后极性白内障：综述
Posterior polar cataract: A review.
作者信息
Kalantan Hatem
机构信息
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
出版信息
Saudi J Ophthalmol. 2012 Jan;26(1):41-9. doi: 10.1016/j.sjopt.2011.05.001. Epub 2011 May 7.
Abstract
Posterior polar cataract is a rare form of congenital cataract. It is usually inherited as an autosomal dominant disease, yet it can be sporadic. Five genes have been attributed to the formation of this disease. It is highly associated with complications during surgery, such as posterior capsule rupture and nucleus drop. The reason for this high complication rate is the strong adherence of the opacity to the weak posterior capsule. Different surgical strategies were described for the handling of this challenging entity, most of which emphasized the need for gentle maneuvering in dealing with these cases. It has a unique clinical appearance that should not be missed in order to anticipate, avoid, and minimize the impact of the complications associated with it.
摘要
后极性白内障是一种罕见的先天性白内障形式。它通常作为常染色体显性疾病遗传，但也可能是散发性的。已有五个基因被认为与该疾病的形成有关。它与手术期间的并发症高度相关，如后囊破裂和核脱入。这种高并发症发生率的原因是混浊物与薄弱的后囊紧密粘连。针对处理这一具有挑战性的病症描述了不同的手术策略，其中大多数强调在处理这些病例时需要轻柔操作。它具有独特的临床表现，为了预测、避免并尽量减少与之相关的并发症的影响，不应忽视这一表现。
相似文献
1
Posterior polar cataract: A review.后极性白内障：综述
Saudi J Ophthalmol. 2012 Jan;26(1):41-9. doi: 10.1016/j.sjopt.2011.05.001. Epub 2011 May 7.
3
Phacoemulsification in eyes with posterior polar cataract.后极性白内障眼中的超声乳化术。
Acta Clin Croat. 2012 Mar;51(1):55-8.
4
Posterior polar cataracts: a predisposition to intraoperative posterior capsular rupture.后极性白内障：术中后囊破裂的一种易患因素。
J Cataract Refract Surg. 1990 Mar;16(2):157-62. doi: 10.1016/s0886-3350(13)80724-9.
5
Application of anterior segment optical coherence tomography to identify eyes with posterior polar cataract at high risk for posterior capsule rupture.应用眼前节光学相干断层扫描技术识别后极性白内障患者后囊破裂的高风险眼。
J Cataract Refract Surg. 2014 Dec;40(12):2076-81. doi: 10.1016/j.jcrs.2014.03.033. Epub 2014 Nov 24.
6
Phacoemulsification in posterior polar cataract: does size of lens opacity affect surgical outcome?后极性白内障的超声乳化：晶状体混浊的大小是否影响手术效果？
Clin Exp Ophthalmol. 2010 Dec;38(9):857-61. doi: 10.1111/j.1442-9071.2010.02354.x.
7
Study 3: Assessment of events during surgery on posterior polar cataracts using intraoperative optical coherence tomography.研究 3：术中光学相干断层扫描评估后极性白内障手术中的事件。
Indian J Ophthalmol. 2021 Mar;69(3):594-597. doi: 10.4103/ijo.IJO_1052_20.
8
Posterior polar cataract: Minimizing risks.后极性白内障：降低风险。
Med J Armed Forces India. 2016 Jul;72(3):242-6. doi: 10.1016/j.mjafi.2016.04.004. Epub 2016 May 25.
9
Surgical approaches to posterior polar cataract: a review.后极性白内障的手术治疗方法：综述。
Eye (Lond). 2012 Jun;26(6):761-70. doi: 10.1038/eye.2012.33. Epub 2012 Mar 23.
10
RATE OF POSTERIOR CAPSULAR RENT AS A COMPLICATION OF RESIDENT PERFORMED CATARACT EXTRACTION PROCEDURES.后囊膜破裂发生率作为住院医师实施白内障摘除手术的一种并发症
J Ayub Med Coll Abbottabad. 2015 Apr-Jun;27(2):304-6.
引用本文的文献
1
Preoperative OCT lens evaluation in posterior subcapsular cataract - prevention of complications from phacoemulsification.后囊下白内障的术前光学相干断层扫描晶状体评估——预防超声乳化并发症
Graefes Arch Clin Exp Ophthalmol. 2025 Feb;263(2):443-450. doi: 10.1007/s00417-024-06632-5. Epub 2024 Sep 7.
2
Hydrodissection and femtosecond laser assisted surgery in posterior polar cataract.水分离法和飞秒激光辅助手术在后极性白内障中的应用。
Int Ophthalmol. 2024 Sep 5;44(1):366. doi: 10.1007/s10792-024-03286-4.
3
Two-Y Crushing Technique: A Simple Technique to Crack the Nucleus in a Posterior Polar Cataract Using Two-Y Rotators.双Y形挤压技术：一种使用双Y形旋转器在后极性白内障中破碎晶状体核的简单技术。
Cureus. 2024 Jun 28;16(6):e63416. doi: 10.7759/cureus.63416. eCollection 2024 Jun.
4
A splice acceptor variant in RGS6 associated with intellectual disability, microcephaly, and cataracts disproportionately promotes expression of a subset of RGS6 isoforms.RGS6 中的剪接受体变异与智力障碍、小头畸形和白内障有关，不成比例地促进了一组 RGS6 同工型的表达。
J Hum Genet. 2024 Apr;69(3-4):145-152. doi: 10.1038/s10038-024-01220-1. Epub 2024 Feb 9.
5
Role of preoperative anterior segment optical coherence tomography in identifying intraoperative posterior capsular dehiscence in posterior polar cataract.术前眼前节光学相干断层扫描在识别后极性白内障术中后囊膜裂开中的作用
Oman J Ophthalmol. 2023 Jun 27;16(2):244-251. doi: 10.4103/ojo.ojo_178_22. eCollection 2023 May-Aug.
6
Retrospective analysis of the role of anterior segment optical coherence tomography and outcomes of cataract surgery in posterior polar cataract.回顾性分析前部 OCT 在前极白内障白内障手术中的作用及疗效。
Indian J Ophthalmol. 2023 May;71(5):1913-1917. doi: 10.4103/IJO.IJO_3287_22.
7
Posterior polar cataract: Hydrodissection and nucleus rotation in manual small-incision cataract surgery not a taboo with proper fluidics.后极性白内障：在手法小切口白内障手术中，只要掌握好流体力学，水分离和核旋转并非禁忌。
Indian J Ophthalmol. 2022 Nov;70(11):4051-4053. doi: 10.4103/ijo.IJO_1588_22.
8
Comparison of the outcomes of phacoemulsification and manual small-incision cataract surgery in posterior polar cataract - A retrospective study.超声乳化白内障吸除术与手法小切口白内障囊外摘出术治疗后极性白内障的疗效比较-一项回顾性研究。
Indian J Ophthalmol. 2022 Nov;70(11):3977-3981. doi: 10.4103/ijo.IJO_1787_22.
9
Risk factors, complications, and outcomes of phacoemulsification cataract surgery complicated by retained lens fragments in Asian eyes: A 10-year retrospective study.亚洲人眼中白内障超声乳化手术并发晶状体碎片残留的危险因素、并发症及预后：一项10年回顾性研究。
Saudi J Ophthalmol. 2022 Aug 29;36(2):171-176. doi: 10.4103/sjopt.sjopt_122_22. eCollection 2022 Apr-Jun.
10
Current management of infantile cataracts.婴幼儿白内障的现行治疗方法。
Surv Ophthalmol. 2022 Sep-Oct;67(5):1476-1505. doi: 10.1016/j.survophthal.2022.03.005. Epub 2022 Mar 17.
本文引用的文献
1
Modified technique for epinucleus removal in posterior polar cataract.后极性白内障核上皮质去除的改良技术
Ophthalmic Surg Lasers Imaging. 2011 Jan-Feb;42(1):78-80. doi: 10.3928/15428877-20101025-01. Epub 2010 Oct 28.
2
Phacoemulsification in posterior polar cataract: does size of lens opacity affect surgical outcome?后极性白内障的超声乳化：晶状体混浊的大小是否影响手术效果？
Clin Exp Ophthalmol. 2010 Dec;38(9):857-61. doi: 10.1111/j.1442-9071.2010.02354.x.
3
Inverse horse-shoe technique for the phacoemulsification of posterior polar cataract.后极性白内障的超声乳化反马蹄形技术。
Can J Ophthalmol. 2010 Apr;45(2):154-6. doi: 10.3129/i09-231.
4
Mutations of the EPHA2 receptor tyrosine kinase gene cause autosomal dominant congenital cataract.EPHA2受体酪氨酸激酶基因突变会导致常染色体显性遗传性先天性白内障。
Hum Mutat. 2009 May;30(5):E603-11. doi: 10.1002/humu.20995.
5
Bilateral spontaneous rupture of posterior capsule in posterior polar cataract.后极性白内障中后囊膜的双侧自发性破裂
Clin Exp Ophthalmol. 2008 Nov;36(8):798-800. doi: 10.1111/j.1442-9071.2008.01889.x.
6
7
Posterior polar cataract surgery: a posterior segment approach.
Eye (Lond). 2009 Sep;23(9):1879; author reply 1879. doi: 10.1038/eye.2008.347. Epub 2008 Nov 7.
8
Surgical and visual outcomes for posterior polar cataract.后极性白内障的手术及视力预后
Br J Ophthalmol. 2008 Nov;92(11):1476-8. doi: 10.1136/bjo.2007.129403. Epub 2008 Aug 26.
9
Modified epinucleus pre-chop for the dense posterior polar cataract.改良后极核前劈核术治疗致密后极性白内障
Ophthalmic Surg Lasers Imaging. 2008 Mar-Apr;39(2):171-3. doi: 10.3928/15428877-20080301-11.
10
Managing the hard posterior polar cataract.处理硬核后极性白内障。
J Cataract Refract Surg. 2008 Apr;34(4):530; author reply 530-1. doi: 10.1016/j.jcrs.2007.12.027.
Zotero 插件