Cataract surgery outcomes in children and adolescents with type 1 diabetes mellitus

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-01 DOI:10.1016/j.jaapos.2024.103926

Sumita Agarkar MS, DNB , Akila Chandrasekaran MS , Gayathri J. Panicker MS , Rajiv Raman MS, DNB

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引用次数: 0

Abstract

Purpose

To report the outcomes of cataract surgery in children and adolescents with type 1 diabetes mellitus.

Methods

The medical records of all pediatric patients (<18 years of age) with a diagnosis of type 1 diabetes mellitus who had undergone surgery for cataract between January 2000 and December 2019 at a tertiary care center were reviewed retrospectively.

Results

A total of 27 eyes of 15 patients who met the inclusion criteria were included. Median age at cataract surgery was 13 (IQR, 9.5-16) years, and median follow-up was 3.8 (IQR, 1.25-7.2) years, with 11 eyes followed for more than 5 years. Visual acuity improved from a median preoperative value of 0.8 (IQR, 0.55-1.3) logMAR to 0.15 (IQR, 0-0.45) logMAR at final follow-up. Posterior capsular visual axis opacification in 40.7% and diabetic retinopathy in 14.8% were the common complications requiring additional intervention, including laser capsulotomy and panretinal photocoagulation, respectively.

Conclusions

Cataract surgery in children and adolescents with type 1 diabetes leads to improvement in visual acuity. Proliferative diabetic retinopathy can lead to poor visual outcomes in these children. Visual axis opacification occurs at similar rates with or without primary posterior capsulorhexis.

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1 型糖尿病儿童和青少年的白内障手术效果。

目的：报告 1 型糖尿病儿童和青少年白内障手术的结果：方法：对所有儿童患者的病历（结果：15 名符合纳入标准的患者共 27 只眼睛）进行分析：共纳入了符合纳入标准的 15 名患者的 27 只眼睛。白内障手术时的中位年龄为 13（IQR，9.5-16）岁，中位随访时间为 3.8（IQR，1.25-7.2）年，其中 11 只眼睛的随访时间超过 5 年。视力从术前的中位 0.8（IQR，0.55-1.3）logMAR 提高到最终随访时的 0.15（IQR，0-0.45）logMAR。40.7%的后囊视轴不透明和14.8%的糖尿病视网膜病变是需要额外干预的常见并发症，包括激光囊袋切开术和全视网膜光凝术：结论：1 型糖尿病儿童和青少年患者接受白内障手术可改善视力。结论：1 型糖尿病儿童和青少年患者接受白内障手术可改善视力。无论是否进行原发性后囊角膜切除术，视轴不透明的发生率相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.