BACKGROUND Children with congenital glaucoma are often accompanied by acquired epiblepharon in the lower eyelid,which causes entropion of the lower eyelid and damages the cornea.AIM To infer the possible causes of low...BACKGROUND Children with congenital glaucoma are often accompanied by acquired epiblepharon in the lower eyelid,which causes entropion of the lower eyelid and damages the cornea.AIM To infer the possible causes of lower eyelid entropion by comparing the difference of ocular axis and corneal diameter between inverted and non-inverted ciliary eyes in children with congenital glaucoma.METHODS A total of 15 patients(11 males and 4 females)diagnosed with congenital glaucoma between July 2016 and January 2019 at Tongren Hospital were included.Five patients had bilateral glaucoma,and ten had unilateral glaucoma.Each patient had only one eye with lower eyelid entropion which is associated with congenital glaucoma.All the patients had no entropion in another eye.The clinical data were collected.Main outcome measures were the ocular axis and corneal diameter.RESULTS The average age of the 15 patients was 1.85±0.49 years.Paired t-test showed that the average ocular axis of congenital glaucoma eyes with lower eyelid entropion(24.86±3.44 mm)was significantly longer than that of congenital glaucoma eyes without lower eyelid entropion(20.79±1.34 mm;P<0.001).The average corneal diameter of congenital glaucoma eyes with lower eyelid entropion(13.61±0.88 mm)was also significantly greater than that of congenital glaucoma eyes without lower eyelid entropion(11.63±0.48;P<0.001).CONCLUSION The rapid growth of the ocular axis and corneal diameter may be the main cause of congenital glaucoma with acquired lower eyelid entropion.Therefore,children with poor control of intraocular pressure and excessive growth of ocular axis and corneal diameter must be observed for the existence of acquired epiblepharon.展开更多
Objective:To explore the effect of keratoplasty on the control of the ocular axis in children and adolescents with myopia.Methods:Seventy-five cases of children and adolescents who underwent myopia correction at a hos...Objective:To explore the effect of keratoplasty on the control of the ocular axis in children and adolescents with myopia.Methods:Seventy-five cases of children and adolescents who underwent myopia correction at a hospital between September 2023 and August 2024 were selected.Participants were divided into a control group(37 cases,wearing eyeglasses)and an observation group(38 cases,wearing keratoplasty lenses)using the random number method.Visual function,naked-eye visual acuity,ocular axis length,and refractive error were compared and analyzed between the two groups before and one year after the correction treatment.Results:Before correction,there were no statistically significant differences in the amplitude and sensitivity of accommodation between the two groups(P>0.05).After correction,all indices increased significantly in both groups,with the observation group showing higher values than the control group(P<0.05).Similarly,prior to correction,there were no significant differences in naked-eye visual acuity,axial length,or refractive error between the two groups(P>0.05).After correction,all indices improved significantly in both groups;however,the observation group demonstrated superior results compared to the control group,with statistically significant differences(P<0.05).Specifically,the naked-eye visual acuity in the observation group was higher,refractive error was lower,and ocular axis length was shorter than in the control group,all with statistical significance(P<0.05).Conclusion:Keratoplasty effectively controls the ocular axis in children and adolescents with myopia.It not only enhances visual function but also significantly improves naked-eye visual acuity,reduces refractive error,and shortens the length of the ocular axis.展开更多
文摘BACKGROUND Children with congenital glaucoma are often accompanied by acquired epiblepharon in the lower eyelid,which causes entropion of the lower eyelid and damages the cornea.AIM To infer the possible causes of lower eyelid entropion by comparing the difference of ocular axis and corneal diameter between inverted and non-inverted ciliary eyes in children with congenital glaucoma.METHODS A total of 15 patients(11 males and 4 females)diagnosed with congenital glaucoma between July 2016 and January 2019 at Tongren Hospital were included.Five patients had bilateral glaucoma,and ten had unilateral glaucoma.Each patient had only one eye with lower eyelid entropion which is associated with congenital glaucoma.All the patients had no entropion in another eye.The clinical data were collected.Main outcome measures were the ocular axis and corneal diameter.RESULTS The average age of the 15 patients was 1.85±0.49 years.Paired t-test showed that the average ocular axis of congenital glaucoma eyes with lower eyelid entropion(24.86±3.44 mm)was significantly longer than that of congenital glaucoma eyes without lower eyelid entropion(20.79±1.34 mm;P<0.001).The average corneal diameter of congenital glaucoma eyes with lower eyelid entropion(13.61±0.88 mm)was also significantly greater than that of congenital glaucoma eyes without lower eyelid entropion(11.63±0.48;P<0.001).CONCLUSION The rapid growth of the ocular axis and corneal diameter may be the main cause of congenital glaucoma with acquired lower eyelid entropion.Therefore,children with poor control of intraocular pressure and excessive growth of ocular axis and corneal diameter must be observed for the existence of acquired epiblepharon.
文摘Objective:To explore the effect of keratoplasty on the control of the ocular axis in children and adolescents with myopia.Methods:Seventy-five cases of children and adolescents who underwent myopia correction at a hospital between September 2023 and August 2024 were selected.Participants were divided into a control group(37 cases,wearing eyeglasses)and an observation group(38 cases,wearing keratoplasty lenses)using the random number method.Visual function,naked-eye visual acuity,ocular axis length,and refractive error were compared and analyzed between the two groups before and one year after the correction treatment.Results:Before correction,there were no statistically significant differences in the amplitude and sensitivity of accommodation between the two groups(P>0.05).After correction,all indices increased significantly in both groups,with the observation group showing higher values than the control group(P<0.05).Similarly,prior to correction,there were no significant differences in naked-eye visual acuity,axial length,or refractive error between the two groups(P>0.05).After correction,all indices improved significantly in both groups;however,the observation group demonstrated superior results compared to the control group,with statistically significant differences(P<0.05).Specifically,the naked-eye visual acuity in the observation group was higher,refractive error was lower,and ocular axis length was shorter than in the control group,all with statistical significance(P<0.05).Conclusion:Keratoplasty effectively controls the ocular axis in children and adolescents with myopia.It not only enhances visual function but also significantly improves naked-eye visual acuity,reduces refractive error,and shortens the length of the ocular axis.
