Esson Douglas W, Nollens Hendrik H, Schmitt Todd L, Fritz Kevin J, Simeone Claire A, Stewart Brent S
J Zoo Wildl Med. 2015 Sep;46(3):647-51. doi: 10.1638/2014-0245.1.
A female harbor seal pup rescued along the coast of San Diego on 13 June 2012 was diagnosed with bilateral mature cataracts, apparently congenital, in association with vitreal herniation in the anterior chamber of each eye. The cataracts were surgically removed on 1 August 2012 with single-port aphakic phacoemulsification and automated anterior vitrectomy. Postoperative monitoring during the next several weeks indicated that vision had been functionally repaired and that she could visually orient to and capture live fish in three different environments and in the presence of other animals. Consequently, we equipped the seal with a satellite-linked radio transmitter and returned her to the Pacific Ocean on 21 November 2012, and then monitored her movements until radio contact ended on 2 March 2013. She remained along the San Diego coast from 21 November until 5 December 2012 when she relocated to the Coronado Islands and remained there until 26 December. She then traveled directly to San Clemente Island and remained foraging in the near-shore kelp beds there through 2 March 2013, when radio contact ended. To our knowledge, this is the first published report of cataract treatment in a marine mammal using high-frequency ultrasound to emulsify the lenses followed by suction removal of the emulsified microfragments (i.e., phacoemulsification). Moreover, the rapid postoperative recovery of the seal and its quick acclimation, orientation, navigation, and foraging in marine habitats after return to the Pacific Ocean indicates that these surgical procedures can be safe and effective treatments for cataracts in seals, with substantially reduced postsurgical complications relative to other types of lens fragmentation and removal procedures.
2012年6月13日在圣地亚哥海岸获救的一只雌性港海豹幼崽被诊断出双侧成熟白内障,显然是先天性的,且每只眼睛的前房伴有玻璃体疝。2012年8月1日,通过单端口无晶状体超声乳化术和自动化前段玻璃体切除术对白内障进行了手术摘除。接下来几周的术后监测表明,视力已得到功能性恢复,它能够在三种不同环境中以及有其他动物在场的情况下通过视觉定位并捕获活鱼。因此,我们给这只海豹装上了卫星连接的无线电发射器,并于2012年11月21日将它放回太平洋,然后监测它的活动,直到2013年3月2日无线电联系中断。从2012年11月21日到12月5日,它一直待在圣地亚哥海岸,之后迁至科罗纳多岛,并在那里待到12月26日。然后它直接前往圣克莱门特岛,一直在那里近岸海带床觅食,直到2013年3月2日无线电联系中断。据我们所知,这是首次发表的关于使用高频超声乳化晶状体然后抽吸去除乳化微碎片(即超声乳化术)治疗海洋哺乳动物白内障的报告。此外,这只海豹术后恢复迅速,回到太平洋后能快速适应、定位、导航并在海洋栖息地觅食,这表明这些手术程序对于海豹白内障是安全有效的治疗方法,与其他类型的晶状体破碎和摘除手术相比,术后并发症大幅减少。