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儿科透性角膜整形术后的并发症:一项IRIS注册研究

Lyvia J Zhang¹, Reza Dana¹, Alice C Lorch¹

¹Massachusetts Eye and Ear, Harvard Medical School, Boston, MA; and.

|August 13, 2024

概括

术后并发症发生在近一半的儿科穿透角膜整形 (PK) 患者中. 感染性角膜炎是最常见的并发症,主要影响眼睛的前部.

科学领域:

眼科医生眼科眼科
儿科手术儿科手术
角膜移植角膜移植

背景情况:

儿科穿透角膜整形 (PK) 是一个复杂的手术.
了解术后并发症的发生率对于患者的治疗结果至关重要.

研究的目的:

为了确定手术后并发症发生率在接受初级PK的儿童中.
将并发症按眼部段 (前后) 分类.

主要方法:

使用IRIS注册表 (2013-2020) 的回顾性队列研究.
包括接受初级PK的儿科患者 (0-18岁).
通过ICD-9/10代码识别并分类的并发症.

主要成果:

在544名儿科PK患者中,47.6%患有并发症.
前段并发症 (40.8%) 比后段 (17.6%) 更频繁.
感染性角膜炎是最常见的前部并发症 (30.0%);玻璃体出血 (9.6%) 和视网膜脱落 (8.8%) 是最常见的后部并发症.

结论:

传染性角质炎是儿科PK的主要术后并发症.
前段并发症比后段并发症更为普遍.
调查结果突出了儿科PK的挑战,并为管理策略提供了信息.

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