Ma C X, Lü Y, Lü J, Yang L, Tan F L, Li B B
Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Zhonghua Yi Xue Za Zhi. 2016 Jul 19;96(27):2176-8. doi: 10.3760/cma.j.issn.0376-2491.2016.27.014.
To investigate the incidence, occurrence time and types of aphakic glaucoma following infantile congenital cataract surgery.
The records of children who underwent surgery for congenital cataract within the first 24 months of life between January 2010 and January 2014 at the First Affiliated Hospital of Zhengzhou University were retrospectively reviewed.Children with preoperative conditions associated with glaucoma were excluded.The following parameters were ascertained: age received cataract surgery, operation method, the incidence, occurrence time and types of glaucoma.
A total of 205 patients (324 eyes) with an average surgery age of 13.9 months were included, and the mean follow-up time was 47.6 months.The operation method was cataract extraction combined with posterior continuous circular capsulorhexis and anterior vitrectomy.Twenty-nine patients (37 eyes, 11.42%) had subsequent development of aphakic glaucoma, 9 eyes of which (2.78%) developed early onset angle closed glaucoma, and the occurrence time was (4.2±2.6) months after cataract surgery; 28 eyes (8.64%) developed late onset open angle glaucoma, 26 of which was angle open glaucoma, and the rest two was angle closed glaucoma.The occurrence time was (37.5±11.0) months after cataract surgery. Twenty-nine patients (37 eyes) developed aphakic glaucoma had cataract surgery within 2 to 12 months (6.8 months on average). The rest 176 patients (287 eyes) who did not develop glaucoma had cataract surgery at 10 to 24 months (14.1 months on average).
The incidence of aphakic glaucoma following infantile congenital cataract surgery is 11.42%.Aphakic glaucoma is divided into two types of early onset angle closed glaucoma and late onset open angle glaucoma.The occurence time of glaucoma was 2 months to 64 months after cataract surgery.Late onset open angle glaucoma is the most common type.
探讨婴幼儿先天性白内障手术后无晶状体性青光眼的发病率、发生时间及类型。
回顾性分析2010年1月至2014年1月在郑州大学第一附属医院接受先天性白内障手术的24个月内婴儿的病历。排除术前有青光眼相关疾病的儿童。确定以下参数：接受白内障手术的年龄、手术方式、青光眼的发病率、发生时间及类型。
共纳入205例患者（324只眼），平均手术年龄为13.9个月，平均随访时间为47.6个月。手术方式为白内障摘除联合后囊连续环形撕囊及前部玻璃体切除术。29例患者（37只眼，11.42%）随后发生无晶状体性青光眼，其中9只眼（2.78%）发生早发性闭角型青光眼，发生时间为白内障手术后（4.2±2.6）个月；28只眼（8.64%）发生迟发性开角型青光眼，其中26只为开角型青光眼，其余2只为闭角型青光眼。发生时间为白内障手术后（37.5±11.0）个月。发生无晶状体性青光眼的29例患者（37只眼）在2至12个月（平均6.8个月）内行白内障手术。其余未发生青光眼的176例患者（287只眼）在10至24个月（平均14.1个月）内行白内障手术。
婴幼儿先天性白内障手术后无晶状体性青光眼的发病率为11.42%。无晶状体性青光眼分为早发性闭角型青光眼和迟发性开角型青光眼两种类型。青光眼的发生时间为白内障手术后2个月至64个月。迟发性开角型青光眼是最常见的类型。
