Cornea · 2026
Surgical Detachment of Irido- and Lenticulocorneal Adhesions in Congenital Corneal Opacity.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kotola Elsa-Leea, Turunen Joni A, Lindahl Päivi, Krootila Kari, Majander Anna
Аннотация
PURPOSE: To report anatomical and visual acuity outcomes of surgical detachment of iridocorneal and lenticulocorneal adhesions in pediatric patients with mild to moderate congenital corneal opacity (CCO).
METHODS: An observational study with a longitudinal design including 16 eyes of 10 patients, aged between 8 months and 15 years, with CCO, irido- or lenticulocorneal adhesions and detectable Descemet membrane (DM) reflectivity in anterior segment optical coherence tomography (AS-OCT) images, treated by surgical detachment of iridocorneal or lenticulocorneal adhesions between 2011 and 2025 at the Helsinki University Hospital. The main outcome measures were best-corrected visual acuity (BCVA), anatomical outcome assessed with AS-OCT, and surgical complications.
RESULTS: The median age at surgery was 13 months (range, 5-56), and follow-up time from presentation to the last appointment ranged from 7 to 166 months (median 154). No intraoperative complications were recorded. Of the 11 eyes of 7 patients aged between 13 and 15 years and thereby with completed visual development, 4 had a BCVA of 0.2 to 0.4, 5 of 0.6 to 1.0, and 1 of 1.2 logMAR. One eye was legally blind. The anterior segment anatomy was stable after surgery, showing mild corneal clarification. In a patient who had lenticulocorneal adhesions detached, cataract surgery became timely only after 11 years at the age of 13.
CONCLUSIONS: Surgical detachment of iridocorneal and lenticulocorneal adhesions in mild to moderate CCO with detectable Descemet membrane AS-OCT reflectivity enabled stable anatomical and BCVA outcomes without major complications.
METHODS: An observational study with a longitudinal design including 16 eyes of 10 patients, aged between 8 months and 15 years, with CCO, irido- or lenticulocorneal adhesions and detectable Descemet membrane (DM) reflectivity in anterior segment optical coherence tomography (AS-OCT) images, treated by surgical detachment of iridocorneal or lenticulocorneal adhesions between 2011 and 2025 at the Helsinki University Hospital. The main outcome measures were best-corrected visual acuity (BCVA), anatomical outcome assessed with AS-OCT, and surgical complications.
RESULTS: The median age at surgery was 13 months (range, 5-56), and follow-up time from presentation to the last appointment ranged from 7 to 166 months (median 154). No intraoperative complications were recorded. Of the 11 eyes of 7 patients aged between 13 and 15 years and thereby with completed visual development, 4 had a BCVA of 0.2 to 0.4, 5 of 0.6 to 1.0, and 1 of 1.2 logMAR. One eye was legally blind. The anterior segment anatomy was stable after surgery, showing mild corneal clarification. In a patient who had lenticulocorneal adhesions detached, cataract surgery became timely only after 11 years at the age of 13.
CONCLUSIONS: Surgical detachment of iridocorneal and lenticulocorneal adhesions in mild to moderate CCO with detectable Descemet membrane AS-OCT reflectivity enabled stable anatomical and BCVA outcomes without major complications.