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与儿科移植相关的折射变化
Olgar Öcal1, Aslı Çetinkaya Yaprak1, Rabia Büşra Yavuz1
1Department of Ophthalmology, Akdeniz University Hospital, Antalya, Turkey.
Pediatric transplantation
|February 28, 2026
概括
儿童移植接受者表现出可接受的白内障发育率和折射变化,即使长期免疫抑制. 定期监测视力对于早期检测和预防这些年轻患者的眼盲至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科脏病学 儿科脏病学
- 移植手术 移植手术
背景情况:
- 移植是儿科末期病 (ESRD) 的首要治疗方法.
- 先天性形和遗传综合征占儿科ESRD病例的25%-40%.
- 由于手术或医疗治疗,移植后可能出现眼部并发症.
研究的目的:
- 为了评估儿科移植接受者的术后折射变化.
- 在随访期间识别可能导致雄眼的折射变化.
主要方法:
- 84名接受脏移植的儿科患者的回顾性审查.
- 移植后至少一年进行的眼科检查.
- 收集的数据包括视敏度,折射误差 (SER) 和前后段检查.
主要成果:
- 在10.7%的患者中出现白内障,最常见的是后部亚囊白内障.
- 在移植后出现白内障的患者中观察到视力敏度的统计显著下降 (p=0.027).
- 在整体移植后,球体等效折射 (SER) 没有显著变化.
结论:
- 与成人相比,儿童移植患者的白内障发育率较低,尽管长期免疫抑制.
- 儿科移植患者的白内障发育和折射变化处于可接受的范围内.
- 密切监测折射变化对于年轻儿科患者至关重要,以防止不可逆转的视力丧失.
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