在埃塞俄比亚西南部的三级护理中心中,儿童青光眼的概况:一项回顾性研究
Tarekegn Mulugeta1, Guteta Gebremichael2, Sufa Adugna2
1Department of Ophthalmology, Institute of Health, Jimma University, Jimma, Ethiopia. zermestar@gmail.com.
BMC ophthalmology
|January 23, 2024
概括
儿童眼光障碍是导致儿童失明的主要原因,在撒哈拉以南非洲的特点是. 主要先天性玻璃眼 (PCG) 是最常见的,大多数眼睛通过手术治疗,85.3%的眼睛成功控制了眼内压力.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 公共卫生 公共卫生
背景情况:
- 童年玻璃眼瘤是全球儿童失明的重要原因之一.
- 在撒哈拉以南非洲,对儿童青光眼的表征是有限的.
- 这项研究旨在描述该地区的人口统计,临床特征和儿童青光眼的治疗方法.
研究的目的:
- 描述撒哈拉以南非洲儿童青光眼的人口统计和临床特征.
- 评估管理策略和结果,包括视敏度和眼内压力 (IOP) 控制.
- 为了确定最常见的初级和二级儿童青光眼的类型.
主要方法:
- 对105名2019年9月至2022年8月期间被诊断患有青光眼的儿童 (181只眼睛) 的回顾性研究.
- 诊断和分类遵循童年玻璃眼研究网络 (CGRN) 的标准.
- 收集的数据包括人口统计数据,青光眼类型,管理和IOP/视力敏度结果.
主要成果:
- 主要先天性玻璃眼 (PCG) 是最常见的类型 (42%),其次是疑似玻璃眼 (22.1%) 和青少年开角玻璃眼 (JOAG) (15.5%).
- 男孩比女孩更容易受到影响 (初级绿眼病的比例为 2:1;二级绿眼病的比例为 2.7:1).
- 85.3%的眼睛取得了成功的IOP控制 (≤21 mmHg); 93.4%的PCG眼睛接受了手术,主要是结合带切除术和带切除术 (CTT).
结论:
- 在这个撒哈拉以南非洲群体中,PCG是儿童青光眼的主要形式.
- 观察到PCG的晚期呈现,这是发展中国家面临的挑战,这强调了需要增加眼科护理的准入和意识的需要.
- 类固醇诱导的玻璃眼是最常见的次要类型,强调了预防措施的重要性.
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