Epikeratophakia in children.
Epikeratophakia in children.
复制标题
儿童表皮角膜晶状体症。
DOI：
10.1016/s0161-6420(84)34238-5
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发表时间：
1984
期刊：
影响因子：
13.7
通讯作者：
Kaufman,HE
中科院分区：
文献类型：
--
作者：
Morgan,KS;Stephenson,GS;McDonald,MB;Kaufman,HE
对61例儿童单侧先天性或外伤性白内障摘除后行表面角膜镜片术矫正无晶状体眼; 51例患者（54个移植物）随访超过6个月。在前27例移植物中，8例（30%）失败，但在最后27例移植物中，仅2例（7%）失败，主要是由于手术和组织处理技术的改进。早期患者角膜屈光力平均增加12.68 ± 4.63D，平均过屈光度为+0.45 ± 5.60D。后半组平均增加14.83 ± 4.83 D，平均过屈光-0.00 ± 5.20 D。外伤性白内障患者的视力结果最令人满意，大多数患者获得有用的视力。此外，对于先天性白内障患者，手术时患者年龄越小，获得良好视力的机会就越大。所有成功移植的儿童的视力都有所改善，即使是那些超过弱视治疗被认为具有一定治疗效果潜力的年龄的儿童。通过将矫正永久性地附着在眼睛上，表面角膜镜片术有助于这些儿童白内障摘除术后所需的强有力的封堵治疗。
Epikeratophakia was performed in 61 children for the correction of aphakia after the removal of unilateral congenital or traumatic cataracts; 51 patients (54 grafts) have more than 6 months follow-up. In the first 27 grafts, 8 (30%) failed, but in the last 27 grafts, only 2 (7%) failed, largely due to improved surgical and tissue handling techniques. The average increase in corneal refractive power for the early patients was 12.68 ± 4.63 D with an average overrefraction of +0.45 ± 5.60 D. The last half of the patients showed an average increase of 14.83 ± 4.83 D, with an average overrefraction of -0.00 ± 5.20 D. Visual acuity results in patients with traumatic cataracts have been the most satisfactory, with the majority of patients obtaining useful vision. It also appears that in patients with congenital cataracts, the younger the patient at the time of surgery, the greater the chance for a good visual result. Some improvement in vision has been seen in all of the children with successful grafts, even those beyond the age when amblyopia therapy would be considered to have some potential for therapeutic effect. By attaching the correction permanently on the eye, epikeratophakia facilitates the vigorous occlusion therapy required after cataract extraction in these children.