Hyperopic anisometropia with a shorter axial length ipsilateral to the ptotic eye in children with congenital ptosis.
Hyperopic anisometropia with a shorter axial length ipsilateral to the ptotic eye in children with congenital ptosis.
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DOI：
10.1186/s12886-021-02126-8
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发表时间：
2021-10-09
影响因子：
2
通讯作者：
Fukuchi T
中科院分区：
文献类型：
--
作者：
Ueki S;Suzuki Y;Kiyokawa M;Hanyu T;Fukuchi T
探讨儿童先天性上睑下垂的临床特点，特别关注屈光参差的发生率，以及左右眼轴长（AL）的差异。回顾性分析新泻大学牙科医院55例先天性上睑下垂患者的病历。分析患者的临床特征，包括年龄、睫状体麻痹性屈光、AL、弱视的存在及原因。初诊年龄16±20个月（平均值±标准差，下同）。在49例单眼麻痹性屈光患者中，1/11、9/27和5/11双侧、右侧和左侧上睑下垂患者分别出现远视屈光参差，定义为球面等效（SE）差≥1屈光度。在14/38的远视参差伴单侧上睑下垂患者中，13例上睑下垂眼的SE大于非上睑下垂眼。6例单侧上睑下垂伴远视屈光参差同侧患者的眼间AL差（上睑眼AL减去非上睑眼AL）（-0.29±0.40 mm）明显小于3例单侧上睑下垂伴远视参差患者（0.38±0.29 mm）。在我所，先天性上睑下垂的儿童在上睑眼的同侧远视屈光参差的发生率很高。此外，这种情况与较短的轴向长度有关。这些结果表明，屈光矫正远视参差对先天性上睑下垂儿童的正常视力发育至关重要。
To investigate the clinical characteristics of children with congenital ptosis, with particular attention given to the incidence of anisometropia, and the difference in axial length (AL) between the right and left eyes. The medical charts of 55 patients with congenital ptosis at Niigata University Medical and Dental Hospital were retrospectively analyzed. Clinical characteristics, including age, cycloplegic refraction, AL, and the presence of amblyopia and its causes were analyzed. Age at the initial visit was 16 ± 20 (mean ± standard deviation, the same applies below) months. Of the 49 patients whose cycloplegic refraction was measured, hyperopic anisometropia, defined as ≥ one-diopter difference in spherical equivalent (SE), was observed in 1/11, 9/27 and 5/11 patients with bilateral, right, and left ptosis, respectively. Among 14/38 patients with hyperopic anisometropia involving unilateral ptosis, 13 demonstrated a larger SE in the ptotic eye than in the non-ptotic eye. The inter-eye difference in AL (AL of the ptotic eye minus that of the non-ptotic eye) in six patients with unilateral ptosis and hyperopic anisometropia ipsilateral to the ptotic eye (-0.29 ± 0.40 mm) was significantly smaller than that in three patients with unilateral ptosis and no hyperopic anisometropia (0.38 ± 0.29 mm). At our institute, children with congenital ptosis had a high incidence of hyperopic anisometropia ipsilateral to the ptotic eye. Furthermore, this condition was associated with a shorter axial length. These results indicate that refractive correction for hyperopic anisometropia is important for proper visual development in children with congenital ptosis.
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作者：
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DOI：
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