医学
白内障
青光眼
白内障手术
神秘的
入射(几何)
失明
并发症
不利影响
白内障摘除术
儿科
眼科
重症监护医学
验光服务
外科
内科学
病理
替代医学
物理
光学
出处
期刊:PubMed
日期:2022-11-11
卷期号:58 (11): 959-963
标识
DOI:10.3760/cma.j.cn112142-20220418-00188
摘要
Congenital cataract is one of the main causes of blindness in children. Glaucoma-related adverse event (GRAE) is a serious complication of congenital cataract extraction. Its occult onset can cause irreversible damage to the optic nerve, its related factors are, however, not clear. In recent years, with the deepening of research, we have a more comprehensive understanding of the risk factors of glaucoma-related adverse events. This paper summarizes in detail the impact of its risk factors: ocular anatomical features, surgical design, other ocular and systemic diseases on GRAE, and systematically summarizes its diagnostic criteria, treatment and prognosis, in order to provide a comprehensive reference of research-related factors affecting GRAE after cataract surgery and indication for the vacancy in scientific research and to establish a prediction model for the incidence of postoperative GRAE based on the analysis of influencing factors, and precisely predict the prognosis of children after surgery cataract in clinical aspect.先天性白内障是儿童盲的首要原因,青光眼相关不良事件(GRAE)是先天性白内障摘除术后的严重并发症,其发病隐匿、可对视神经造成不可逆损伤,但其影响因素目前尚不明确,本文总结了GRAE的定义与诊断标准的变化、影响因素、治疗及预后的进展,重点阐述目前研究发现的眼部解剖特征、手术设计、其他眼部和全身疾病等因素对GRAE的影响,以期为先天性白内障术后GRAE影响因素的深入研究,以及为进一步建立先天性白内障术后GRAE发生预测模型,以指导白内障患儿术后个性化治疗与随访方案的制定提供参考。.
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