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在儿科马凡综合征的视觉和折射结果

Francisco Altamirano¹, Bharti R Nihalani¹, Kathryn B Miller¹

¹Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus

|March 9, 2025

概括

儿科马凡综合征患有透镜外置的患者需要精确的折射. 这些患者的伪眼睛通常表现出良好的视觉敏度和最小的折射误差.

科学领域:

眼科医生眼科眼科
遗传学是一个遗传学.
儿科儿科儿科

背景情况:

马方综合征是一种影响结缔组织的遗传性疾病.
镜片外置是马尔凡综合征中常见的眼睛表现.
了解折射结果对于管理受影响儿童视力障碍至关重要.

研究的目的:

确定被诊断为马凡综合征的儿科患者的折射结果和最佳校正视敏度 (BCVA).
基于透镜状态和折射力校正来分析视觉功能.

主要方法:

从2015年到2023年在儿科三级护理中心对医疗记录的回顾性审查.
纳入标准:患有马方综合征的患者,发病时的年龄或随访时间.
眼睛根据透镜状况进行分类:没有潜伏,潜伏与发光/发光折射,或伪发光.

主要成果:

分析了来自105名儿科患者的210只眼睛.
在透镜状态组中观察到BCVA比20/40更差和平均球形相当的显著差异 (P < 0.005).
眼是视力减弱的主要原因;主要并发症包括视网膜脱落和玻璃眼 (每一个为1.4%).

结论:

精确的折射测量对于患有马方综合征和透镜外置症的儿科患者至关重要.
一些患者可能会受益于阿法基纠正.
伪发光眼可以达到折射误差和BCVA,与没有潜的发光眼相比.

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