小儿白内障手术中的近视转移与年龄和手术并发症相关
Celso Menezes Filho1, Andre Messias1, Paulo Henrique F Silva2
1Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Indian journal of ophthalmology
|August 14, 2024
概括
儿科白内障手术结果显示,手术年龄较小和手术并发症预测近视转移更大. 手术时的年龄较大是儿童近视进展的保护因素.
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:
- 出生性白内障和婴儿白内障需要早期手术干预.
- 了解近视转移等长期折射结果对于儿科眼科护理至关重要.
- 之前的研究已经探索了影响手术后折射误差发展的因素.
研究的目的:
- 在接受白内障手术的儿童中确定近视转移的预测因素.
- 在手术后至少3年分析折射结果.
- 为了确定显著近视进展的风险因素.
主要方法:
- 追溯和横截面研究设计.
- 包括因先天性/婴儿性白内障而手术的患者,年龄在5岁以下.
- 单变量和多变量回归分析以确定风险因素.
主要成果:
- 总近视转移的平均值为 -4.32 ± 3.25 D.
- 手术时年轻的年龄 (≤6个月) 与较大的近视转移 (-5.73 ± 3.14 D) 有关.
- 手术时的年龄较大,手术并发症,眼,阿法基亚和较差的BCVA都是近视转移的重要预测因素.
结论:
- 小儿白内障手术后的近视转移受到手术时的年龄的显著影响.
- 手术并发症是近视转移增加的主要危险因素.
- 儿科白内障的早期手术需要对折射发育进行仔细监测.
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