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[白内障、无晶状体眼和人工晶状体眼中的色觉]

[Color vision in cataract, aphakia and pseudophakia].

作者信息

Marré M, Marré E, Harrer S

机构信息

Augenabteilung der Zentralen Hochschulpoliklinik, Medizinischen Akademie Dresden.

出版信息

Klin Monbl Augenheilkd. 1988 Mar;192(3):208-15.

PMID:3259652
Abstract

Color vision examinations were performed using a clinical test battery and two spectral laboratory methods. With aphakia and iris-clip lenses (ICL) there were slight acquired blue-yellow defects six months to three years after surgery, especially when the more sensitive laboratory methods were used. They were possibly caused by photochemical damage to the retina or by a barrier deprivation syndrome. Color vision with posterior chamber lenses (PCL) was superior to that with ICL, and in aphakic subjects it was quite normal. In the clinical tests no differences could be found between PCLs of clear PMMA material and those with UV absorbing properties. Slight acquired blue-yellow defects in the immediate postoperative phase after implantation of PCLs can be attributed to postoperative irritation and are reversible. Lasting and severe blue-yellow defects indicate inflammation or macular edema.

摘要

使用临床测试组合和两种光谱实验室方法进行了色觉检查。对于无晶状体眼和虹膜夹人工晶状体(ICL),术后6个月至3年存在轻微的后天性蓝黄缺陷,尤其是在使用更敏感的实验室方法时。它们可能是由视网膜的光化学损伤或屏障剥夺综合征引起的。后房型人工晶状体(PCL)的色觉优于ICL,在无晶状体眼中色觉相当正常。在临床测试中,未发现透明聚甲基丙烯酸甲酯(PMMA)材料的PCL与具有紫外线吸收特性的PCL之间存在差异。PCL植入后即刻术后阶段的轻微后天性蓝黄缺陷可归因于术后刺激,且是可逆的。持久且严重的蓝黄缺陷表明存在炎症或黄斑水肿。

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1
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