二次眼内透镜植入3年后的并发症,视力敏度和折射误差 对于儿科阿法基亚的二次眼内透镜植入后3年
Serena Wang1, Michael X Repka2, Desirae R Sutherland3
1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas.
Ophthalmology
|May 16, 2024
概括
在儿童中植入二级眼内透镜 (IOL) 存在与玻璃眼相关的不良事件 (GRAEs) 的风险. 5年后的折射结果比预期的低超视,这表明需要在儿科白内障手术中调整IOL功率计算.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 白内障手术 手术 白内障手术
背景情况:
- 二次眼内透镜 (IOL) 植入是在白内障手术后的儿童中进行的.
- 了解结果和并发症对于儿科眼科护理至关重要.
研究的目的:
- 为了确定二次IOL植入儿童后并发症的累积发病率.
- 描述折射误差和视力敏度 (VA) 到植入后5年的结果.
主要方法:
- 对儿科白内障注册的回顾性审查.
- 在镜片切除和二次IOL植入后,每年收集5年的数据.
- 对并发症,折射误差和视力敏度的分析.
主要成果:
- 与眼相关的不良事件 (GRAEs) 发生在17%的双边病例和12%的单边病例中.
- 在2-4%的病例中,视轴变暗需要手术.
- 在5年后,折射误差不如预期的高视度,VA中位数为20/63 (双边) 和20/400 (单边).
结论:
- 在儿童中植入二次IOL可能会导致新GRAEs的发展.
- 折射结果表明比计划更少的超视的趋势,可能是由于预期的近视转移.
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