儿童创伤性黄斑孔:特征,管理和结果
Nicolas Kitic1,2, Ismael Chehaibou1, Thibaut Chapron1,3
1Rothschild Foundation Hospital, Pediatric Ophthalmology department, Paris, France.
Retina (Philadelphia, Pa.)
|May 13, 2025
概括
儿童的创伤性黄斑孔往往自发关闭,特别是较小的. 手术提供了80%的闭合率,自发和手术闭合的视觉结果相似.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 创伤研究 创伤研究
背景情况:
- 创伤性黄斑孔 (MH) 是儿童视力障碍的重要原因.
- 了解儿科创伤性MH的特征和结果对于有效的管理至关重要.
研究的目的:
- 描述儿科患者创伤性黄斑孔的临床特征和视觉结果.
- 评估自发性和手术性关闭率,并确定影响自发性关闭的因素.
主要方法:
- 儿科患者 (<18岁) 被诊断患有创伤性黄斑洞的回顾性病例系列.
- 纳入标准:至少3个月的随访时间.
- 管理包括观察或帕斯普拉纳视切除术 (PPV) 与内部限制膜 (ILM) 剥离.
主要成果:
- 包括44名儿科患者,平均年龄为12.3岁.
- 自发闭眼发生在34.1%的眼睛中,与较小的最小线性直径 (MLD),血清性视网膜脱落,玻璃体出血和高血有关.
- 手术关闭 (带ILM剥离的PPV) 在25只眼睛中实现了80%的成功率.
结论:
- 创伤是儿童黄斑孔的主要原因.
- 自发性关闭在儿科创伤性MH中很常见,特别是在较小的MLD的情况下.
- 手术干预提供了良好的关闭率,自发和手术关闭的黄斑孔之间的视觉结果是可比的.
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