Long-term visual outcomes and ocular complications in children with Marner's hereditary cataracts operated in the period 1940–2021

IF 3 3区医学 Q1 OPHTHALMOLOGY

Acta Ophthalmologica Pub Date : 2024-06-03 DOI:10.1111/aos.16729

Diana Chabané Schmidt, Daniella Bach-Holm, Line Kessel

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引用次数: 0

Abstract

Purpose

To investigate visual development and long-term complications after cataract surgery in childhood.

Methods

This cross-sectional study included patients from a family with Marner's hereditary cataracts who had cataract surgery before 18 years of age. The study was conducted from 1 January 2022 until 31 December 2022. The patients contributed to their medical files and participated in an updated ophthalmologic examination.

Results

We included 52 patients (101 eyes, 34 females). The median age at cataract surgery was 7 years (IQR: 5–10) and the age at examination was 40 years (IQR: 21–54). Primary and secondary intraocular lens implantation had been performed in 47.5% (25 patients, 48 eyes) and 16.8% (10 patients, 17 eyes). Visual acuity was ≤0.3 logMAR in 77% (78 eyes), and <0.5 logMAR in 8% (8 eyes). Glaucoma was present in 17% (9 patients, 12 eyes), ocular hypertension in 6% (3 patients, 4 eyes), and 10% (5 patients, 5 eyes) had prior retinal detachment. Mild visual field loss (2 < mean defect (MD) ≤ 6 dB) was found in 62% (63 eyes) and moderate to advanced visual field loss (MD > 6 dB) in 24% (24 eyes). Thirty-five patients (67%) held a driver's licence, and three were not allowed to drive due to low visual function. All patients were employed.

Conclusion

After cataract surgery in childhood, many patients achieve normal visual acuity, but mild visual field loss is common. Long-term follow-up is important due to the high risk of glaucoma.

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1940-2021 年间接受手术的马纳氏遗传性白内障患儿的长期视力效果和眼部并发症。

目的：研究儿童白内障手术后的视觉发育和长期并发症：这项横断面研究包括来自一个马纳氏遗传性白内障家族的患者，他们都在 18 岁之前接受过白内障手术。研究时间为 2022 年 1 月 1 日至 2022 年 12 月 31 日。患者提供了他们的医疗档案，并参加了最新的眼科检查：我们共纳入了 52 名患者（101 只眼睛，34 名女性）。白内障手术时的中位年龄为 7 岁（IQR：5-10），检查时的年龄为 40 岁（IQR：21-54）。47.5%的患者（25 名患者，48 只眼睛）和 16.8%的患者（10 名患者，17 只眼睛）进行了一次和二次眼内人工晶体植入术。77%的患者（78 眼）视力≤0.3 logMAR，24%的患者（24 眼）视力≤6 dB。）35名患者（67%）持有驾照，3名患者由于视功能低下而不能开车。所有患者均有工作：结论：儿童白内障手术后，许多患者的视力恢复正常，但轻度视野缺损很常见。由于青光眼的风险很高，因此长期随访非常重要。

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

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.