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先天性白内障患者的眼生物测量数据分析
引用本文:李猛,王进达,张景尚,王开杰,毛迎燕,陈淑莹,姚沁楠,万修华. 先天性白内障患者的眼生物测量数据分析[J]. 眼科, 2021, 30(1): 36-41. DOI: 10.13281/j.cnki.issn.1004-4469.2021.01.007
作者姓名:李猛  王进达  张景尚  王开杰  毛迎燕  陈淑莹  姚沁楠  万修华
作者单位:首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 眼科学与视觉科学北京市重点实验室100005
摘    要:目的 了解先天性白内障患者的眼生物测量数据特征.设计回顾性病例系列.研究对象北京同仁医院2010-2018年小于18岁的先天性白内障患者117例.方法 回顾患者的病历资料.所有患者均接受了A超、角膜曲率计检查或IOL-Master 500检查.分析不同年龄(1~24个月组、25~72个月组及73~216个月组)、性别、...

关 键 词:先天性白内障  眼轴长度  角膜曲率  角膜散光
收稿时间:2020-07-27

Analysis of ocular biometry in patients with congenital cataract in Northern China
Li Meng,Wang Jinda,Zhang Jingshang,Wang Kaijie,Mao Yingyan,Chen Shuying,Yao Qinnan,Wan Xiuhua. Analysis of ocular biometry in patients with congenital cataract in Northern China[J]. Ophthalmology in China, 2021, 30(1): 36-41. DOI: 10.13281/j.cnki.issn.1004-4469.2021.01.007
Authors:Li Meng  Wang Jinda  Zhang Jingshang  Wang Kaijie  Mao Yingyan  Chen Shuying  Yao Qinnan  Wan Xiuhua
Affiliation:eijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing  Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100005, China
Abstract:Objective To investigate the biometry data of eyes with congenital cataract(CC)in North China.Design Retrospective case series.Participants 117 CC patients under 18 years old in Beijing Tongren Hospital from 2010 to 2018.Methods The medical records of CC patients were reviewed.All patients underwent A-scan,keratometry examination or IOL-Master 500 examination.CC patients were grouped according to their age(1~24 months,25~72 months,and 73~216 months),gender(male or female)and whether both eyes were affected(monocular or binocular),and the ocular biometrics between different groups were compared.For patients with monocular CC,the differences between cataract eyes and contralateral eyes were also analyzed.Main Outcome Measures axial length,keratometry and corneal astigmatism.Results The average axial length,keratometry and corneal astigmatism of 117 CC patients were 21.92±1.76 mm,43.78±1.81 D,and 2.03±1.10 D respectively.The axial length of CC patients in 1~24 months group,25~72 months group and 73~216 months group were 20.59±1.31 mm,22.00±1.70 mm and 22.60±1.65 mm respectively(F=11.99,P<0.001).There was no significant difference in keratometry and corneal astigmatism among different age groups(F=0.330,P=0.720 and F=0.625,P=0.537).There was no significant difference in axial length and keratometry between different gender groups(t=-1.862,P=0.065 and t=1.709,P=0.090).There was no difference in axial length and keratometry between monocular and binocular CC patients(t=1.272,P=0.206 and t=-0.145,P=0.885).There was no significant difference in axial length and keratometry between cataract eyes and contralateral eyes in monocular CC patients(t=-0.624,P=0.536 and t=-0.201,P=0.842),but the corneal astigmatism of cataract eyes was larger(2.05±1.00 D vs 1.38±0.83 D,P<0.001).Conclusion CC may defer the physiological decrease of corneal astigmatism.The axial length of CC patients increased rapidly before 2 years old,and slowly after 2 years old,which provided a reference for the selection of appropriate time for intraocular lens implantation in CC patients.(Ophthalmol CHN,2021,30:36-41)
Keywords:congenital cataract  axial length  keratometry  corneal astigmatism
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