A survey of the surgical treatment of congenital and developmental cataracts in Japan
A survey of the surgical treatment of congenital and developmental cataracts in Japan
复制标题
日本先天性和发育性白内障手术治疗调查
DOI：
10.1007/s10384-015-0385-1
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发表时间：
2015
期刊：
影响因子：
2.4
通讯作者：
Azuma N
中科院分区：
文献类型：
--
作者：
Nagamoto T;Oshika T;Fujikado T;Ishibashi T;Sato M;Kondo M;Kurosaka D;Azuma N
PurposeTo了解先天性/发育性白内障在日本的手术治疗的当前实践模式。MethodsA邮件问卷被发送到设施从事先天性白内障在日本的手术治疗。ResultsThirty-four设施报告了他们的首选方法先天性白内障的手术治疗，包括数据从809眼的508例患者谁经历了手术。超过85%的受访者回答，他们会考虑手术，即使视力预后不乐观，因为可能的形觉剥夺性弱视。最常见的手术操作是巩膜隧道切口（88.4%），3.0 mm或更小切口（78.8%），手法连续环形撕囊（成功率90.2%），后囊膜切开术（年龄≤6岁的患者为92.5%），角膜缘入路前部玻璃体切除术（年龄≤6岁的患者为85.9%）和缝线缝合伤口（93.2%）。后囊切开术和玻璃体切除术通常不适用于年龄>6岁的患者。植入人工透镜（IOL）主要适用于2岁或以上的患者。丙烯酸折叠式IOL（76.6%）植入囊袋（89.7%）是最常见的做法之间的surgers.ConclusionsSmall切口手术植入丙烯酸折叠式IOL到囊袋结合后囊切开术是首选的手术治疗的选择先天性/发育性白内障。
PurposeTo understand the current practice pattern for the surgical treatment of congenital/developmental cataracts in Japan.MethodsA mail questionnaire was sent to facilities engaged in thesurgical treatment of congenital cataracts in Japan.ResultsThirty-four facilities reported their preferred methods for the surgical treatment of congenital cataracts, including data from 809 eyes of 508 patients who had undergone surgery. More than 85 % of the respondents answered that they would consider surgery even if the visual prognosis was not promising because of possible form-deprivation amblyopia. The most commonly performed surgical maneuvers were scleral tunnel incision (88.4 %), 3.0-mm or smaller incision (78.8 %), manual anterior continuous curvilinear capsulorhexis (90.2 % success rate), posterior capsulotomy (92.5 % for patients aged ≤6 years), anterior vitrectomy by the limbal approach (85.9 % for patients aged ≤6 years), and wound closure with sutures (93.2 %). Posterior capsulotomy and vitrectomy were not usually performed in patients aged >6 years. Implantation of an intraocular lens (IOL) was mostly indicated in patients aged 2 years or older. Implantation of an acrylic foldable IOL (76.6 %) into the capsular bag (89.7 %) was the most common practice among the surgeons.ConclusionsSmall incision surgery with implantation of an acrylic foldable IOL into the capsular bag combined with posterior capsulotomy was the preferred surgical treatment of choice for congenital/developmental cataracts.