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肾移植术后儿童白内障的长期随访

Long term followup of cataracts in children after renal transplantation.

作者信息

Wilson W A, Fine R N

出版信息

Trans Am Ophthalmol Soc. 1979;77:318-28.

Abstract

In reviewing the course of 218 renal transplantation recipients 55% have developed PSC of which eleven patients have had surgery on one or both eyes; The operations in general have been uncomplicated, and the visual results have been excellent with the exception of one case that had a detached retina. The cataracts were probably induced by heavy corticosteroid therapy as the larger the dosage and the younger the recipient, the more prone were they to the development of lens changes. Phacoemulsification was preferred in this series as the more expeditious technique, leading to a clearer anterior chamber with less chance of developing a secondary cataract.

摘要

在回顾218例肾移植受者的病程时,55%的患者发生了后囊下白内障(PSC),其中11例患者一只或双眼接受了手术;总体而言,手术过程并不复杂,除1例视网膜脱离的病例外,视力恢复情况良好。白内障可能是由大剂量皮质类固醇治疗引起的,因为剂量越大、受者年龄越小,就越容易发生晶状体变化。在本系列中,超声乳化术作为更快捷的技术更受青睐,它能使前房更清晰,继发性白内障的发生几率更小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db3/1311708/47fae29ec72e/taos00022-0342-a.jpg

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