在瑞典儿科白内障登记册中,视觉轴变暗的流行程度
Gunilla Magnusson1,2, Jenny Gyllén1,2, Birgitte Haargaard3
1Region Västra Götaland, Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden.
Acta ophthalmologica
|January 22, 2024
概括
瑞典的儿科白内障手术显示,在幼儿中,视轴模糊 (VAO) 的发病率很高,特别是那些在六个月之前接受手术的儿童. 包装镜头眼内透镜 (IOL) 植入显示VAO率明显降低,这表明其安全性和有效性.
科学领域:
- 眼科医生 眼科 眼科
- 儿科手术 儿科手术
背景情况:
- 手术后视觉轴模糊化 (VAO) 是儿科白内障手术的一个重大问题.
- 对先天性白内障的早期手术干预对于视觉发育至关重要.
研究的目的:
- 为了确定在瑞典接受白内障手术的五岁以下儿童中VAO的发病率.
- 分析VAO与手术时的年龄以及手术技术之间的相关性.
主要方法:
- 从瑞典儿科白内障登记册 (PECARE) 的数据进行了回顾性分析.
- 2007年1月1日至2020年12月31日期间运行的儿童纳入.
- 分析了1,2岁和5岁的随访数据.
主要成果:
- 在1年后,VAO被观察到44.1%,2年后12.7%,手术后5年后12%.
- 大多数VAO病例发生在6个月前手术的儿童身上,尤其是2个月前.
- 包装镜头眼内镜片 (IOL) 植入与与其他IOL类型和阿法基亚相比显著较低的VAO率相关 (p < 0.0002).
结论:
- 在两岁以下的儿童中,初级袋内镜头内OL植入是安全有效的.
- 这种手术方法与VAO的发病率较低有关,在瑞典可以被认为是常规的.
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