Aldamri Aljawhara, AlKhaldi Saleh A, AlQahtani Dhabiah S, AlShaalan Khalid S, Alshamrani Mohammed
Pediatric Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Research Center, King Saud Medical City, Riyadh, Saudi Arabia.
Saudi J Ophthalmol. 2023 Oct 12;38(3):252-256. doi: 10.4103/sjopt.sjopt_121_23. eCollection 2024 Jul-Sep.
This study aimed to evaluate the long-term outcomes of primary pediatric cataract surgery and to identify determinants of success and recommendations to improve the care of patients with pediatric cataracts.
A cohort, retrospective study of cases who were operated as primary pediatric cataract surgery at King Khaled Eye Specialist Hospital. Patients who are 4 years old or younger and underwent primary cataract surgery with at least 3-year follow-up were enrolled in this study. Preoperative and postoperative evaluations were performed to determine the surgery outcomes.
Two hundred and two eyes of 119 patients were enrolled in the study. Seventy percentage of the patients were diagnosed with bilateral cataracts and 30% with unilateral cataracts. Postoperative evaluation showed that 20% of the patients had best corrected visual acuity of 20/30 or better, 25% had 20/40-20/50, 20% had 20/60-20/80, and 29% had 20/100 or less, 6% as fixate and follow. In addition, the mean spherical equivalent was 1.50D. Amblyopia was present in 120 eyes. Fourteen percentage showed a significant myopic shift of more than -4.00D and it was more in eyes with primary intraocular lens (IOL) implantation. Glaucoma was reported in 19% of the patients.
There was a significant postoperative myopic shift and it was more in eyes with primary IOL implantation. Glaucoma was the most common reported postoperative complication. The presence of strabismus and nystagmus may affect the visual outcomes. Early intervention might reduce the incidence of amblyopia.
本研究旨在评估小儿白内障初次手术的长期疗效，并确定成功的决定因素以及改善小儿白内障患者护理的建议。
对在沙特国王哈立德眼科专科医院接受小儿白内障初次手术的病例进行队列回顾性研究。本研究纳入了4岁及以下且接受初次白内障手术并至少随访3年的患者。进行术前和术后评估以确定手术效果。
119例患者的202只眼纳入本研究。70%的患者被诊断为双侧白内障，30%为单侧白内障。术后评估显示，20%的患者最佳矫正视力为20/30或更好，25%为20/40 - 20/50，20%为20/60 - 20/80，29%为20/100或更低，6%为注视和随访状态。此外，平均球镜等效度为1.50D。120只眼存在弱视。14%的患者显示近视显著偏移超过 - 4.00D，且在初次植入人工晶状体（IOL）的眼中更为明显。19%的患者报告有青光眼。
术后存在显著的近视偏移，且在初次植入IOL的眼中更为明显。青光眼是最常见的术后并发症。斜视和眼球震颤的存在可能影响视觉效果。早期干预可能降低弱视的发生率。
