European Journal of Ophthalmology最新文献_第4页

Comparison of topical 5% NaCl versus 10% Mannitol for the treatment of corneal edema after phacoemulsification. 局部使用 5%氯化钠与 10%甘露醇治疗超声乳化术后角膜水肿的比较。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-06 DOI: 10.1177/11206721241273631

Huri Sabur, Emrah Utku Kabatas

{"title":"Comparison of topical 5% NaCl versus 10% Mannitol for the treatment of corneal edema after phacoemulsification.","authors":"Huri Sabur, Emrah Utku Kabatas","doi":"10.1177/11206721241273631","DOIUrl":"10.1177/11206721241273631","url":null,"abstract":"Objective: This study aimed to compare the efficacy of topical 5% Sodium Chloride (NaCl) and 10% Mannitol agents in managing corneal edema following uncomplicated cataract surgery.Methods: Patients with postoperative corneal edema were enrolled, and they were divided into three groups for comparison. Anterior chamber depth (ACD), axial length (AL), intraocular lens (IOL) power, cumulative dissipated energy (CDE), best-corrected visual acuity (BCVA), central corneal thickness (CCT), and endothelial cell count (ECC) were assessed among the groups.Results: Fifty-eight eyes of 58 patients were included. The study comprised the NaCl group (using topical 5% NaCl, n = 21), Mannitol group (using topical 10% Mannitol, n = 17), and a control group without osmotic agent use (n = 20). Age, gender, ACD, AL, IOL power, and CDE were similar across groups. Postoperative day-1 CCT values showed no significant difference between groups. Additionally, at postoperative 1 week, CCT values were [663.4 ± 100.2] microns in the NaCl group, [640.4 ± 68.9] microns in the Mannitol group, and [760.3 ± 76.7] microns in the Control group. Although CCT and BCVA values were better in the Mannitol group at postoperative 1 week, no statistically significant difference was found between the groups at 1 week and 1 month postoperatively. Furthermore, corneal edema positively correlated with CDE and negatively correlated with AL.Conclusion: Topical 5% NaCl and 10% Mannitol agents are effective and reliable agents that showed faster recovery of corneal edema during the early postoperative period after uncomplicated cataract surgery. The choice between these agents may depend on factors such as patient tolerability, cost, and availability.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"492-498"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness and safety of istent inject as an interventional glaucoma approach for uncontrolled open-angle glaucoma. 伊斯坦注射液作为不受控制的开角型青光眼介入治疗方法的有效性和安全性。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-06 DOI: 10.1177/11206721241272224

Gabriele Vizzari, Piero Ceruti

{"title":"Effectiveness and safety of istent inject as an interventional glaucoma approach for uncontrolled open-angle glaucoma.","authors":"Gabriele Vizzari, Piero Ceruti","doi":"10.1177/11206721241272224","DOIUrl":"10.1177/11206721241272224","url":null,"abstract":"Introduction: To describe the results of iStent inject implantation as a standalone procedure in early-stage uncontrolled glaucoma, with results up to 24 months.Methods: A retrospective, single-center case series that recruited patients with open-angle glaucoma (OAG), uncontrolled IOP (defined as ≥18 mmHg), and who are receiving 1-4 glaucoma medications were implanted the iStent inject as a standalone procedure. Exclusion criteria were the contraindications of iStent inject implantation. Primary outcome measures were IOP at 6, 12, 18, and 24 months compared to baseline, and the number of medications at baseline and 24 months.Results: Eighty-eight eyes from 88 patients, aged 57.6 ± 9.8 years, were included. Ten eyes underwent a subsequent glaucoma procedure during follow-up and were excluded from the analysis. The mean IOP (mmHg) was reduced from 20.54 ± 1.42 at baseline to 15.99 ± 1.98 and 16.15 ± 2.21 (n = 78, p < 0.001) at the 12- and 24-month follow-up, respectively, and the mean number of medications was reduced from 2.35 ± 0.70 to 1.31 ± 0.80 (p < 0.001) at 24 months. Of those eyes, 59% had ≥20% reduction in IOP at 24 months, 91% had an IOP ≤18 mmHg at 24 months, and 71.8% were receiving fewer medications. At 24 months, 14.1% of eyes were medication-free, compared to none at baseline. No serious intraoperative or postoperative adverse events occurred.Discussion: iStent inject can effectively control intraocular pressure in mild glaucoma, reducing medication reliance and improving patient quality of life.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"568-575"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immediate sequential bilateral cataract surgery: Prevalence, attitudes and concerns Among Italian ophthalmologists. 双侧白内障即刻连续手术：意大利眼科医生的患病率、态度和担忧。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-06 DOI: 10.1177/11206721241272156

Marco Tavolato, Rocco Modugno, Rosa Giglio, Leandro Inferrera, Daniele Tognetto

{"title":"Immediate sequential bilateral cataract surgery: Prevalence, attitudes and concerns Among Italian ophthalmologists.","authors":"Marco Tavolato, Rocco Modugno, Rosa Giglio, Leandro Inferrera, Daniele Tognetto","doi":"10.1177/11206721241272156","DOIUrl":"10.1177/11206721241272156","url":null,"abstract":"Purpose: to investigate the existing practice patterns of immediate sequential bilateral cataract surgery (ISBCS) in Italy and to assess ophthalmologists' attitudes towards performing ISBCS in the future for cataract treatment.Methods: It is a multicenter cross-sectional study. From February,1st 2023 to March, 1st 2023 the Members of the Italian Society of Cataract and Refractive Surgery (AICCER) as well as the attendees of its annual national congress were invited to anonymously complete an electronic 7-item questionnaire on their current ICBCS practice. Questions included the average number of procedures per month, the main indications for ICBCS, and the main reasons for performing and not performing ISBCS. Data were analyzed using descriptive statistics.Results: of the 2300 recipients, 246 (10.7%) completed the survey. Of the respondents, 156 (63.4%) replied to perform ISBCS, most of them (82%) occasionally (1 to 5 procedures per month). Fifty-three percent (130 ophthalmologists) considered adopting ISBCS as routine practice in the near future. The conditions most considered for ISBCS were age-related cataract surgery under general and topical anesthesia and congenital cataract surgery. The availability of separate instruments for the two eyes as well as patient and hospital advantages were the most important reasons for performing ISBCS. The risk of bilateral endophthalmitis and medicolegal issues were the main reasons for not performing ISBCS.Conclusions: ISBCS remains controversial among Italian surgeons, despite growing evidence of its safety and efficacy. The risk of potentially blinding complications such as bilateral endophthalmitis, together with medicolegal concerns are the principal barriers to ISBCS implementation in routine practice.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"531-536"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison between a new transepithelial PRK vs. conventional alcohol-assisted PRK: Corneal densitometry and aberrometry study. 新型经皮层 PRK 与传统酒精辅助 PRK 的比较：角膜密度测量和比色法研究。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-15 DOI: 10.1177/11206721241267360

Jaime Aramberri, Gorka Lauzirika, Igor Illarramendi, Javier Mendicute

{"title":"Comparison between a new transepithelial PRK vs. conventional alcohol-assisted PRK: Corneal densitometry and aberrometry study.","authors":"Jaime Aramberri, Gorka Lauzirika, Igor Illarramendi, Javier Mendicute","doi":"10.1177/11206721241267360","DOIUrl":"10.1177/11206721241267360","url":null,"abstract":"Purpose: To describe and compare corneal densitometry, subjective refraction, visual acuity, and corneal higher order aberrations (HOA) after corneal refractive surgery using either alcohol-assisted photorefractive keratectomy (aaPRK) or single-step transepithelial PRK (tPRK).Methods: We conducted a retrospective and observational study. We analyzed 120 right eyes from 120 healthy consecutive myopic patients who underwent aaPRK or tPRK to correct myopia of up to 6 diopters and astigmatism of up to 2 diopters. The WaveLight EX500 excimer laser (Alcon Laboratories, Inc.) was used in all cases. Visual acuity, subjective refraction, and Pentacam AXL® measurements were performed at the preoperative visit and at 6-months follow-up visit. Pentacam AXL® software was used to assess corneal optical density in various annuli for different corneal depths and anterior corneal HOA (6 mm area of analysis).Results: Preoperative spherical equivalent values were similar between groups preoperatively (-3.07 ± 1.52 and -3.38 ± 1.46 in the aaPRK and tPRK groups, respectively). There were no statistically significant differences in visual acuity and postoperative refraction between groups. Postoperative corneal densitometry did not show statistically significant differences in any of the areas studied and both surgical procedures obtained similar results. However, analysis of HOA showed statistically significant differences between the techniques (1.42 ± 0.39 and 1.80 ± 0.62 for the aaPRK and tPRK groups, respectively; p = 0.000).Conclusions: Both aaPRK and single-step tPRK gave comparable visual, refractive, and corneal density outcomes. Some differences were observed in HOA but were not clinically relevant.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"474-481"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the contribution of carotid artery disease to the onset of non-arteritic ischemic optic neuropathies: A systematic review. 探讨颈动脉疾病对非动脉缺血性视神经病变发病的影响：系统综述。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-22 DOI: 10.1177/11206721241277247

Matteo Ripa, Chiara Schipa, Paola Aceto, Yamume Tshomba, Stanislao Rizzo, Antonio Baldascino, Tommaso Donati

{"title":"Exploring the contribution of carotid artery disease to the onset of non-arteritic ischemic optic neuropathies: A systematic review.","authors":"Matteo Ripa, Chiara Schipa, Paola Aceto, Yamume Tshomba, Stanislao Rizzo, Antonio Baldascino, Tommaso Donati","doi":"10.1177/11206721241277247","DOIUrl":"10.1177/11206721241277247","url":null,"abstract":"Purpose: The role of carotid artery disease (CAD) in the development of various types of ocular arterial occlusive disorders has often been reported. This systematic review aims to evaluate and review the current evidence regarding the role of CAD and the subsequent carotid artery hemodynamic alterations in the development of non-arteritic anterior (NA-AION) and posterior (NA-PION) ischemic optic neuropathy.Methods: We systematically reviewed studies following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We systematically searched PubMed, Embase, and Scopus databases for relevant studies that clearly assessed the role of CAD and the subsequent carotid artery hemodynamic alterations in the development of NA-AION and NA-PION. All studies that examined the associations between CAD and the development of NA-AION and NA-PION in adults aged 18 years or older were synthesized. Quality assessment using the Newcastle-Ottawa Scale (NOS), and Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Case Reports and Case-Series were also conducted.Results: Our search identified 1933 manuscripts published in the English language. The number of participants with non-arteritic ischemic optic neuropathy (NA-ION) ranged from 1 to 191, with a total of 478 patients experiencing either NA-AION (410 out of 478), NA-PION (13 out of 478), or a combination of thereof (1 out of 478). The number of participants with NA-ION due to atherosclerosis ranged from 1 to 191, with a total of 376 patients.Conclusions: Although carotid artery disease may rarely contribute to the development of NA-ION, it should be considered as a possible cause of NA-ION.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"409-428"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of a silicone shield to protect the optical cylinder following osteo- and osteo-odonto-keratoprosthesis (O/OKP) procedures. 骨性和骨性口腔角膜前列腺假体 (O/OKP) 手术后使用硅胶保护罩保护光筒。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-14 DOI: 10.1177/11206721241272172

Lee Goren, Iftach Yassur, David Goldblum, Asaf Achiron, Irit Bahar, Eitan Livny

{"title":"Use of a silicone shield to protect the optical cylinder following osteo- and osteo-odonto-keratoprosthesis (O/OKP) procedures.","authors":"Lee Goren, Iftach Yassur, David Goldblum, Asaf Achiron, Irit Bahar, Eitan Livny","doi":"10.1177/11206721241272172","DOIUrl":"10.1177/11206721241272172","url":null,"abstract":"Purpose: To describe the placement of a silicone shield to protect the optical cylinder following osteo-keratoprosthesis or osteo-odonto-keratoprosthesis (O/OKP) procedures in four patients.Methods: In this retrospective observational study, we reviewed all patients who underwent O/OKP in our tertiary medical centre. We found four patients in whom a protective cellphone silicone shield (VisionGuard+, Zagg, Utah, USA) was cut with a 3 mm dermal punch and placed on the polymethyl methacrylate (PMMA) optical cylinder of an O/OKP 3-4 months after implantation to either correct or prevent abrasions.Results: The first patient presented with a severely abraded OOKP optic that reduced BCVA from 6/6 to 6/20. The shield smoothed the optical surface and filled minor scratches, leading to BCVA improvement to 6/9. In the subsequent three patients, the optic was relatively clear, and the shield was used as a preventive measure. In two patients, the shield fell off after a few weeks and was replaced.Conclusions: Placing a protective silicone shield on the optical cylinder of an O/OKP can prevent permanent abrasions and, in an already scratched polymethyl methacrylate (PMMA) optic cylinder, improve vision by smoothing the surface. This intervention can be clinically significant, considering that the optical cylinder cannot be removed after implantation.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"499-503"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-exudative choroidal and macular neovascularizations: An overview. 非渗出性脉络膜和黄斑新生血管：概述。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-14 DOI: 10.1177/11206721241275206

Alessandro Berni, Riccardo Sacconi, Ilaria Zucchiatti, Lea Querques, Francesco Prascina, Francesco Bandello, Giuseppe Querques

引用次数: 0

Characteristics of myelinated retinal nerve fibres in associated straatsma syndrome. 伴发斜视综合征的髓鞘化视网膜神经纤维的特征。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-06 DOI: 10.1177/11206721241272182

Ayushi Choudhary, Rupal Kathare, Priyanka Gandhi, Naresh Kumar Yadav, Vishma Prabhu, Snehal Bavaskar, Jay Chhablani, Ramesh Venkatesh

{"title":"Characteristics of myelinated retinal nerve fibres in associated straatsma syndrome.","authors":"Ayushi Choudhary, Rupal Kathare, Priyanka Gandhi, Naresh Kumar Yadav, Vishma Prabhu, Snehal Bavaskar, Jay Chhablani, Ramesh Venkatesh","doi":"10.1177/11206721241272182","DOIUrl":"10.1177/11206721241272182","url":null,"abstract":"Purpose: To study cases diagnosed of myelinated retinal nerve fibres (MRNF) continuous with the optic disc and describe the plausible pathogenic mechanism for the ocular features in Straatsma syndrome.Methods: This retrospective observational study includes clinically diagnosed MRNF cases. MRNF, myopia, and amblyopia defined Straatsma syndrome. MRNF were classified into three types based on location: type 1 in the superior retina, type 2 in the superior and inferior retina, and type 3 in the inferior retina. MRNF size was measured on Optomap® (Optos, Daytona, UK) images and posterior staphyloma location was noted. Demographics and best-corrected refractive error in logMAR units was recorded. Descriptive statistics and Spearman's corelation test were used to analyse MRNF size's relationship to refractive error and logMAR visual acuity.Results: The study included a total of 19 MRNF eyes from 18 patients. Seventeen (89%) eyes had Straatsma syndrome. Median age was 23.50 [range: 4-75] years. One (6%) patient exhibited bilateral presentation. The median logMAR visual acuity was 0.4 log units (interquartile range: 0.18-1.20) and mean refractive error was -7.21 ± 5.32. Type 2 MRNF (n = 14,74%) was the commonest. Average MRNF size was 34.37 ± 40.73 sq.mm. Posterior staphyloma was noted in 17 eyes, all in close MRNF association. Significant positive corelation was noted between logMAR visual acuity and MRNF size (r = 0.5, p = 0.028).Conclusion: Large size MRNF corelated with poor visual acuity in the study. The paper explains the possible pathogenetic mechanisms for the ocular findings seen in MRNF.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"689-694"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rosai-Dorfman-Destombes disease in adolescence with hearing and vision loss involvement: A multidisciplinary approach. 青少年罗赛-多夫曼-多斯通贝病（Rosai-Dorfman-Destombes disease）伴有听力和视力损失：多学科方法。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.1177/11206721241300634

Marina Gaglianone Teodoro da Silva, Eduardo Cunha de Souza, Inara Figueiredo Jacobsen, Maria Nathália Vilela Assis, Antônio Carlos Pondé Rodrigues, Murilo Wendeborn Rodrigues

{"title":"Rosai-Dorfman-Destombes disease in adolescence with hearing and vision loss involvement: A multidisciplinary approach.","authors":"Marina Gaglianone Teodoro da Silva, Eduardo Cunha de Souza, Inara Figueiredo Jacobsen, Maria Nathália Vilela Assis, Antônio Carlos Pondé Rodrigues, Murilo Wendeborn Rodrigues","doi":"10.1177/11206721241300634","DOIUrl":"10.1177/11206721241300634","url":null,"abstract":"Purpose. To report a rare case of Rosai-Dorfman-Destombes (RDD) disease in a teenage girl exhibiting mild fever, night chills, vertigo, and progressive bilateral vision and hearing loss. Method. Case report of a 15-year-old girl who underwent extensive ophthalmic multimodal imaging and a comprehensive workup evaluation. Results. Multiple choroid lesion masses in both eyes associated with systemic multifocal lymphadenopathy, involvement of the paranasal sinuses, and unusual intracranial manifestations well-shown by magnetic resonance imaging (MRI) and whole-body PET-scan. The PET-Scan and MRI imaging showed dural-based intracranial lesions, choroid-plexus signaling, and meningeal spread, as well as a focus on the paranasal sinuses, which helped determine the best biopsy location for a definitive diagnosis through immunohistochemistry. Conclusions. Here we describe a rare condition of RDD disease with bilateral visual and hearing loss associated with bilateral multiple choroid masses and neurological symptoms in an adolescent female patient. A definitive diagnosis relied on histological assessment, emphasizing the importance of interdisciplinary evaluation. RDD should be considered in the differential diagnosis of choroidal metastasis, tuberculosis, and other lymphoproliferative diseases.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"NP22-NP27"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management strategies for chalazia in pediatric patients: A scoping review. 小儿恰拉兹病的治疗策略：一项范围综述。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-03-01

Tom Kornhauser, Abdelrahman M Elhusseiny, John D Pemberton

{"title":"Management strategies for chalazia in pediatric patients: A scoping review.","authors":"Tom Kornhauser, Abdelrahman M Elhusseiny, John D Pemberton","doi":"","DOIUrl":"","url":null,"abstract":"BackgroundChalazia are common eyelid lesions in children, resulting from chronic inflammation of sebaceous glands. Management strategies vary, but evidence specific to pediatric populations is limited.ObjectivesTo review current evidence on treatment modalities for chalazia in children and propose a management algorithm.MethodsA comprehensive literature review was conducted, synthesizing data on conservative, medical, and surgical approaches to pediatric chalazia management.ResultsConservative treatments (warm compresses, lid hygiene) remain first-line, though pediatric-specific efficacy data is sparse. Topical antibiotics and steroids show mixed results, with potential adverse effects in children. Emerging therapies (probiotics, omega-3 supplementation, intense pulsed light) show promise but require further investigation. Intralesional steroid injections demonstrate high success rates but carry risks of rare complications. Surgical excision remains effective for persistent lesions. Tailored approaches considering underlying conditions (vitamin A deficiency, Demodex infestation, rosacea) are recommended.ConclusionsManagement of pediatric chalazia lacks standardized protocols. A tailored approach balancing efficacy and safety is crucial. Large-scale, pediatric-focused studies are needed to establish evidence-based guidelines.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721251330146"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0