Matalia Jyoti, Shirke Sheetal, Shetty K Bhujang, Matalia Himanshu
J Pediatr Ophthalmol Strabismus. 2018 Jan 1;55(1):30-36. doi: 10.3928/01913913-20170703-13. Epub 2017 Oct 9.
To report the intraoperative and postoperative outcomes of congenital cataract surgery in eyes with microcornea.
In this retrospective, interventional, comparative case series, the authors reviewed 47 eyes of 26 children with microcornea and congenital cataract (21 bilateral and 5 unilateral) who underwent lens aspiration with primary posterior capsulectomy and anterior vitrectomy between 2008 and 2014 with a minimum follow-up period of 6 months. Demographic profiles and systemic and ocular features were documented. Intraoperative and postoperative complications were studied separately for bilateral and unilateral cases. Patients were also divided into two groups on the basis of their ages at surgery (early surgery group: 3 months or younger; late surgery group: older than 3 months) and postoperative complications were compared. Visual outcome was analyzed in those with a follow-up period of more than 1 year.
Early surgery was performed in 24 eyes of 13 patients (11 bilateral and 2 unilateral) and late surgery in 23 eyes of 13 patients (10 bilateral and 3 unilateral). Intraoperatively, all eyes had poor pupillary dilatation and 6 (12.8%) eyes needed iris hooks. Postoperatively, the most common early complication was transient corneal edema observed in 22 (46.8%) eyes (13 and 8 eyes in the early and late surgery groups, respectively). Late complications included visual axis opacification in 6 (12.76%) eyes (3 in each group), and secondary glaucoma in 5 (10.64%) eyes (2 and 3 eyes in the early and late surgery groups, respectively). Vision was normal for age in 18 (60%) of the bilateral cases with a follow-up period of more than 1 year.
Early surgical intervention for congenital cataract in eyes with microcornea can result in favorable outcomes with an acceptable rate of postoperative complications. [J Pediatr Ophthalmol Strabismus. 2018;55(1):30-36.].
报告小角膜患儿先天性白内障手术的术中及术后结果。
在这个回顾性、干预性、比较性病例系列研究中，作者回顾了2008年至2014年间接受晶状体抽吸联合一期后囊切开及前部玻璃体切割术的26例患有小角膜和先天性白内障患儿的47只眼（21例双侧，5例单侧），随访期至少6个月。记录人口统计学资料以及全身和眼部特征。分别对双侧和单侧病例的术中及术后并发症进行研究。患者还根据手术时的年龄分为两组（早期手术组：3个月及以下；晚期手术组：大于3个月），并比较术后并发症。对随访期超过1年的患者的视力结果进行分析。
13例患者的24只眼（11例双侧，2例单侧）进行了早期手术，13例患者的23只眼（10例双侧，3例单侧）进行了晚期手术。术中，所有患眼瞳孔散大不良，6只眼（12.8%）需要使用虹膜钩。术后，最常见的早期并发症是22只眼（46.8%）出现短暂性角膜水肿（早期手术组13只眼，晚期手术组8只眼）。晚期并发症包括6只眼（12.76%）出现视轴混浊（每组3只眼），5只眼（10.64%）出现继发性青光眼（早期手术组2只眼，晚期手术组3只眼）。随访期超过1年的双侧病例中，18例（60%）视力达到年龄正常水平。
小角膜患儿先天性白内障的早期手术干预可取得良好效果，术后并发症发生率可接受。[《小儿眼科与斜视杂志》。2018；55(1):30 - 36。]
