolin
• Is Part Of: Acta oto-laryngologica. Volume 133:Number 11(2013)
• Page Start: 1196
• Page End: 1200
• Publication Date: 2013-11
• Subjects: Otolaryngology -- Periodicals; Ear -- Diseases -- Periodicals; Throat -- Diseases -- Periodicals; Otolaryngology -- Electronic Resources; Otorhinolaryngologic Diseases; 617.8
• DOI: 10.3109/00016489.2013.822556
• Languages: English
• ISSNs: 0001-6489

Abstract

<abstract> <title>Abstract</title> <p> <italic>Conclusions:</italic> 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. <italic>Objectives:</italic> To investigate the therapeutic efficacy of endoscopic optic nerve decompression in the treatment of traumatic blindness and to evaluate the relevant prognostic factors. <italic>Methods:</italic> Eighty-five cases of traumatic blindness were analyzed retrospectively. Univariate analysis and multiple logistic regression were performed to evaluate potential prognostic factors. <italic>Results:</italic> 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.</p> </abstract>