VISUAL OUTCOME AFTER SURGERY FOR PETERS ANOMALY

被引:24
作者
GOLLAMUDI, SR [1 ]
TRABOULSI, EI [1 ]
CHAMON, W [1 ]
STARK, WJ [1 ]
MAUMENEE, IH [1 ]
机构
[1] JOHNS HOPKINS UNIV HOSP,WILMER OPHTHALMOL INST,BALTIMORE,MD 21205
来源
OPHTHALMIC GENETICS | 1994年 / 15卷 / 01期
关键词
GLAUCOMA; PETERS ANOMALY; PENETRATING KERATOPLASTY; SURGERY; VISUAL OUTCOME;
D O I
10.3109/13816819409056908
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
The authors reviewed the charts Of 22 patients with Peters' anomaly Various surgical procedures were performed on 30 eyes of I8 patients mean number of procedures = 3.3 per eye). Follow-up averaged six years. Visual acuity varied widely, with six eyes having an acuity of 20/400 or better, and II eyes with no light perception. Concomitant or secondary glaucoma required a greater number of surgical procedures (4.I vs 3-4) per eye and was associated with a poorer visual outcome. No eyes with glaucoma had visual acuity better than 20/400. In bilaterally operated patients, visual results in one eye were independent of the outcome of the fellow eye. The range of visual acuity in bilaterally operated patients was similar to the vision in those operated unilaterally. Visual outcome in patients with Peters' anomaly remains guarded. With modern surgical techniques and aggressive attempts at visual rehabilitation, many patients may benefit from surgery. Some patients may have moderately good visual acuity for months or years before vision is lost. In the interim they may learn tasks they may not have otherwise acquired.
引用
收藏
页码:31 / 35
页数:5
相关论文
共 12 条
[1]  
Reese A.B., Ellsworth R.M., The anterior chamber cleavage syndrome, Arch Ophthalmol, 75, pp. 307-318, (1966)
[2]  
Stone D.L., Kenyon K.R., Green W.R., Ryan J.J., Congenital central corneal leukoma (Peters' anomaly), Am J Ophthalmol, 81, pp. 173-193, (1976)
[3]  
Traboulsi E.I., Maumenee I.H., Peters' anomaly and associated congenital malformations, Arch Ophthalmol, 110, pp. 1739-1742, (1992)
[4]  
Kivlin J.D., Fineman R.M., Crandall A.S., Peters' anomaly as a consequence of genetic and nongenetic syndromes, Arch Ophthalmol, 104, pp. 61-64, (1986)
[5]  
Parmley V.C., Stonecipher K.G., Rowsey J.J., Peters' anomaly: a review of 26 penetrating keratoplasties in infants, Ophthalm Surg, 24, pp. 31-35, (1993)
[6]  
Beauchamp G.R., Pediatric keratoplasty: problems in management, J Pediatr Ophthalmol Strabismus, 16, pp. 388-397, (1979)
[7]  
Cowden J.W., Penetrating keratoplasty in infants and children, Ophthalmology, 97, pp. 324-329, (1990)
[8]  
Stulting R.D., Sumers K.D., Cavanagh H.D., Waring G.O., Gammon J.A., Penetrating keratoplasty in children, Ophthalmology, 91, pp. 1222-1230, (1984)
[9]  
Schanzlin D.J., Goldberg D.B., Brown S.I., Transplantation for congenitally opaque corneas, Ophthalmology, 87, pp. 1253-1264, (1980)
[10]  
Naumann G.O.H., Surgery for Peters' anomaly, Dev Ophthalmol, 11, (1985)