双边先天性白内障手术后的术后并发症和轴长度增长:与对照组相比,患有微眼的眼睛
Yiling Jiang1,2,3, Yinying Zhao1,2,3, Jun Ni1,2,3
1Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Eye (London, England)
|June 21, 2024
概括
患有先天性白内障和微的婴儿从早期白内障手术中受益,表现出类似的视觉改善,但增加了绿内障风险. 微眼镜眼睛在手术后表现出较慢的轴长度增长.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 外科手术的结果
背景情况:
- 先天性白内障是导致儿童失明的主要原因.
- 微眼 (microphthalmos) 是一种眼睛尺寸小的疾病,在治疗先天性白内障方面存在独特的挑战.
- 早期干预对于患病婴儿的视觉发育至关重要.
研究的目的:
- 评估先天性白内障和微眼的婴儿在第一阶段白内障手术后的临床结果.
- 为了比较微眼镜眼睛的轴长度 (AL) 增长与手术后正常发育的眼睛.
主要方法:
- 在一个中心进行回顾性病例对照研究.
- 患有先天性白内障的婴儿被分为微和对比组.
- 手术前和多次随访间隔进行了眼科检查.
主要成果:
- 与比较组 (0%) 相比,微眼组 (21 个婴儿) 显示了与玻璃眼相关的不良事件 (16.7%) 的发生率更高.
- 在整个随访期间,比较组的AL和AL增长明显大于微瘤组.
- 视力敏度的改善在微眼和对照组之间是可比的.
结论:
- 早期白内障手术可以改善先天性白内障和微的婴儿的视觉功能.
- 虽然有效,但微眼镜眼睛的手术具有更高的玻璃眼瘤风险.
- 在白内障移除后,与正常眼相比,微眼眼的轴长度增长较慢.
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