Ito Megumi, Negishi Takashi, Funayama Sachi, Murakami Satoko, Iizuka Sachiko
Department of Ophthalmology, Juntendo University School of Medicine, Tokyo, JPN.
Department of Obstetrics and Gynecology, Nerima General Hospital, Tokyo, JPN.
Cureus. 2024 Jan 29;16(1):e53189. doi: 10.7759/cureus.53189. eCollection 2024 Jan.
This case study highlights the advances in fetal ultrasonography, illustrating its role in early detection and management of congenital cataracts. We present the case of a male infant with a family history of congenital cataracts, where an in-utero ultrasound examination at 25 weeks of gestation revealed potential cataracts. His mother and brother underwent cataract surgery. After birth examination revealed that the infant was diagnosed with bilateral congenital cataracts at two days. Bilateral lens aspiration and anterior vitrectomy without intraocular lens insertion were done. Postnatal examinations and surgical interventions, including bilateral lens phacoemulsification and anterior vitrectomy without intraocular lens insertion, were conducted. This study discusses the importance of early detection, especially in familial cases, and the role of prenatal and postnatal care in managing congenital cataracts. It underscores the need for collaboration between ophthalmologists and obstetricians and the value of psychological support for the parents. The findings advocate for proactive fetal monitoring, particularly in genetically predisposed cases, to facilitate early diagnosis and treatment planning.
本病例研究突出了胎儿超声检查的进展，阐明了其在先天性白内障早期检测和管理中的作用。我们呈现了一名有先天性白内障家族史的男婴病例，在妊娠25周时进行的宫内超声检查发现了可能存在的白内障。他的母亲和哥哥接受了白内障手术。出生后检查发现该婴儿在两天时被诊断为双侧先天性白内障。进行了双侧晶状体抽吸和前部玻璃体切割术，未植入人工晶状体。进行了产后检查和手术干预，包括双侧晶状体超声乳化和前部玻璃体切割术，未植入人工晶状体。本研究讨论了早期检测的重要性，尤其是在家族性病例中，以及产前和产后护理在先天性白内障管理中的作用。它强调了眼科医生和产科医生之间合作的必要性以及对父母心理支持的价值。研究结果提倡进行积极的胎儿监测，特别是在有遗传易感性的病例中，以促进早期诊断和治疗规划。
