Chan Hwei Wuen, Van den Broeck Filip, Cools Axelle, Walraedt Sophie, Joniau Inge, Verdin Hannah, Balikova Irina, Van Nuffel Stefaan, Delbeke Patricia, De Baere Elfride, Leroy Bart P, Nerinckx Fanny
Department of Ophthalmology, National University Hospital, Singapore, Singapore.
Department of Ophthalmology, National University Singapore, Singapore, Singapore.
Front Med (Lausanne). 2023 Aug 3;10:1197984. doi: 10.3389/fmed.2023.1197984. eCollection 2023.
To describe a cohort of paediatric patients who underwent unilateral or bilateral lens extractions at Ghent University hospital using the Dutch Ophthalmic Research Center (D.O.R.C.) ultra-short 27G vitrectomy system.
Retrospective analysis of the medical and surgical records of all children that underwent lens extraction between September 2016 and September 2020 using the D.O.R.C. ultra-short 27G vitrectomy system.
Seventy-two eyes of 52 patients were included. The most important aetiologies in this study were of secondary (25.5%), developmental (13.7%), or genetic (13.7%) nature. No definitive cause could be established in more than a quarter of cases (27.5%) despite extensive work-up, them being deemed idiopathic. The remainder of cases (19.6%) was not assigned a final aetiologic designation at the time of the study due to contradicting or missing diagnostic data. This study could not identify any cataract cases related to infection or trauma. Surgical complications rate was 61.1% of which posterior capsule opacification was the most frequent with a rate of 25%. A significant short-term postoperative best-corrected visual acuity gain (≤ -0.2 LogMAR) was observed in 60.5% of eyes for which usable acuity data were available ( = 38).
Many different instruments and techniques have been described and used in the context of paediatric lens extractions, each with its advantages and disadvantages. This study illustrates that an ultra-short 27G vitrectomy system can be used to perform paediatric lens extractions with good surgical outcomes. Further studies and comparative trials are needed to ascertain this further.
描述在根特大学医院使用荷兰眼科研究中心（D.O.R.C.）超短27G玻璃体切割系统进行单侧或双侧晶状体摘除术的儿科患者队列。
回顾性分析2016年9月至2020年9月期间使用D.O.R.C.超短27G玻璃体切割系统进行晶状体摘除术的所有儿童的医疗和手术记录。
纳入了52例患者的72只眼。本研究中最重要的病因是继发性（25.5%）、发育性（13.7%）或遗传性（13.7%）。尽管进行了广泛的检查，但超过四分之一的病例（27.5%）仍无法确定明确病因，这些病例被视为特发性。其余病例（19.6%）由于诊断数据相互矛盾或缺失，在研究时未被赋予最终病因诊断。本研究未发现任何与感染或创伤相关的白内障病例。手术并发症发生率为61.1%，其中后囊膜混浊最为常见，发生率为25%。在有可用视力数据的60.5%的眼中（n = 38）观察到术后短期最佳矫正视力有显著提高（≤ -0.2 LogMAR）。
在儿科晶状体摘除术方面，已经描述并使用了许多不同的器械和技术，每种都有其优缺点。本研究表明，超短27G玻璃体切割系统可用于进行儿科晶状体摘除术，并取得良好的手术效果。需要进一步的研究和比较试验来进一步确定这一点。
