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小儿圆锥角膜的角膜交联术综述

Corneal Cross-Linking for Pediatric Keratcoconus Review.

作者信息

Perez-Straziota Claudia, Gaster Ronald N, Rabinowitz Yaron S

机构信息

Department of Ophthalmology, University of Southern California, Los Angeles, CA.

Cornea Eye Institute, Beverly Hills, CA.

出版信息

Cornea. 2018 Jun;37(6):802-809. doi: 10.1097/ICO.0000000000001579.

Abstract

PURPOSE

To comprehensively review the available published literature for cross-linking in the pediatric population.

METHODS

Review of the literature published in English in PubMed.

RESULTS

Two hundred ten publications were considered. One hundred fifteen were considered relevant to this review.

CONCLUSIONS

Studies of cross-linking in pediatric patients are sparse, with relatively short follow-up times, and mostly on small groups of patients. Treatment with cross-linking halts progression of keratoconus in the pediatric population, and early treatment seems to be cost-effective compared with later penetrating keratoplasty. Long-term effects and regression rates remain unclear, and further studies are needed in this population.

摘要

目的

全面回顾已发表的有关儿科人群交联治疗的文献。

方法

检索PubMed上发表的英文文献。

结果

共筛选出210篇出版物。其中115篇被认为与本综述相关。

结论

儿科患者交联治疗的研究较少,随访时间相对较短,且大多针对小样本患者群体。交联治疗可阻止儿科圆锥角膜患者病情进展,与后期穿透性角膜移植术相比,早期治疗似乎更具成本效益。长期效果和回退率仍不明确,该人群需要进一步研究。

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本文引用的文献

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Accelerated corneal collagen cross-linking in pediatric keratoconus: One year study.儿童圆锥角膜的加速角膜胶原交联:一年研究
Saudi J Ophthalmol. 2017 Jan-Mar;31(1):11-18. doi: 10.1016/j.sjopt.2017.01.002. Epub 2017 Jan 25.
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Trends in Corneal Transplantation in Keratoconus.圆锥角膜角膜移植的趋势
Cornea. 2017 Feb;36(2):131-137. doi: 10.1097/ICO.0000000000001083.

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