Myopic shift in pediatric cataract surgery associated with age and surgical complications.

IF 2.1 4区 医学 Q2 OPHTHALMOLOGY Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI:10.4103/IJO.IJO_212_24
Celso Menezes Filho, Andre Messias, Paulo Henrique F Silva, Rosalia Antunes-Foschini
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Abstract

Purpose: To investigate predictors for myopic shift after pediatric cataract surgery after at least 3 years follow-up.

Study design: Cross-sectional and retrospective study.

Methods: This study included patients treated for congenital or infantile cataract operated up to 5 years of age between 2010 and 2017. Patients were recruited for ophthalmologic evaluation. Surgical and medical data were acquired in medical charts.

Statistical analysis: Univariate and multivariate regressions were performed to look for potential risk factors for myopic shift.

Results: This study evaluated 81 eyes of 50 patients, with 62 (77%) being bilateral cases, 48 (59%) with intraocular lens implantation, and 37 (74%) patients being strabismic. Age at surgery was 7.7 (3.7-30.5) months and at evaluation was 93.5 (55.1-113.0) months. Total myopic shift was -4.32 ± 3.25 D, significantly greater in patients operated on up to 6 months of life (-5.73 ± 3.14 D). The distant best-corrected visual acuity (BCVA) was 0.6 (0.3-1.0) log of minimum angle of resolution (logMAR). Regarding myopic shift, in univariate analysis, older age at surgery is a protective factor (+0.08 D for each month older, P = 0.001). The presence of strabismus (-2.52 D, P = 0.014), aphakia (-2.45 D, P = 0.006), distant BCVA (-0.15 D per 0.1 logMAR, P = 0.024), and surgical complications (-3.02 D, P = 0.001) are risk factors. In multivariate analysis, older age at surgery (+0.06 D, P = 0.012) and surgical complications (-2.52 D, P = 0.001) remain significant.

Conclusion: In pediatric cataract surgery, myopic shift is greater when surgery is performed in a younger age and if associated with surgical complications.

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小儿白内障手术中与年龄和手术并发症相关的近视转移。
目的:研究小儿白内障手术后至少 3 年随访后近视转移的预测因素:方法:横断面回顾性研究:本研究纳入了 2010 年至 2017 年期间因先天性或婴幼儿白内障接受手术治疗的 5 岁以下患者。招募患者进行眼科评估。手术和医疗数据均来自病历:进行单变量和多变量回归,以寻找近视转移的潜在风险因素:本研究评估了 50 名患者的 81 只眼睛,其中 62 例(77%)为双侧病例,48 例(59%)植入了眼内晶状体,37 例(74%)为斜视患者。手术年龄为 7.7(3.7-30.5)个月,评估年龄为 93.5(55.1-113.0)个月。总近视度数为 Symbol -4.32 ± 3.25 D,出生后 6 个月内接受手术的患者近视度数明显增加(-5.73 ± 3.14 D)。远期最佳矫正视力(BCVA)为 0.6(0.3-1.0)对数最小分辨角(logMAR)。在单变量分析中,手术年龄越大,近视度数越高(每大一个月+0.08 D,P = 0.001)。斜视(-2.52 D,P = 0.014)、无晶体眼(-2.45 D,P = 0.006)、远处 BCVA(每 0.1 logMAR -0.15 D,P = 0.024)和手术并发症(-3.02 D,P = 0.001)是风险因素。在多变量分析中,手术年龄较大(+0.06 D,P = 0.012)和手术并发症(-2.52 D,P = 0.001)仍具有显著性:结论:在小儿白内障手术中,如果手术年龄较小且伴有手术并发症,近视度数的改变会更大。
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来源期刊
CiteScore
3.80
自引率
19.40%
发文量
1963
审稿时长
38 weeks
期刊介绍: Indian Journal of Ophthalmology covers clinical, experimental, basic science research and translational research studies related to medical, ethical and social issues in field of ophthalmology and vision science. Articles with clinical interest and implications will be given preference.
期刊最新文献
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