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先天性白内障手术:发展中国家 62 例患者的回顾性分析。

Congenital Cataract Surgery: A Retrospective Analysis of 62 Patients in a Developing Country.

机构信息

Department of General and Special Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.

Department of Ophthalmology, Prince Hamza Hospital, Amman, Jordan.

出版信息

Comput Math Methods Med. 2021 Dec 23;2021:6431276. doi: 10.1155/2021/6431276. eCollection 2021.

DOI:10.1155/2021/6431276
PMID:34976112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8718274/
Abstract

PURPOSE

This study was aimed at describing our experience in congenital cataract surgery in a developing Country.

METHODS

A retrospective study was conducted in Amman, Jordan. The patients who were diagnosed with congenital cataract and underwent the surgery were included in the study. It was decided to use an intraocular lens if the corneal diameter was more than 10 millimeters.

RESULTS

The findings revealed that around 13 of the patients did not have any visual axis opacification, indicating that they were aphakic. Visual axis opacification was seen in 8 out of the total sample of participants. Eleven patients with obvious opacification of the visual axis were found to be pseudophakic after at least two procedures and were thus cleared. It was necessary to do a second surgery to rectify the visual axis opacification induced by pseudophakia, which was putting the patient's ability to recuperate at danger. Three of them (or 12 percent) exhibited visual axis opacification, which is a rare occurrence. The intraocular lenses used in the remaining 24 patients were constructed of hydrophilic plastic.

CONCLUSION

Patients are less prone to have visual axis opacification while implanted by hydrophobic intraocular lenses is something they should consider.

摘要

目的

本研究旨在描述我们在发展中国家进行先天性白内障手术的经验。

方法

在约旦安曼进行了一项回顾性研究。纳入了被诊断为先天性白内障并接受手术的患者。如果角膜直径大于 10 毫米,则决定使用人工晶状体。

结果

研究结果显示,约 13 名患者没有任何视觉轴混浊,表明他们是无晶状体的。在总样本中,有 8 名患者出现了视觉轴混浊。11 名视觉轴明显混浊的患者在至少两次手术后被发现为假性白内障,因此得到了缓解。有必要进行第二次手术以纠正假性白内障引起的视觉轴混浊,这会使患者的康复能力处于危险之中。其中 3 名(或 12%)患者出现了视觉轴混浊,这是一种罕见的情况。其余 24 名患者使用的人工晶状体是亲水塑料制成的。

结论

患者在植入疏水性人工晶状体时不太容易发生视觉轴混浊,这是他们应该考虑的因素。

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引用本文的文献

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Comput Math Methods Med. 2023 Jun 28;2023:9804180. doi: 10.1155/2023/9804180. eCollection 2023.

本文引用的文献

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Implications of Dual Practice on Cataract Surgery Waiting Time and Rescheduling: The Case of Malaysia.双重执业对白内障手术等待时间和重新安排的影响:以马来西亚为例。
Healthcare (Basel). 2021 May 31;9(6):653. doi: 10.3390/healthcare9060653.
2
Characteristics and factors associated with intraocular lens tilt and decentration after cataract surgery.白内障手术后人工晶状体倾斜和偏心的相关特征及因素
J Cataract Refract Surg. 2020 Aug;46(8):1126-1131. doi: 10.1097/j.jcrs.0000000000000219.
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Incidence of Intraocular Lens Exchange after Cataract Surgery.白内障手术后人工晶状体置换的发生率。
Sci Rep. 2019 Sep 9;9(1):12877. doi: 10.1038/s41598-019-49030-2.
4
The role of primary intraocular lens implantation in the risk of secondary glaucoma following congenital cataract surgery: A systematic review and meta-analysis.先天性白内障手术后原发性人工晶状体植入在继发性青光眼风险中的作用:系统评价和荟萃分析。
PLoS One. 2019 Apr 1;14(4):e0214684. doi: 10.1371/journal.pone.0214684. eCollection 2019.
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Pediatric cataract.小儿白内障
Indian J Ophthalmol. 2017 Dec;65(12):1340-1349. doi: 10.4103/ijo.IJO_1023_17.
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Prospective multicenter trial of a small-aperture intraocular lens in cataract surgery.前瞻性多中心小口径人工晶状体白内障手术研究。
J Cataract Refract Surg. 2017 Jul;43(7):956-968. doi: 10.1016/j.jcrs.2017.04.038.
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Intraocular Lens Explantation After Cataract Surgery: Indications, Results, and Explantation Techniques.白内障手术后人工晶状体取出术:适应证、结果及取出技术
Asia Pac J Ophthalmol (Phila). 2017 Jul-Aug;6(4):372-380. doi: 10.22608/APO.2017181.
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Epidemiology of blindness in children.儿童失明的流行病学
Arch Dis Child. 2017 Sep;102(9):853-857. doi: 10.1136/archdischild-2016-310532. Epub 2017 May 2.
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Update on congenital cataract surgery management.先天性白内障手术治疗的最新进展。
Curr Opin Ophthalmol. 2017 Jan;28(1):87-92. doi: 10.1097/ICU.0000000000000324.
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Risks and outcomes associated with primary intraocular lens implantation in children under 2 years of age: the IoLunder2 cohort study.2岁以下儿童初次人工晶状体植入的风险与结局:IoLunder2队列研究
Br J Ophthalmol. 2015 Nov;99(11):1471-6. doi: 10.1136/bjophthalmol-2014-306394. Epub 2015 May 6.