在儿童患者的眼睛创伤后转化为青光眼
Nur Cardakli1, Rujuta A Gore1,2, Courtney L Kraus1
1Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Vision (Basel, Switzerland)
|January 23, 2025
概括
患有闭眼球损伤的儿科大眼镜疑似患者的眼睛高血压率较高,并且患有大眼镜. 没有任何开放球损伤进展为青光眼,这表明基于损伤类型的结果存在差异.
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:
- 对于患有眼睛创伤史的儿科绿眼瘤嫌疑人的结果在很大程度上是未知的.
- 这项研究侧重于在这个特定的患者群体中转化为青光眼的转化率.
研究的目的:
- 为了确定患有眼睛创伤史的儿科患者中青光眼的发展速度.
- 为了比较儿科大眼疑似患者的开放球和闭球损伤之间的结果.
主要方法:
- 儿科患者 (2005-2016) 的回顾性病例系列,眼部创伤被监测为可疑的玻璃眼瘤患者.
- 纳入标准:有过开放或封闭世界的创伤史.
- 收集关于受伤类型,治疗和青光眼发育的数据.
主要成果:
- 分析了62名儿科患者的62只眼睛;46.8%的眼睛是开放的,53.2%的眼睛是封闭的.
- 闭眼球损伤的眼睛有较高的眼球高血压局部治疗率 (36.4%对10.3%).
- 五只眼睛 (8.1%) 患有青光眼,所有眼睛都曾经受过闭眼球损伤;4只眼睛需要进行青光眼手术. 大多数创伤后绿眼瘤病例 (60%) 同时进行了眼内外科手术.
结论:
- 在这个队列中,所有创伤后的儿科玻璃眼病例都是由于闭眼球损伤造成的.
- 儿科大眼疑似患者中没有开放球损伤的病例进展为大眼.
- 损伤类型显著影响儿科眼部创伤患者的青光眼发育风险.
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