Comparison of ocular axis and corneal diameter between entropion and non-entropion eyes in children with congenital glaucoma  

作　　者：Yue Wang Zhi-Jia Hou Huai-Zhou Wang Man Hu Yu-Xin Li Zheng Zhang 

机构地区：[1]Department of Ophthalmology,Beijing Tongren Eye Center,Beijing Tongren Hospital of Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Science,Beijing 100730,China [2]National Key Discipline of Pediatrics,Ministry of Education,Department of Ophthalmology,Beijing Children’s Hospital,Capital Medical University,Beijing 100045,China

出　　处：《World Journal of Clinical Cases》2021年第18期4637-4643,共7页世界临床病例杂志

摘　　要：BACKGROUND Children with congenital glaucoma are often accompanied by acquired epiblepharon in the lower eyelid,which causes entropion of the lower eyelid and damages the cornea.AIM To infer the possible causes of lower eyelid entropion by comparing the difference of ocular axis and corneal diameter between inverted and non-inverted ciliary eyes in children with congenital glaucoma.METHODS A total of 15 patients(11 males and 4 females)diagnosed with congenital glaucoma between July 2016 and January 2019 at Tongren Hospital were included.Five patients had bilateral glaucoma,and ten had unilateral glaucoma.Each patient had only one eye with lower eyelid entropion which is associated with congenital glaucoma.All the patients had no entropion in another eye.The clinical data were collected.Main outcome measures were the ocular axis and corneal diameter.RESULTS The average age of the 15 patients was 1.85±0.49 years.Paired t-test showed that the average ocular axis of congenital glaucoma eyes with lower eyelid entropion(24.86±3.44 mm)was significantly longer than that of congenital glaucoma eyes without lower eyelid entropion(20.79±1.34 mm;P<0.001).The average corneal diameter of congenital glaucoma eyes with lower eyelid entropion(13.61±0.88 mm)was also significantly greater than that of congenital glaucoma eyes without lower eyelid entropion(11.63±0.48;P<0.001).CONCLUSION The rapid growth of the ocular axis and corneal diameter may be the main cause of congenital glaucoma with acquired lower eyelid entropion.Therefore,children with poor control of intraocular pressure and excessive growth of ocular axis and corneal diameter must be observed for the existence of acquired epiblepharon.

关 键 词：Acquired epiblepharon Congenital glaucoma ENTROPION Ocular axis Corneal diameter Congenital epiblepharon 

分 类 号：R775[医药卫生—眼科]