PDF(Pubmed)
Abstract：
UNASSIGNED: Retinal detachment is a major postsurgical threat in pediatric cataract surgery; however, the effect of axial length remains unclear. This study aimed to assess the relationship between axial length and detachment risk in vulnerable patients.
UNASSIGNED: This retrospective cohort study analyzed 132 eyes of 84 pediatric cataract surgery patients aged <20 years old. Axial length was measured preoperatively, and the incidence of retinal detachment was recorded over a median follow-up of 4 years. Logistic regression analysis was used to examine the axial length-detachment relationship.
UNASSIGNED: Twenty eyes had postoperative retinal detachments. The median axial length was longer in the detachment group (23.6 mm) than in the non-detachment group (21.6 mm). Eyes with axial length ≤23.4 mm had 0.55-fold decreased odds of detachment compared to longer eyes. Preexisting myopia and glaucoma confer heightened risk. Approximately half of the patients retained some detachment risk eight years postoperatively.
UNASSIGNED: Shorter eyes (axial length ≤23.4 mm) appear to be protected against pediatric retinal detachment after cataract surgery, whereas myopia, glaucoma, and axial elongation > 23.4 mm elevate the postoperative risk. Understanding these anatomical risk profiles requires surgical planning and follow-up care of children undergoing lensectomy.
This study investigated the protective role of a shorter axial length in preventing retinal detachment after pediatric cataract surgery. This highlights the correlation between smaller eye sizes and reduced detachment risk, emphasizing the need for careful consideration of anatomical factors in surgical planning and patient monitoring, particularly for patients with preexisting myopia or postoperative glaucoma.
UNASSIGNED: This retrospective cohort study analyzed 132 eyes of 84 pediatric cataract surgery patients aged <20 years old. Axial length was measured preoperatively, and the incidence of retinal detachment was recorded over a median follow-up of 4 years. Logistic regression analysis was used to examine the axial length-detachment relationship.
UNASSIGNED: Twenty eyes had postoperative retinal detachments. The median axial length was longer in the detachment group (23.6 mm) than in the non-detachment group (21.6 mm). Eyes with axial length ≤23.4 mm had 0.55-fold decreased odds of detachment compared to longer eyes. Preexisting myopia and glaucoma confer heightened risk. Approximately half of the patients retained some detachment risk eight years postoperatively.
UNASSIGNED: Shorter eyes (axial length ≤23.4 mm) appear to be protected against pediatric retinal detachment after cataract surgery, whereas myopia, glaucoma, and axial elongation > 23.4 mm elevate the postoperative risk. Understanding these anatomical risk profiles requires surgical planning and follow-up care of children undergoing lensectomy.
This study investigated the protective role of a shorter axial length in preventing retinal detachment after pediatric cataract surgery. This highlights the correlation between smaller eye sizes and reduced detachment risk, emphasizing the need for careful consideration of anatomical factors in surgical planning and patient monitoring, particularly for patients with preexisting myopia or postoperative glaucoma.
摘要：
■视网膜脱离是小儿白内障手术的主要术后威胁；然而，轴向长度的影响尚不清楚。本研究旨在评估易感患者的轴向长度与脱离风险之间的关系。
■这项回顾性队列研究分析了84例年龄<20岁的儿童白内障手术患者的132只眼。术前测量轴向长度，在中位随访4年期间记录视网膜脱离的发生率.采用Logistic回归分析检测轴向长度与脱离的关系。
■20只眼术后出现视网膜脱离。脱离组（23.6mm）的中位轴向长度长于非脱离组（21.6mm）。与较长的眼睛相比，眼轴长度≤23.4mm的眼睛脱离的几率降低了0.55倍。先前存在的近视和青光眼会增加风险。大约一半的患者在术后8年保留了一些脱离风险。
■较短的眼睛（眼轴长度≤23.4mm）在白内障手术后似乎可以防止小儿视网膜脱离，而近视,青光眼,轴向伸长>23.4mm会增加术后风险。了解这些解剖学风险状况需要对接受晶状体切除术的儿童进行手术计划和后续护理。
本研究调查了较短的轴向长度在预防小儿白内障手术后视网膜脱离中的保护作用。这突出了较小的眼睛尺寸和降低的脱离风险之间的相关性，强调在手术计划和患者监测中需要仔细考虑解剖因素，特别是对于先前存在近视或术后青光眼的患者。
■这项回顾性队列研究分析了84例年龄<20岁的儿童白内障手术患者的132只眼。术前测量轴向长度，在中位随访4年期间记录视网膜脱离的发生率.采用Logistic回归分析检测轴向长度与脱离的关系。
■20只眼术后出现视网膜脱离。脱离组（23.6mm）的中位轴向长度长于非脱离组（21.6mm）。与较长的眼睛相比，眼轴长度≤23.4mm的眼睛脱离的几率降低了0.55倍。先前存在的近视和青光眼会增加风险。大约一半的患者在术后8年保留了一些脱离风险。
■较短的眼睛（眼轴长度≤23.4mm）在白内障手术后似乎可以防止小儿视网膜脱离，而近视,青光眼,轴向伸长>23.4mm会增加术后风险。了解这些解剖学风险状况需要对接受晶状体切除术的儿童进行手术计划和后续护理。
本研究调查了较短的轴向长度在预防小儿白内障手术后视网膜脱离中的保护作用。这突出了较小的眼睛尺寸和降低的脱离风险之间的相关性，强调在手术计划和患者监测中需要仔细考虑解剖因素，特别是对于先前存在近视或术后青光眼的患者。
