真性晶状体剥脱相关白内障的手术入路、组织病理学及发病机制

Surgical approach, histopathology, and pathogenesis in cataract associated with true lens exfoliation.

作者信息

Cooke Carole A, Lum Dennis J, Wheeldon Catherine E, Teoh Heng, McGhee Charles N

机构信息

Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.

出版信息

J Cataract Refract Surg. 2007 Apr;33(4):735-8. doi: 10.1016/j.jcrs.2006.12.019.

DOI:10.1016/j.jcrs.2006.12.019

PMID:17397753

Abstract

We report a case of true exfoliation of the crystalline lens in a 53-year-old baker who presented with reduced vision due to cataract. Phacoemulsification cataract surgery with intraocular lens implantation was performed, and the anterior capsule was analyzed histologically. Preoperative clinical and anterior segment optical coherence tomography observations are presented, with a description of the modified phacoemulsification technique and histopathology. A possible mechanism of pathogenesis is proposed in the context of the histopathology.

摘要

我们报告了一例53岁面包师的真性晶状体剥脱病例，该患者因白内障导致视力下降。实施了白内障超声乳化吸除联合人工晶状体植入术，并对前囊进行了组织学分析。本文展示了术前临床及眼前节光学相干断层扫描观察结果，描述了改良的超声乳化技术及组织病理学情况。结合组织病理学提出了一种可能的发病机制。