先天性和发育性白内障手术后的长期随访

Long-Term Follow-Up after Surgery for Congenital and Developmental Cataracts.

作者信息

Magli Adriano, Forte Raimondo, Carelli Roberta, Magli Giulia, Esposito Francesca, Torre Angelo

机构信息

a Pediatric Eye Department , University of Salerno , Fisciano , Italy .

b GI.MA Eye Center , Naples , Italy , and.

出版信息

Semin Ophthalmol. 2016;31(3):261-5. doi: 10.3109/08820538.2014.962160. Epub 2014 Oct 17.

DOI:10.3109/08820538.2014.962160

PMID:25323995

Abstract

PURPOSE

To evaluate long-term functional outcomes after surgery for congenital and developmental cataracts.

METHODS

In this retrospective interventional study, patients with congenital and developmental cataracts observed from 1996 to 2013 were included. Traumatic cataracts and cataracts secondary to other pathologies were excluded from the study. Minimum follow-up for inclusion was five years.

RESULTS

We included 117 patients operated on for congenital cataracts (58 females and 59 males, mean age 0.59 ± 0.2 years, 160 eyes) and 73 patients operated on for developmental cataracts (32 females and 41 males, mean age 6.63 ± 0.7 years, 121 eyes). Mean postsurgical follow-up was 9.26 ± 1.3 years (range, 5-14 years). After surgery for developmental cataracts, both distance and near BCVA were greater (p = 0.001), as was the presence of binocular vision (p = 0.001), while incidence of strabismus and myopic shift was lower (p = 0.001 and p = 0.02, respectively).

CONCLUSION

Postsurgical data showed better functional outcomes in developmental cataracts when compared to congenital cataracts.

摘要

目的

评估先天性和发育性白内障手术后的长期功能结局。

方法

在这项回顾性干预研究中，纳入了1996年至2013年观察到的先天性和发育性白内障患者。外伤性白内障和继发于其他病理状况的白内障被排除在研究之外。纳入研究的最小随访时间为五年。

结果

我们纳入了117例接受先天性白内障手术的患者（58例女性和59例男性，平均年龄0.59±0.2岁，160只眼）和73例接受发育性白内障手术的患者（32例女性和41例男性，平均年龄6.63±0.7岁，121只眼）。术后平均随访时间为9.26±1.3年（范围5 - 14年）。发育性白内障手术后，远视力和近视力均更好（p = 0.001），双眼视的存在情况也是如此（p = 0.001），而斜视和近视偏移的发生率较低（分别为p = 0.001和p = 0.02）。