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白内障的病因发病机制:评估

Etiopathogenesis of cataract: an appraisal.

作者信息

Gupta Varun B, Rajagopala Manjusha, Ravishankar Basavaiah

机构信息

Research Associate, Ayurgenomics-TRISUTRA Project, Gujarat Ayurved University, Jamnagar, India.

出版信息

Indian J Ophthalmol. 2014 Feb;62(2):103-10. doi: 10.4103/0301-4738.121141.

Abstract

Natural eye lens is a crystalline substance to produce a clear passage for light. Cataract is opacity within the clear lens of the eye and is the dominant cause of socio-medical problem i.e., blindness worldwide. The only available treatment of cataract is surgery. However, insufficient surgical facilities in poor and developing countries and post-operative complications inspire researchers to find out other modes of treatment for cataract. In this review, an attempt has been made to appraise various etiological factors of cataract to make their perception clear to build up counterpart treatment. Present study is an assortment of various available literatures and electronic information in view of cataract etiopathogenesis. Various risk factors have been identified in development of cataracts. They can be classified in to genetic factors, ageing (systemic diseases, nutritional and trace metals deficiencies, smoking, oxidative stress etc.), traumatic, complicated (inflammatory and degenerative diseases of eye), metabolic (diabetes, galactosemia etc.), toxic substances including drugs abuses, alcohol etc., radiation (ultraviolet, electromagnetic waves etc.) are implicated as significant risk factors in the development of cataract.

摘要

天然晶状体是一种能为光线产生清晰通道的晶状体物质。白内障是眼球透明晶状体中的混浊,是全球范围内导致社会医学问题(即失明)的主要原因。白内障唯一可行的治疗方法是手术。然而,贫穷和发展中国家手术设施不足以及术后并发症促使研究人员寻找其他治疗白内障的方法。在本综述中,已尝试评估白内障的各种病因,以使其认知清晰,从而建立相应的治疗方法。本研究鉴于白内障的病因发病机制,收集了各种现有文献和电子信息。在白内障的发生发展过程中已确定了各种危险因素。它们可分为遗传因素、衰老(全身性疾病、营养和微量金属缺乏、吸烟、氧化应激等)、外伤性、并发性(眼部炎症和退行性疾病)、代谢性(糖尿病、半乳糖血症等)、包括药物滥用、酒精等在内的有毒物质、辐射(紫外线、电磁波等),这些都被认为是白内障发生发展的重要危险因素。

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