关键词: Axial length congenital glaucoma corneal diameter intraocular pressure

Mesh : Child Humans Retrospective Studies Longitudinal Studies Cornea Glaucoma / diagnosis surgery Intraocular Pressure Trabeculectomy Biometry Treatment Outcome Follow-Up Studies

来  源:   DOI:10.4103/IJO.IJO_122_23   PDF(Pubmed)

Abstract:
To compare the axial length (AL) and corneal diameter between glaucomatous eye (GE) and fellow normal eye (NE) in patients with unilateral congenital glaucoma and to obtain a normative database for ocular growth among Indian children below 3 years of age.
Retrospective longitudinal study. Patients who had a follow-up of 3 years from diagnosis with ocular biometry parameters being recorded at least thrice (once a year) and fellow eye being normal were included. Data collected were age, gender, intraocular pressure (IOP), AL, corneal diameter, optic disc findings, diagnosis, and surgery details.
Eleven patients were analyzed. All GE underwent combined trabeculotomy with trabeculectomy. Mean (SD) baseline IOP, AL, and corneal diameter were 17.1 (6.7) mmHg, 18.9 (1.1) mm and 12 (0.91) mm in GE, and 11.1 (3.8) mmHg, 17.8 (0.44) mm, and 10.5 (0.58) mm in NE, respectively. Increase in AL was 3.1 mm in the first year followed by 0.6 mm in second year and 0.4 mm in third year in GE compared to 2.6, 0.6, and 0.5 mm in NE, respectively. Corneal diameter increased by 1.1 mm in GE in the first year and remained stable thereafter compared to 0.7 mm in first year followed by 0.3 mm in second year and stable thereafter in NE. The percentage of success was 73% at 3 years.
Axial length and corneal diameter were higher in GE than NE at all-time points. With prompt intervention, the growth curve of the GE was made parallel to that of NE.
摘要:
比较单侧先天性青光眼患者青光眼眼(GE)和正常眼(NE)之间的眼轴长度(AL)和角膜直径,并获得3岁以下印度儿童的眼部发育的规范数据库。
回顾性纵向研究。包括在诊断后随访3年的患者,记录了至少3次(每年一次)的眼生物测定参数,并且同伴眼睛正常。收集的数据包括年龄,性别,眼内压(IOP),AL,角膜直径,视神经盘的发现,诊断,和手术细节。
分析了11例患者。所有GE均接受小梁切开联合小梁切除术。平均(SD)基线眼压,AL,角膜直径为17.1(6.7)mmHg,18.9(1.1)mm和12(0.91)mminGE,和11.1(3.8)mmHg,17.8(0.44)mm,和10.5(0.58)毫米的NE,分别。与NE的2.6、0.6和0.5mm相比,GE的第一年AL增加了3.1mm,第二年增加了0.6mm,第三年增加了0.4mm。分别。第一年,GE的角膜直径增加了1.1mm,此后保持稳定,而第一年为0.7mm,第二年为0.3mm,此后在NE中保持稳定。3年的成功率为73%。
在所有时间点,GE的轴向长度和角膜直径均高于NE。在迅速干预的情况下,使GE的生长曲线与NE的生长曲线平行。
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