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非人灵长类动物的超声乳化白内障吸除术考量

Phacoemulsification considerations in nonhuman primates.

作者信息

Leiva Marta, Peña Teresa, Bayón Alejandro, de León Mónica, Morales Inmaculada

机构信息

Servei d'Oftalmologia Veterinària, Departament de Medicina i Cirurgia Animal, Fundació Hospital Clínic Veterinari, Facultat de Veterinària, Universitat Autònoma de Barcelona, Barcelona, Spain.

出版信息

J Med Primatol. 2012 Oct;41(5):317-24. doi: 10.1111/j.1600-0684.2012.00562.x. Epub 2012 Aug 13.

Abstract

PURPOSE

To describe the pre-surgical, surgical, and post-surgical considerations for phacoemulsification in non-human primates.

METHODS

Records of non-human primates that underwent phacoemulsification by the Ophthalmology Services of FHCV-UAB and HCV-UM, between 2003 and 2009 were reviewed.

RESULTS

Five primates were represented: one gorilla, one chimpanzee, one pygmy marmoset, one orangutan, and one chacma baboon. Three were males and two females, of a median age of 16.8 years. Four primates presented bilateral cataracts and one unilateral (n = 9 eyes). Cataracts were immature in two eyes, mature in four and hypermature in 3. One-handed phacoemulsification was used in seven eyes and a two-handed technique in 2. Intraocular lenses (IOLs), with optic powers between +19.0 and +21.5D, were implanted in the four large-sized primates. All the primates were more active and social after the surgery.

CONCLUSION

Phacoemulsification in non-human primates is highly successful and associated with an overall good visual outcome. Nevertheless, specific considerations should be applied in these species.

摘要

目的

描述非人灵长类动物白内障超声乳化手术的术前、术中和术后注意事项。

方法

回顾了2003年至2009年间在FHCV-UAB和HCV-UM眼科服务中心接受超声乳化手术的非人灵长类动物的记录。

结果

涉及五只灵长类动物:一只大猩猩、一只黑猩猩、一只侏狨、一只猩猩和一只南非大狒狒。其中三只雄性,两只雌性,中位年龄为16.8岁。四只灵长类动物患有双侧白内障,一只患有单侧白内障(共9只眼)。两只眼的白内障为未成熟期,四只眼为成熟期,三只眼为过熟期。七只眼采用单手超声乳化技术,两只眼采用双手技术。为四只大型灵长类动物植入了屈光度在+19.0至+21.5D之间的人工晶状体(IOL)。所有灵长类动物术后都更加活跃且社交性增强。

结论

非人灵长类动物的超声乳化手术非常成功,总体视觉效果良好。然而,在这些物种中应考虑一些特殊因素。

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