在儿科和发育迟缓的患者中,角膜原交叉链接治疗角质红斑
Elizabeth Conner1, Meghal Gagrani2,3, Vaitheeswaran G Lalgudi4
1Department of Ophthalmology, Christchurch Hospital, Christchurch, New Zealand.
Cornea
|July 24, 2024
概括
角膜交叉链接 (CXL) 为儿童和发育迟缓 (DD) 患者的角质提供了一种安全的治疗方法. 这种技术确保了及时的诊断和管理,临时的中央tarsorrhaphy减少术后疼痛.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 儿科眼科护理 儿科眼科护理
背景情况:
- 在儿科和发育迟缓的人群中,形形管道的管理带来了独特的挑战.
- 角膜交叉连接 (CXL) 是标准的护理,但需要适应这些患者群体的技术.
研究的目的:
- 为儿童和发育迟缓患者CXL提供临床决策算法和手术技术.
- 评估CXL在这些特定患者队列中的结果和安全性.
主要方法:
- 在2017年10月至2021年4月期间,对患者进行了CXL治疗,以检查肌.
- 收集的数据包括人口统计数据,手术前/手术内/手术后发现,CXL指示,并发症和视力敏度 (VA).
- 进行了表皮脱离CXL,按指示使用全身麻醉和临时中央刺术.
主要成果:
- 34名患者 (48只眼睛) 接受了CXL,其中21名患有发育迟缓 (DD),13名没有 (NDD).
- 没有观察到直接的术后并发症.
- 观察到改善视力敏度的趋势,DD组的平均logMAR VA从0.67到0.57变化 (P=0.3) 和NDD组的0.52到0.36 (P=0.13).
结论:
- 提出的技术有助于及时诊断和安全的CXL在儿童和DD个体的角.
- 暂时的中央刺术是缓解这些患者手术后疼痛的良好耐受的干预措施.
- 这种方法可以确保在具有挑战性的儿科和发育迟缓人群中有效地管理角.
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