关键词: intraocular pressure juvenile open-angle glaucoma pediatric glaucoma primary congenital glaucoma trabeculotomy

来  源:   DOI:10.3389/fmed.2022.874369   PDF(Pubmed)

Abstract:
UNASSIGNED: We aimed to describe the characteristics, epidemiology, management, and outcomes of glaucoma in pediatric patients in central China.
UNASSIGNED: This study retrospectively analyzed inpatients with pediatric glaucoma at Henan Provincial People\'s Hospital, Henan Eye Institute, and Henan Eye Hospital between 2017 and 2020.
UNASSIGNED: Overall, 239 cases (276 eyes) of pediatric glaucoma in patients, comprising 87 girls (36.40%) and 152 boys (63.60%) were analyzed. The mean age was 6.65 ± 4.46, and 2.93% of the patients had a family history of glaucoma. Primary congenital glaucoma (PCG) was the most common type of glaucoma, followed by traumatic glaucoma in 8.33% of the patients, which was considered secondary glaucoma. The most common signs and symptoms were elevated intraocular pressure (IOP) and eye pain. Trabeculotomy (Trab) and microcatheter-assisted 360° trabeculotomy (MAT) combined with Trab were the most commonly performed surgeries. The IOP of patients with PCG, juvenile open-angle glaucoma (JOAG), and secondary glaucoma were 15.27 ± 7.48 mmHg, 17.16 ± 10.05, and 18.65 ± 8.55, respectively, at the final follow up. The rate of re-operations in patients with PCG, JOAG, and secondary glaucoma were 9.15%, 6.78%, and 4.69%, respectively. The mean visual acuity of the eyes with PCG, JOAG, and secondary glaucoma was 0.79 ± 0.68, 0.51 ± 0.48, and 0.53 ± 0.50, respectively.
UNASSIGNED: PCG, JOAG, and traumatic glaucoma were the most prevalent subtypes in patients with pediatric glaucoma in central China. Trab and MAT combined with Trab were the most common interventions used in this study. Pediatric amblyopia might require full attention during the entire treatment, especially after glaucoma surgery. Effective preventive measures and more public education on glaucoma prevention and the importance of early diagnosis and treatment is necessary.
摘要:
未经评估:我们旨在描述其特征,流行病学,管理,和中国中部儿童患者青光眼的结局。
UNASSIGNED:本研究回顾性分析了河南省人民医院住院的小儿青光眼患者,河南眼科研究所,2017年至2020年河南省眼科医院。
未经评估:总的来说,239例(276眼)小儿青光眼患者,分析了87名女孩(36.40%)和152名男孩(63.60%)。平均年龄为6.65±4.46,2.93%的患者有青光眼家族史。原发性先天性青光眼(PCG)是最常见的青光眼类型,其次是8.33%的外伤性青光眼,这被认为是继发性青光眼。最常见的体征和症状是眼内压(IOP)升高和眼痛。小梁切开术(Trab)和微导管辅助360°小梁切开术(MAT)联合Trab是最常见的手术。PCG患者的眼压,青少年开角型青光眼(JOAG),继发性青光眼为15.27±7.48mmHg,分别为17.16±10.05和18.65±8.55,在最后的后续行动中。PCG患者的再次手术率,JOAG,继发性青光眼占9.15%,6.78%,和4.69%,分别。PCG眼睛的平均视力,JOAG,继发性青光眼分别为0.79±0.68、0.51±0.48和0.53±0.50。
未经评估:PCG,JOAG,和外伤性青光眼是中国中部儿童青光眼患者中最常见的亚型。Trab和MAT联合Trab是本研究中最常用的干预措施。儿童弱视在整个治疗过程中可能需要充分注意,尤其是青光眼手术后。有效的预防措施和更多的公众教育对青光眼的预防和早期诊断和治疗的重要性是必要的。
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