• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >Surgical Treatment of Epiblepharon Effectively Alleviates Keratopathy but Not Astigmatism: A Case-Control Study Utilizing Vector Analysis in East Asian Children
【2h】

Surgical Treatment of Epiblepharon Effectively Alleviates Keratopathy but Not Astigmatism: A Case-Control Study Utilizing Vector Analysis in East Asian Children

机译：Epliblepharon的外科治疗有效缓解了角膜病变，但不是散光：利用东亚儿童载体分析的病例对照研究

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose. To identify an appropriate surgical indication of epiblepharon by comparing keratopathy and astigmatism outcomes after surgical and medical treatments for epiblepharon in Asian children. Methods. Children diagnosed with epiblepharon (n = 82, age 5.93 ± 2.76 years) with >6 months of follow-up were enrolled. The clinical presentations and cycloplegic refractive status at the baseline and 3 and 6 months after treatment were compared between surgical (91 eyes from 47 children) and nonsurgical (67 eyes from 35 children) groups. The refractive and keratometric astigmatism at each time point were evaluated with vector analysis methods. For Thibos and Horner’s method, the astigmatic power vector was decomposed into horizontal and oblique meridians (J0 and J45). However, the treatment-induced astigmatism (TIA) vectors were calculated by Alpins’ method and depicted by the AstigMATIC software. Results. In the surgical and nonsurgical groups, the baseline astigmatism magnitude was similar (2.22 ± 1.39 and 2.26 ± 1.46 D, p = 0.87). The rate of complete resolution of keratopathy at 6 months was 71.4% and 11.5%. The astigmatism magnitude in the surgical group differed among baseline and 3 months (2.25 ± 1.23 D) and 6 months postoperatively (1.97 ± 1.28 D) (p = 0.001). Power vector analyses confirmed a nuanced against-the-rule shift in the surgical group. This trend was especially observed in the subgroup of baseline astigmatism >2.0 D. However, the difference in the astigmatism magnitude between surgical and nonsurgical groups, even in highly astigmatic children, was not significant at 6 months. Conclusions. The improvement of keratopathy in the surgical group was greater than that in the nonsurgical group in consideration of the more advanced severity in the surgery group at baseline. Decreased with-the-rule astigmatism can be observed at 6 months postoperatively, particularly among those with greater baseline astigmatism. However, the amount of change is small, and the outcome does not differ significantly from the nonsurgical treatment. Therefore, surgical indications should majorly base on the severity of symptoms and keratopathy.
机译：目的。要通过在亚洲儿童epiblepharon手术和药物治疗后比较角膜散光成果鉴定epiblepharon的合适的手术指征。方法。确诊为epiblepharon儿童（N = 82，年龄5.93±2.76年）与> 6个月的随访患者。的临床表现，并在基线散瞳屈光状态及治疗后3和6个月进行手术（从47名儿童91只眼）和非手术（从35名儿童67眼），组间比较。在每个时间点的折射和角膜曲率散光用向量分析的方法进行评价。对于Thibos和Horner的方法，散光功率向量分解成水平和斜经络（J0和J45）。然而，治疗诱导的散光（TIA）载体通过Alpins方法计算，并通过象散软件描绘。结果。在手术和非手术组中，基线散光大小是相似的（2.22±1.39和2.26±1.46 d，p值= 0.87）。角膜病的完整分辨率的6个月率分别为71.4％和11.5％。在手术组像散大小不同基线和3个月（2.25±1.23 d）和6个月后（1.97±1.28 d）（P = 0.001）中。功率矢量分析证实有细微差别的抵抗最规则移手术组。这种趋势在基线散光的亚组特别观察> 2.0 D.然而，即使在高度散光的孩子在手术和非手术组之间的散光大小的差别，并没有在6个月显著。结论。角膜病变的手术组的改善明显高于考虑手术组在基线更先进程度的非手术组更大。降低与最规则散光可以在术后6个月进行观察，特别是那些具有更大的基线散光。然而，变化量很小，其结果不会从非手术治疗显著不同。因此，手术指征应的症状和角膜病变的严重程度majorly基地。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号