Complications of pediatric lensectomy in 193 eyes.
Complications of pediatric lensectomy in 193 eyes.
复制标题
193 只眼儿童晶状体切除术的并发症。
DOI：
10.3928/15428877-20050101-01
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
D. Walton
中科院分区：
文献类型：
--
作者：
Teresa Chen;L. Bhatia;D. Walton
背景与目的
更好地定义与儿童白内障晶状体切除术相关的晚期并发症和长期视力结局。
患者和方法
对1970年至2002年由儿科眼科医生就诊的所有患者进行回顾性审查。患者在大学的临床实践环境中接受治疗。本研究定义了晶状体切除术后晚期并发症的发生率。最终的长期视力与特定的手术并发症和眼部及全身异常相关。
结果
138例（193只眼）儿童白内障行晶状体切除术。平均随访时间为10.8 ± 6.7年（范围：3个月至31.3年）。最常见的术后并发症是晶状体切除术后平均3.4 +/-3.7年的无晶状体青光眼（20.2%）。末次随访时，无并发症的中位视力为20/40，有并发症的中位视力为20/80。
结论
术后并发症以无晶状体眼青光眼最常见（20.2%）。大多数伴有眼部和全身异常以及术后并发症的眼睛视力结果较差。
BACKGROUND AND OBJECTIVE
To better define late complications and long-term visual outcomes associated with lensectomy surgery for pediatric cataracts.
PATIENTS AND METHODS
Retrospective review of all patients seen by a pediatric ophthalmologist from 1970 to 2002. Patients were seen at a university-based clinical practice setting. This study defines the incidence of late post-lensectomy complications. Final long-term visual acuities were correlated with specific surgical complications and ocular and systemic anomalies.
RESULTS
There were 193 eyes of 138 patients who had lensectomy for pediatric cataracts. The average follow-up time was 10.8 +/- 6.7 years (range, 3 months to 31.3 years). The most common postoperative complication was aphakic glaucoma (20.2%) at an average of 3.4 +/- 3.7 years after lensectomy surgery. At last follow-up, the median visual acuity was 20/40 in eyes without complications and 20/80 in eyes with complications.
CONCLUSIONS
Aphakic glaucoma was the most common postoperative complication (20.2%). Most eyes with associated ocular and systemic anomalies and postoperative complications have poorer visual outcomes.