在白内障手术后,儿童绿内障的视觉和手术结果
Adam Jacobson1, Brenda L Bohnsack2
1Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan.
概括
在白内障手术 (GFCS) 后,超过一半的玻璃眼患者需要进行玻璃眼手术. 单侧白内障史和绿内障手术与GFCS患者视力敏度结果较差有关.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 通过早期切除术治疗的先天性白内障可能导致二次绿内障.
- 在白内障手术 (GFCS) 后的玻璃眼呈现出独特的管理挑战.
研究的目的:
- 为了确定使用GFCS在眼睛中进行青光眼外科手术的频率.
- 评估GFCS患者的长期视觉结果和手术成功率.
主要方法:
- 对被诊断患有GFCS的患者的医疗记录进行回顾性审查.
- 纳入标准:在1岁之前进行长视切除术,确认青光眼的诊断,并至少进行1年的随访.
- 收集的数据:青光眼手术类型,时间,最终视力敏度和视神经头部状态.
主要成果:
- 52%的GFCS眼睛 (73%的患者) 需要进行绿眼镜手术,平均两次手术.
- 需要手术的眼睛视力敏度明显降低,杯盘比较大.
- 贝尔维尔特植入物在手术干预中显示出最高的5年和10年生存率.
- 与单边病例相比,双边先天性白内障病史与更好的视力敏度相关.
结论:
- 超过一半的GFCS患者接受了青光眼手术,这表明疾病负担很高.
- 眼外科手术和单侧白内障病史与较差的视觉结果有关.
- 手术干预显示了可变的长期成功,随着分流提供更好的持续控制.
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