非手术连续的外热后的童年中热性:一个多中心研究
Linda Colpa1, Sina Khalili1, Stephen Kraft2
1From the Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada (L.C., Sina K., Stephen K., K.M.).
American journal of ophthalmology
|July 30, 2023
概括
非手术连续外观 (NCX) 可能发生在患有外观 (ET) 的儿童身上,挑战了与高高视的联系. 保守的管理显示了适度的结果,建议进一步研究非折射性原因.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 这是一种眼 (Strabismus).
背景情况:
- 非手术连续异形 (NCX) 是异形 (ET) 在没有手术的情况下自发转化为异形 (XT).
- NCX的确切原因,特别是它与高超视度和适应性ET的关联,仍然不清楚.
研究的目的:
- 描述NCX的临床特征.
- 评估NCX保守管理策略的有效性.
主要方法:
- 一个回顾性的,多中心的观察案例系列.
- 包括6个月及以上的患者,最初的ET转化为XT而不需要手术,不包括感觉.
- 收集了关于年龄,视敏度,折射误差,偏差和双眼视力的数据.
主要成果:
- 分析了49名儿童,NCX发生在8.4岁左右.
- 适应性ET在60%的病例中存在,只有35.7%的患者患有高高视障.
- 折射管理 (减少高视度处方) 取得了适度的结果,只有一个病例恢复到ET;43%最终需要XT手术.
结论:
- 在适应性和非适应性ET中,NCX发生,高高视障仅在少数病例中存在.
- 从ET漂移到XT的平均时间在5年内.
- 调查结果质疑视障相关的因果关系理论,强调需要探索像联系统这样的非折射因素.
相关概念视频
01:28Angle Closure Glaucoma: Treatment
563
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
563
01:27Open Angle Glaucoma: Treatment
480
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
480