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色素性视网膜炎患者的白内障手术:系统评价。

Cataract surgery in patients with retinitis pigmentosa: systematic review.

机构信息

From the Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California (Khojasteh, Akhavanrezayat, Ghoraba, Do, Nguyen); Farabi Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran (Khojasteh, Riazi-Esfahani, Mirghorbani, Pour, Mahmoudi, Mahdizad).

出版信息

J Cataract Refract Surg. 2023 Mar 1;49(3):312-320. doi: 10.1097/j.jcrs.0000000000001101. Epub 2022 Nov 21.

Abstract

Retinitis pigmentosa (RP) is an inherited bilateral retinal degenerative disease with an incidence of 1 in 4000 people. RP affects more than 1 million individuals worldwide. Although night blindness and restricted visual field are the most typical symptoms of these individuals, generalized vision loss due to cataracts can be expected in the latter stages of the disease. It has been demonstrated that posterior subcapsular cataract is the most prevalent cataract in younger individuals with RP, as opposed to age-related cataracts. Although most ophthalmologists may have a negative view of cataract surgery in patients with RP, it appears that it can play an important role in the visual restoration of patients with RP. However, there are concerns about performing cataract surgery for patients with RP. Herein, a systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses on databases of MEDLINE and Scopus.

摘要

色素性视网膜炎(RP)是一种遗传性双侧视网膜退行性疾病,发病率为每 4000 人中有 1 人。RP 影响全球超过 100 万人。尽管夜盲症和视野受限是这些患者最典型的症状,但由于白内障,疾病后期可能会出现全身性视力丧失。已经证明,后囊下白内障是 RP 年轻患者中最常见的白内障,而不是与年龄相关的白内障。尽管大多数眼科医生可能对 RP 患者的白内障手术持否定态度,但它似乎可以在 RP 患者的视力恢复中发挥重要作用。然而,对于 RP 患者进行白内障手术存在一些担忧。因此,根据系统评价和荟萃分析的首选报告项目,对 MEDLINE 和 Scopus 数据库进行了系统评价。

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