双侧电击性白内障：临床病理报告
Bilateral electric cataracts: clinicopathologic report.
作者信息
Hashemi Hassan, Jabbarvand Mahmood, Mohammadpour Mehrdad
机构信息
Ophthalmology Department and Eye Research Center, Cornea Consultant, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Cataract Refract Surg. 2008 Aug;34(8):1409-12. doi: 10.1016/j.jcrs.2008.03.044.
We report a case with bilateral intumescent electric cataracts, outcomes of cataract surgery with a new technique, and a histopathologic study of the anterior capsule followed by a review of the literature on electric cataracts. The patient had bilateral cataract extraction and posterior chamber intraocular lens implantation, achieving a visual acuity of 20/20. Hematoxylin and eosin staining of the anterior capsule revealed significant scar tissue formation consisting of fibroblast proliferation and hyaloid production over the basement membrane of the anterior capsule. Electric injuries can cause bilateral intumescent cataracts; the outcomes after cataract surgery are excellent provided the fundus and optic nerve examinations are normal. Scar formation over the anterior capsule may disturb lens nutrition, leading to cataract formation.
我们报告了一例双侧膨胀性电击性白内障病例、一种新技术白内障手术的结果、前囊膜的组织病理学研究，并对电击性白内障的文献进行了综述。该患者接受了双侧白内障摘除及后房型人工晶状体植入术，视力达到了20/20。前囊膜苏木精-伊红染色显示有显著的瘢痕组织形成，由前囊膜基底膜上的成纤维细胞增殖和玻璃样物质产生组成。电击伤可导致双侧膨胀性白内障；如果眼底和视神经检查正常，白内障手术后的效果极佳。前囊膜上的瘢痕形成可能会干扰晶状体营养，导致白内障形成。
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