Dynamic profile of ocular refraction in pediatric cataract patients after lens surgeries
Dynamic profile of ocular refraction in pediatric cataract patients after lens surgeries作者机构：State Key Laboratory of Ophthalmology Zhongshan Ophthalmic Center Sun Yat-sen University
出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)
年 卷 期：2019年第12卷第12期
页 面：1839-1847页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
基 金：Supported by National Natural Science Foundation of China (No.81873675 No.81770967) National Key R&D Program of China (No.2018YFC0116500 No.2017YFC1104600) Fundamental Research Funds for the Central Universities (No.16ykjc28)
主 题：pediatric cataract refraction intraocular lens myopic shift
摘 要：AIM: To study the change in ocular refraction in patients with pediatric cataracts(PCs) after lens extraction. METHODS: A total of 1258 patients who were undergoing cataract extraction with/without intraocular lens(IOL)implantation were recruited during preoperative examinations between Jan 2010 and Oct 2013. Patient ages ranged from 1.5 mo to 14y. Follow-ups were conducted at1 wk, 1, and 3 mo postoperatively and every 3 mo in the first year, then 6 mo thereafter. Ocular refraction [evaluated as spherical equivalent(SE)] and yearly myopic shift(YMS)were recorded and statistically analyzed among patients with age at surgery, baseline ocular refraction, gender,postoperative time and laterality(bilateral vs unilateral). RESULTS: By Dec 31st 2015, 1172 participants had been followed for more than 2y. The median follow-up period was 3y. The critical factors affecting the ocular refraction of PC patients were baseline ocular refraction, postoperative time for both aphakic and pseudophakic eyes. YMS grew most rapidly in young childhood and early adolescence. CONCLUSION: After lens surgeries, ocular refraction in PC patients shows an individual difference of *** concerns should be raising to monitor the rapid myopic shift at early adolescence of these patients.
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