未经评估:本研究的目的是评估患有全身合并症的儿童年龄组患者白内障手术的结果。
UNASSIGNED:回顾了在三级护理中心接受白内障手术的54只眼(30例患者)患有全身合并症的儿童年龄组的医疗记录。记录以下参数:全身性共病;弓形虫病,风疹,巨细胞病毒,单纯疱疹,HIV(TORCH)简介,最佳眼镜矫正视力(BSCVA),斜视,眼球震颤,和白内障形态学。
未经批准:纳入30例平均年龄55个月(9个月-14岁)的患者。平均而言,每个孩子都有三位医生看过,首次就诊至我们中心就诊的平均时间为2.23±0.67年.延误转诊的各种原因包括78%的病例因缺乏全身麻醉服务而多次转诊,在35%的病例中,转诊医院的等候名单很长,在50%的病例中,初级保健医生水平缺乏认识。演示时的平均BSCVA为1.4logMAR(0.3至3logMAR)。最常见的白内障形态为带状白内障(31.48%;17/54)。在27.7%(15/54)和33.3%(18/54)的眼睛中观察到斜视和异常眼球运动,分别。各种系统关联是脑室周围白质软化(12/30),唐氏综合症(6/30),癫痫发作(6/30),心脏瓣膜异常(6/30),马凡氏综合征(4/30),甲状腺功能减退(4/30),风疹(3/20),巨细胞病毒(3/20),脑瘫(2/30),肾病综合征(2/30),1型糖尿病(1/30),小头畸形(1/30),隐源性韦斯特综合征(1/30),先天性风疹综合征(1/30),和Tourette综合征(1/30)。术后2年平均矫正视力(CDVA)提高到1.0logMAR(0至3logMAR)。在最后一次随访中没有报告术后并发症。大约70%的父母报告说他们孩子的精神运动技能有所改善。
UNASSIGNED:只要有基础设施,就应该对患有白内障的智力受损儿童患者进行手术,应通过将患者转诊至更高的中心来避免不必要的手术延误。尽管视力的客观改善并不理想,患者的精神运动技能肯定有所改善。
The aim of the study was to evaluate the outcomes of cataract surgery in patients of the pediatric age group with systemic comorbidities.
Medical records of 54 eyes (30 patients) of the pediatric age group with systemic comorbidities who had undergone cataract surgery in a tertiary-care center were reviewed. The following parameters were recorded: systemic comorbidity; toxoplasmosis, rubella, cytomegalovirus, herpes simplex, HIV (TORCH) profile, best spectacle-corrected visual acuity (BSCVA), strabismus, nystagmus, and cataract morphology.
Thirty patients with a mean age of 55 months (9 months-14 years) were included. On average, every child was seen by three physicians, and the mean duration between the first visit to a physician and presentation to our center was 2.23 ± 0.67 years. The various causes for delay in referral include multiple referrals due to a lack of general anesthesia services in 78% of cases, a long waiting list at the referral hospital in 35% of cases, and a lack of awareness at the primary-care physician level in 50% of cases. The mean BSCVA at presentation was 1.4 logMAR (0.3 to 3 logMAR). The most common cataract morphology was that of zonular cataract (31.48%; 17/54). Strabismus and abnormal eye movements were observed in 27.7% (15/54) and 33.3% (18/54) of eyes, respectively. Various systemic associations were periventricular leukomalacia (12/30), Down\'s syndrome (6/30), seizure disorder (6/30), cardiac valvular anomalies (6/30), Marfan\'s syndrome (4/30), hypothyroidism (4/30), rubella (3/20), cytomegalovirus (3/20), cerebral palsy (2/30), nephrotic syndrome (2/30), Type 1 diabetes mellitus (1/30), microcephaly (1/30), cryptogenic West syndrome (1/30), congenital rubella syndrome (1/30), and Tourette syndrome (1/30). The mean postoperative corrected distance visual acuity (CDVA) at 2-year follow-up improved to 1.0 logMAR (0 to 3 logMAR). No postoperative complications were reported at the final follow-up. Around 70% of the parents reported improvement in their child\'s psychomotor skills.
Intellectually impaired pediatric patients with cataract should be operated upon whenever there is a presence of infrastructure, and unnecessary delay in surgery should be avoided by referring the patient to higher centers. Even though objective improvement in visual acuity was suboptimal, there was definitely an improvement in the psychomotor skills of the patients.