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| Difference of Corneal Morphology and Astigmatism in Children with Congenital Ptosis of Different Ages and Different Degrees |
| GUO Yan, WANG Wei, YANG Jun-fang, et al |
| Department of Ophthalmology, Hunan Children’s Hospital, Changsha 410007, Hunan Province, China |
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Abstract 【Objective】To investigate the corneal morphology and astigmatism in different age groups of moderate and severe congenital ptosis and analyze the relationship between ptosis and age.【Methods】Eighty-three cases (114 eyes) of moderate and severe congenital blepharoptosis diagnosed by ophthalmology in Hunan Children's Hospital were collected in detail and examined by ophthalmology. According to the age of the children, they were divided into two groups: group A ( 3 ≤ age<5) and group B ( 5 ≤ age<12). The corneal morphology and astigmatism of patients with blepharoptosis at different ages were analyzed, and the differences of corneal morphology and astigmatism among patients with blepharoptosis at different ages were compared.【Results】In 114 eyes, there was no significant difference in corneal astigmatism 〔Cyl (D)〕, surface rule index (SRI), surface asymmetry index (SAI) and total astigmatism of retina [C (D)]in patients with different degrees of ptosis in the same age group (P>0.05). The results of preoperative corneal topography showed that the ratio of inverse rule and oblique astigmatism increased with age, and the difference was statistically significant (P<0.05). In the moderate blepharoptosis group, there were 37.0% children with conformable astigmatism, 25.9% with reverse astigmatism, 37.0% with oblique astigmatism. In the severe blepharoptosis group, 65.0% of children with conformable astigmatism, 11.7% of converse astigmatism and 22.3% of oblique astigmatism, there was significant difference between the two groups (P<0.05).【Conclusion】Children with ptosis increase with age.The proportion of oblique and inverse astigmatism increased with age, but there was no significant correlation with the degree of blepharoptosis. It is suggested that eyelid surgery should be performed at the age of 3 and 5 years, and refractive correction should be performed after operation.
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Received: 11 December 2017
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[1] De Sancics U,Actis AG.Blepharoptosis[J].Minerva Chir,2013,68(6 Suppl):37-47.
[2] 赵堪兴,杨培增.眼科学第八版[M].北京:人民卫生出版社,2013.
[3] Chong KK,Fan DS,Lai CH,et al.Unilateral ptosis correction with mersilene meshfrontails sling in infant:thirteen-year follow-up report[J].Eye,2010,24:44-49.
[4] Oral Y,Ozgur OR,Akcay L,et al.Congenital ptosis and amblyopia[J].J Pediatr Ophthalmol Strabismus,2010,47(2):101-104.
[5] Kumar S,Chaudhuri Z,Chauhan D.Clinical evaluation of refractive changes following brow suspension surgery in pediatric patiens with congenital blepharoptosis[J].Ophthalmic Surg Lasers Imaging,2005,36(3):217-227.
[6] 胡蓉,李冬梅,侯志嘉,等.先天性上睑下垂的屈光状态及弱视情况[J].中华眼视光学与视觉科学杂志,2016,18(5):302-305.
[7] Kasaee A,Yazdaniabyaneh A,Tabatabaie SZ,et al.Assessing amblyogenic factors in 100 patients with congenital ptosis[J].Int J Ophthalmol,2011,3(4):328-330.
[8] 柴洁,吴晓,周跃华.先天性上睑下垂的角膜地形图研究[J].中国斜视与小儿眼科杂志,1998,6(3):108-109.
[9] 杨培星,刘才远,丁连娥,等.角膜地形图和主客观验光测量散光度数及轴位的对比观察[J].安徽医药,2016,20(7):1352-1354.
[10] 于淼,刘桂香,郑加庆,等.先天性上睑下垂101例屈光状态分析[J].中国实用眼科杂志,2014,32(7):875-878.
[11] 栾国刚,谌金金,熊莎,等.先天性上睑下垂对眼散光量及轴长的影响[J].国际眼科杂志,2013,13(10):2135-2137. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(9): 1838-1840. |
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2018, Vol. 35 
