Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2022
[Surgical treatment options for congenital/infantile corneal opacities and anterior segment dysgenesis].
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Schlereth Simona L, Gietzelt Caroline, Zwingelberg Sarah, Matthaei Mario, Bachmann Björn, Cursiefen Claus
Аннотация
BACKGROUND: Due to the risk of amblyopia congenital and infantile corneal opacities have a narrow therapeutic window, frequently with a complex surgical treatment.
OBJECTIVE: The present study gives an overview of the current treatment options for congenital and infantile corneal opacities.
METHODS: The results of a literature search are presented and own clinical data and examples are shown.
RESULTS: In children ophthalmologic operations are surgically more demanding and the prognosis is generally worse. Surgical options include phototherapeutic keratectomy, crosslinking, corneal sutures, sectoral iridectomy, block excision and lamellar, penetrating, and auto-keratoplasty. An equally important part of the treatment is conservative treatment, when necessary with bandage lenses, glasses, contact lenses and occlusion.
DISCUSSION: Whenever possible treatment of congenital and infantile corneal opacities should be limited to the affected layers/areas. Nevertheless, children and parents have to be prepared for many examinations, sometimes with the patient under anesthesia and should be well-informed about the prognosis and the risks.
OBJECTIVE: The present study gives an overview of the current treatment options for congenital and infantile corneal opacities.
METHODS: The results of a literature search are presented and own clinical data and examples are shown.
RESULTS: In children ophthalmologic operations are surgically more demanding and the prognosis is generally worse. Surgical options include phototherapeutic keratectomy, crosslinking, corneal sutures, sectoral iridectomy, block excision and lamellar, penetrating, and auto-keratoplasty. An equally important part of the treatment is conservative treatment, when necessary with bandage lenses, glasses, contact lenses and occlusion.
DISCUSSION: Whenever possible treatment of congenital and infantile corneal opacities should be limited to the affected layers/areas. Nevertheless, children and parents have to be prepared for many examinations, sometimes with the patient under anesthesia and should be well-informed about the prognosis and the risks.