Aphakic glaucoma after congenital cataract surgery
Aphakic glaucoma after congenital cataract surgery
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DOI：
10.1001/archopht.122.12.1819
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发表时间：
2004-12-01
影响因子：
--
通讯作者：
Bhatia, LS
中科院分区：
文献类型：
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作者：
Chen, TC;Walton, DS;Bhatia, LS
目的：为了描述最大的一系列的患者谁开发的无晶状体青光眼晶状体切除术后先天性cataracts.Methods：回顾性分析进行了所有的患者看到的儿科青光眼专家1970年10月1日至2002年11月30日。研究晶状体切除术后眼内压大于25 mm Hg的患者。患者与独立相关的青光眼或任何迹象的青光眼晶状体切除术前excluded.Results：我们研究了117例患者的170只眼。平均+/-SD随访期为8.6+/-7.6年。最常见的类型是完全性白内障（40.8%）和核性白内障（22.5%）。对于晶状体切除术，103只眼睛接受了现代玻璃体切除术技术，10只接受了旧技术。80.6%的眼睛在1岁之前进行了晶状体切除术。晶状体切除术后青光眼的发病时间分别为1年（37.1%）、6年（75.9%）和33年（100%）。在接受前房角镜检查的眼睛中，93.9%有开角。57.1%的患眼需行青光眼手术。中位最终视力为20/400。结论：无晶体眼青光眼多为开角型。提示各种危险因素，并警惕预后。青光眼的筛查需要终生随访。
Objective: To describe the largest series of patients who developed aphakic glaucoma after lensectomy for congenital cataracts.Methods: A retrospective review was performed of all patients seen by a pediatric glaucoma specialist between October 1, 1970, and November 30, 2002. Patients with intraocular pressures greater than 25 mm Hg after lensectomy were studied. Patients with either conditions independently associated with glaucoma or any signs of glaucoma before lensectomy were excluded.Results: We studied 170 eyes of 117 patients. The mean +/-SD follow-up period was 8.6+/-7.6 years. The most common cataract types were complete (40.8%) and nuclear (22.5%). For the lensectomies, 103 eyes underwent modern vitrectomy techniques, and 10 underwent older techniques. Lensectomies were performed in 80.6% of eyes before age 1 year. Onset of glaucoma after lensectomy was by 1 year in 37.1% of eyes, by 6 years in 75.9%, and by 33 years in 100%. Of eyes that had gonioscopy, 93.9% had open angles. Glaucoma surgery was needed in 57.1% of eyes. The median final visual acuity was 20/400.Conclusions: Most cases of aphakic glaucoma are of the open-angle type. Various risk factors are suggested, and the prognosis is guarded. Lifelong follow-up is needed to screen for glaucoma.