在儿科眼内透镜植入后预测术后近视转移:有关因素的范围审查
Ivana Mravičić1, Emma Grace Orešković1,2, Maja Bohač1
1Svjetlost Eye Clinic, 10000 Zagreb, Croatia.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
在儿科眼内透镜 (IOL) 植入后预测近视转移是具有挑战性的. 年龄较小,轴长较短和单侧白内障预测白内障手术的儿童的近视转移更大.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 折射手术是一种折射手术.
背景情况:
- 由于眼睛持续生长和个体变异,预测儿科眼内透镜 (IOL) 植入后的折射结果是复杂的.
- 儿童持续的眼睛生长显著影响IOL手术后的折射发育.
研究的目的:
- 绘制有关影响术后近视转移的因素的现有证据,用于在接受白内障手术的儿童中使用内腔镜植入物.
- 确定儿科伪发病中折射变化的人口统计,生物识别和手术预测因素.
主要方法:
- 在PubMed和Scopus的系统文献搜索 (过去10年至2025年10月).
- 包括对患有先天性/发育性白内障的儿童 (≤18岁) 接受初级/二级IOL植入的研究.
- 根据PRISMA-ScR指南,提取研究设计,年龄,随访,折射/生物识别结果和预测因子的数据.
主要成果:
- 包括12项研究. 手术时的年龄较小,手术前的轴长较短和单侧白内障预测了更大的近视转移.
- 近视转移范围从-1.8 D (2年) 到-11.6 D (15年),与轴延长相关.
- 光学生物测量和现代公式显示预测误差低于旧方法;像玻璃眼这样的并发症增加了折射变化.
结论:
- 儿科伪眼症的术后近视转移是可预测的,并且依赖于年龄,由眼球生长驱动.
- 标准化生物识别,年龄分层的折射目标和增长集成的IOL计算算法可以提高折射的可预测性.
- 改善折射可预测性对于优化内腔镜儿童视觉结果至关重要.
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