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| 1 | 经巩膜后房型人工晶状体缝线固定术在先天性晶状体脱位中的应用显示文摘先天性晶状体脱位是一种具有潜在致盲风险的眼科疾病,手术是其治疗的主要方式之一,但其手术时机的确定和手术方式的选择尚有争议。截至目前,先天性晶状体脱位最为经典的术式仍为经巩膜后房型人工晶状体缝线固定术(trans-scleral suture-fixed posterior chamber intraocular lens,sf-PC-IOL),但该术式在有效挽救患者视力损害的同时存在缝线线结暴露、缝线断裂等风险。针对上述并发症的术式改良引起眼科医生越来越多的关注。本文就经巩膜后房型人工晶状体缝线固定这一经典术式的优缺点进行综述,并就具有潜在推广价值的术式改良策略进行评述,以期为先天性晶状体脱位的防治提供临床借鉴。 | 靳光明 李雪沛 刘臻臻 张恩恩(综述) 郑丹莹(审校) | 2020 | 眼科学报2020，35，5： | 3 |
| 2 | Effect of lens surgery on health-related quality of life in preschool children with congenital ectopia lentis显示文摘AIM:To evaluate the effect of lens surgery on health-related quality of life(HRQoL)of preschool children with congenital ectopia lentis(CEL).METHODS:A prospective self-controlled study was conducted in Zhongshan Ophthalmic Center.Children aged from 5 to 7y whom were diagnosed with CEL and underwent phacoemulsification with scleral-fixated posterior chamber intraocular lens implantation and their parents were enrolled in this study.All of them completed the child and proxy(parental)PedsQL™4.0 before and after the surgery.Their preoperative scores were compared to their postoperative ones.Subgroup analyses were performed based on gender and preoperative bilateral presenting visual acuity of the children.RESULTS:Thirty-two children with CEL successfully underwent surgery without any complications,among whom 8 had monocular surgery and 24 had binocular surgery.Preoperative and postoperative questionnaires were completed by 32 child-parent pairs.Surgical intervention could significantly improve the vision of affected children(P<0.001).The medians of physical,psychosocial and total health scores self-reported by the children were 68.75(62.50,81.25),65.00(60.00,80.00)and 67.39(60.87,78.26)preoperatively and were 93.75(87.50,100.00),90.00(83.33,96.67)and 89.13(85.32,95.65)postoperatively.The preoperative scores of the affected children were significantly lower in all scales than age-matched healthy children(P<0.001).All the postoperative scores were significantly higher than the preoperative scores in affected children and their parents(P<0.001).In the physical functioning evaluation,the preoperative score reported by parents of girls was higher than parents of boys(P=0.041),and the postoperative score of girls was higher than that of boys(P=0.036).CONCLUSION:CEL is associated with significantly worse quality of life in preschool children.Surgical intervention can significantly improve the HRQoL in affected children from both personal and family perspective. | Yan-Qiao Huang Qian-Zhong Cao Yi-Yao Wang Yi-Jing Zhou Dan-Ying Zheng | 2024 | International Journal of Ophthalmology(English edition)2024，17，1： | 0 |
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