儿童白内障手术后青光眼内镜睫状体光凝术的长期疗效
Long-term efficacy of endoscopic cyclophotocoagulation in the management of glaucoma following cataract surgery in children.
作者信息
Cantor Adam J, Wang Jingyun, Li Shanshan, Neely Daniel E, Plager David A
机构信息
Eugene and Marilyn Glick Eye Institute, Department of Ophthalmology, Indiana University School of Medicine, Indianapolis.
Eugene and Marilyn Glick Eye Institute, Department of Ophthalmology, Indiana University School of Medicine, Indianapolis; Salus University Pennsylvania College of Optometry, Elkins Park.
出版信息
J AAPOS. 2018 Jun;22(3):188-191. doi: 10.1016/j.jaapos.2018.01.014. Epub 2018 Apr 27.
PURPOSE
To report the long-term efficacy of endoscopic cyclophotocoagulation (ECP) in pediatric glaucoma following cataract surgery (GFCS).
METHODS
ECP was performed on 35 eyes of 25 patients <16 years of age with GFCS. Patients were followed for a minimum of 2 years. Treatment failure was defined as consecutive postoperative intraocular pressure (IOP) of >24 mm Hg, alternative glaucoma procedure following ECP, or occurrence of visually significant complications. Analysis was performed to estimate risk factors for failure.
RESULTS
A total of 27 aphakic and 8 pseudophakic eyes were included. Pretreatment IOP averaged 33.9 ± 7.9 mm Hg. Final IOP after a mean follow-up period of 7.2 years was 18.9 ± 8.8 mm Hg (P < 0.001). The success rate was 54% (19/35 eyes). The failure rate was not increased in pseudophakic patients relative to aphakic patients. Patients with single ECP demonstrated preserved visual acuity from baseline to final follow-up.
CONCLUSIONS
In this patient cohort, with average follow-up period of 7.2 years, ECP was useful in the treatment of pediatric GFCS.
目的
报告内镜睫状体光凝术（ECP）治疗白内障术后小儿青光眼（GFCS）的长期疗效。
方法
对25例年龄小于16岁的GFCS患者的35只眼进行ECP治疗。患者至少随访2年。治疗失败定义为术后连续眼压（IOP）>24 mmHg、ECP术后进行其他青光眼手术或出现具有明显视觉影响的并发症。进行分析以评估失败的危险因素。
结果
共纳入27只无晶状体眼和8只人工晶状体眼。治疗前平均眼压为33.9±7.9 mmHg。平均随访7.2年后的最终眼压为18.9±8.8 mmHg（P<0.001）。成功率为54%（19/35只眼）。人工晶状体眼患者的失败率相对于无晶状体眼患者并未增加。接受单次ECP治疗的患者从基线到最终随访时视力保持稳定。
结论
在该患者队列中，平均随访7.2年，ECP对小儿GFCS的治疗有效。
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