在儿童白内障初级眼内透镜植入后5年内发生的并发症
Kimberly G Yen1, Michael X Repka2, Desirae R Sutherland3
1Texas Children's Hospital, Houston, Texas.
JAMA ophthalmology
|June 22, 2023
概括
初级前置玻璃切除术显著减少儿童白内障手术后视觉轴模糊化手术. 年龄和IOL位置对VAO风险没有影响,但对所有儿童来说,青光眼的监测至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科护理 儿科眼科护理
- 外科手术的结果
背景情况:
- 用初级眼内镜片 (IOL) 植入的镜片切除术是儿科白内障的常见治疗方法.
- 与年龄和IOL位置相关的并发症的长期数据有限.
研究的目的:
- 为了确定儿科白内障手术后5年并发症的发生率.
- 评估手术时的年龄和IOL位置与并发症率的关联.
主要方法:
- 使用儿科眼病研究小组白内障登记处数据的前性队列研究.
- 包括13岁以下的儿童,接受了带初级内膜眼镜植入器的长视切除术.
- 根据手术时的年龄和IOL位置 (硫与囊袋) 分析的并发症.
主要成果:
- 视轴模糊化手术 (VAO) 是常见的 (32%),前视镜切除术显著减少 (12%与58%相比).
- VAO风险与没有进行前视膜切除术有关,但与年龄或IOL位置无关.
- 5年后,青光眼的发病率为7%,没有与年龄相关的差异.
结论:
- 前置玻璃切除术在儿童白内障手术后预防VAO方面至关重要.
- 年龄和IOL位置似乎没有影响VAO风险.
- 对于所有接受白内障手术的儿童来说,长期对青光眼的监测是必不可少的.
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