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Long-term Experience and Visual Acuity Outcomes in Patients With Peters Anomaly.
Journal of Pediatric Ophthalmology and Strabismus ( IF 1.0 ) Pub Date : 2021-09-01 , DOI: 10.3928/01913913-20210412-01
Rodrigo Donoso Rojas , Gonzalo Jara Urrutia , Juan Pablo López Garin

PURPOSE To report the results from a cases series of patients with Peters anomaly and propose management and treatment approaches according to the alterations associated with each case. METHODS The records of 27 patients (32 eyes) clinically diagnosed as having Peters anomaly were analyzed retrospectively. Each patient underwent different treatment modalities (from medical follow-up consultations to penetrating keratoplasty procedures) according to the type of Peters anomaly.1 Results: Of 32 eyes of 27 patients (74% male and 26% female), 5 patients (18.5%) were bilateral and 22 (81.5%) were unilateral. The average number of years of follow-up consultations was 10.2 years (range: 3.5 to 18 years). The long-term visual acuity (VA) results correlated directly with the type of Peters anomaly. Mean VA for all patients was 1.71 ± 1.04 logarithm of the minimum angle of resolution (logMAR). The results by group were 0.30 ± 0.00 logMAR for type I Peters anomaly with only medical monitoring, 0.97 ± 0.78 logMAR for type I Peters anomaly with only optical iridectomy, 1.22 ± 0.97 logMAR for type I Peters anomaly with penetrating keratoplasty, 2.41 ± 0.80 logMAR for type II Peters anomaly without a compromised posterior pole with penetrating keratoplasty, and 2.56 ± 0.48 logMAR for type II Peters anomaly with a compromised posterior pole with penetrating keratoplasty. CONCLUSIONS The VA result and long-term corneal failure is directly related to the type of Peters anomaly. Patients with type I Peters anomaly who only required medical follow-up consultations had the most favorable prognosis. Patients in whom penetrating keratoplasty was performed had a poor prognosis. [J Pediatr Ophthalmol Strabismus. 2021;58(5):304-310.].

中文翻译:

Peters 异常患者的长期经验和视力结果。

目的报告一系列 Peters 异常患者的病例系列结果,并根据每个病例的相关变化提出管理和治疗方法。方法回顾性分析27例临床诊断为Peters畸形的患者(32眼)的病历。每位患者根据 Peters 异常的类型接受不同的治疗方式(从医疗随访到穿透性角膜移植术)。 1 结果:27 名患者(74% 男性和 26% 女性)的 32 只眼中,5 名患者(18.5%) ) 是双边的,22 (81.5%) 是单边的。平均随访年数为 10.2 年(范围:3.5 至 18 年)。长期视力 (VA) 结果与 Peters 异常的类型直接相关。所有患者的平均 VA 为 1.71 ± 1。04 最小分辨率角(logMAR)的对数。分组结果:仅医学监测的 I 型 Peters 异常的结果为 0.30 ± 0.00 logMAR,仅光学虹膜切除术的 I 型 Peters 异常的结果为 0.97 ± 0.78 logMAR,进行穿透性角膜移植术的 I 型 Peters 异常的结果为 1.22 ± 0.97 logMAR,2.401 logMAR ± 0.40对于不具有穿透性角膜移植术的后极受损的 II 型 Peters 异常,以及具有穿透性角膜移植术的后极受损的 II 型 Peters 异常的 2.56 ± 0.48 logMAR。结论 VA 结果和长期角膜衰竭与 Peters 异常的类型直接相关。仅需要医疗随访的 I 型 Peters 异常患者预后最好。进行穿透性角膜移植术的患者预后较差。[J Pediatr Ophthalmol 斜视。2021;58(5):304-310.]。
更新日期:2021-09-01
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