Ye T, Liu D, Yu M
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.
Zhonghua Yan Ke Za Zhi. 1995 Nov;31(6):443-6.
According to the classical diagnostic criteria, the characteristics of 93 cases (182 eyes) of corticosteroid cataract (CSC) were investigated to analyze the relationship between its lens opacity and each of the following items: the duration, total amount of corticosteroid used, visual acuity and glaucoma. Posterior capsular lens opacity can be found in a sensitive patient after four months of administration of corticosteroid. Juvenile and male patients are vulnerable to the disease. Particularly, the variation of III-grade lens opacity is much closely related to the duration and total amount of corticosteroid used. 83.8% of patients were accompanied by glaucoma which may be the main cause of visual impairment of I and II grade lens opacity. The authors propose that CSC be divided into four grades according to the distribution and degree of the lens opacity. It should be alert that CSC might be accompanied by glaucoma.
根据经典诊断标准，对93例（182只眼）皮质类固醇性白内障（CSC）患者的特征进行了研究，以分析其晶状体混浊与以下各项之间的关系：用药持续时间、皮质类固醇总用量、视力和青光眼。在敏感患者中，使用皮质类固醇4个月后即可发现后囊膜晶状体混浊。青少年和男性患者易患此病。特别是，Ⅲ级晶状体混浊的变化与皮质类固醇的使用持续时间和总用量密切相关。83.8%的患者伴有青光眼，这可能是Ⅰ级和Ⅱ级晶状体混浊导致视力损害的主要原因。作者建议根据晶状体混浊的分布和程度将CSC分为四个等级。应警惕CSC可能伴有青光眼。
