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[儿童单侧及双侧白内障诊断中的检查方法]

[Examination methods in the diagnosis of uni- and bilateral cataracts in childhood].

作者信息

Lüchtenberg M, Kohnen T

机构信息

Klinik für Augenheilkunde, Johann Wolfgang Goethe-Universität Frankfurt am Main, Frankfurt am Main, Deutschland.

出版信息

Ophthalmologe. 2007 Jul;104(7):552-8. doi: 10.1007/s00347-007-1556-3.

DOI:10.1007/s00347-007-1556-3
PMID:17564718
Abstract

Today, the management of congenital and developmental pediatric uni- and bilateral cataract is still a problem, particularly because untreated lens opacity has a high amblyogenic potential. Such irreversible deprivation amblyopia in pediatric cataracts requires an early diagnosis. Due to the increased inflammatory reaction postoperatively, a minimally traumatic operation, intensive occlusion therapy and optimal correction with glasses or contact lenses are also necessary. Uni- and bilateral cataracts and their preoperative diagnostics have to be considered separately.

摘要

如今，先天性和发育性小儿单侧及双侧白内障的治疗仍是一个难题，尤其是因为未治疗的晶状体混浊具有很高的致弱视潜能。小儿白内障中这种不可逆的剥夺性弱视需要早期诊断。由于术后炎症反应增加，还需要进行微创操作、强化遮盖治疗以及使用眼镜或隐形眼镜进行最佳矫正。单侧和双侧白内障及其术前诊断必须分开考虑。

相似文献

1
[Examination methods in the diagnosis of uni- and bilateral cataracts in childhood].[儿童单侧及双侧白内障诊断中的检查方法]
Ophthalmologe. 2007 Jul;104(7):552-8. doi: 10.1007/s00347-007-1556-3.
2
Pediatric cataracts--diagnosis and treatment.小儿白内障——诊断与治疗
Optom Vis Sci. 1994 Mar;71(3):168-73. doi: 10.1097/00006324-199403000-00004.
3
Diagnosis and management of cataracts in infancy and childhood.婴幼儿期白内障的诊断与管理
Ophthalmic Surg. 1984 Aug;15(8):688-97.
4
[Surgical results of uni- and bilateral congenital and traumatic cataract in infancy to adolescence].[婴幼儿至青少年单侧及双侧先天性和外伤性白内障的手术结果]
Klin Monbl Augenheilkd. 1994 May;204(5):274-8. doi: 10.1055/s-2008-1035534.
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Early treatment of congenital unilateral cataract minimizes unequal competition.先天性单侧白内障的早期治疗可将不平等竞争降至最低。
Invest Ophthalmol Vis Sci. 1998 Aug;39(9):1560-6.
6
Cataracts in children.儿童白内障
J Cataract Refract Surg. 2005 Apr;31(4):824-40. doi: 10.1016/j.jcrs.2005.01.012.
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[Visual prognosis factors in congenital cataract].[先天性白内障的视觉预后因素]
J Fr Ophtalmol. 1998 Feb;21(2):118-22.
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[Current cataract surgery for uveitis in childhood].[儿童葡萄膜炎的当前白内障手术]
Ophthalmologe. 2007 Jul;104(7):572-6. doi: 10.1007/s00347-007-1555-4.
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Update on pediatric cataracts and cataract surgery.
Int Ophthalmol Clin. 2010 Fall;50(4):107-13. doi: 10.1097/IIO.0b013e3181f0f13c.
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Management of congenital cataracts.
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[Cataract in childhood-Part 1 : Diagnostics and preoperative management].[儿童白内障 - 第1部分：诊断与术前管理]
Ophthalmologie. 2025 May;122(5):410-418. doi: 10.1007/s00347-025-02242-6. Epub 2025 Apr 30.
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[Timing of congenital cataract surgery : Amblyopia versus aphakic glaucoma].[先天性白内障手术时机：弱视与无晶状体性青光眼]
Ophthalmologe. 2020 Mar;117(3):190-198. doi: 10.1007/s00347-020-01053-1.
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[Impact of timing of surgery on outcome in children with bilateral congenital cataract].[手术时机对双侧先天性白内障患儿预后的影响]

本文引用的文献

1
Is there a latent period for the surgical treatment of children with dense bilateral congenital cataracts?双侧先天性白内障患儿手术治疗是否存在潜伏期？
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Congenital cataract and macular hypoplasia in humans associated with a de novo mutation in CRYAA and compound heterozygous mutations in P.人类先天性白内障和黄斑发育不全与CRYAA基因的新发突变及P基因的复合杂合突变相关。
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Klin Monbl Augenheilkd. 2006 Jan;223(1):52-8. doi: 10.1055/s-2005-858984.
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[Preoperative clinical features and surgical results of congenital cataract].[先天性白内障的术前临床特征及手术结果]
Beijing Da Xue Xue Bao Yi Xue Ban. 2005 Aug 18;37(4):418-20.
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Cataracts in children.儿童白内障
J Cataract Refract Surg. 2005 Apr;31(4):824-40. doi: 10.1016/j.jcrs.2005.01.012.
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Aphakic glaucoma after congenital cataract surgery.先天性白内障手术后的无晶状体性青光眼
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Cataract in children.儿童白内障
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Management of monocular congenital cataracts.单眼先天性白内障的治疗
J Pediatr Ophthalmol Strabismus. 2003 Nov-Dec;40(6):322. doi: 10.3928/0191-3913-20031101-03.
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EFFECTS OF VISUAL DEPRIVATION ON MORPHOLOGY AND PHYSIOLOGY OF CELLS IN THE CATS LATERAL GENICULATE BODY.视觉剥夺对猫外侧膝状体细胞形态和生理的影响。
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Complications in infants undergoing surgery for congenital cataract in the first 12 weeks of life: is early surgery better?出生后前12周接受先天性白内障手术的婴儿的并发症：早期手术是否更好？
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