特殊类型过熟期白内障
摘要
过熟期白内障(HMC)有特别的临床表现及合并症,目前传统意义上的过熟期白内障已经罕见。由眼部其它疾病引起的白内障,因情况复杂多样,白内障常不能及时手术而发展成过熟期白内障,甚至发生并发症。本文收集了六例特殊类型的过熟期白内障,对其进行分析,并对过熟期白内障及其相关并发性白内障的并发症及其处理、手术方法、预防措施及其重要性的讨论,以期对临床实践有指导意义。
Hypermature cataract (HMC) has special clinical manifestations and complications. At present, traditional hypermature cataract has been rare. The cataracts caused by other eye diseases are complicated and diverse, so cataract surgery often can not be into hypermature cataracts and even complications in time. In this article, the author collected six cases of special types of hypermature cataract, analyzed them, and developed a discussion about the complications and treatments, surgical methods, preventative measures and their importance of hypermature cataract, in order to guide clinical practice.
Hypermature cataract (HMC) has special clinical manifestations and complications. At present, traditional hypermature cataract has been rare. The cataracts caused by other eye diseases are complicated and diverse, so cataract surgery often can not be into hypermature cataracts and even complications in time. In this article, the author collected six cases of special types of hypermature cataract, analyzed them, and developed a discussion about the complications and treatments, surgical methods, preventative measures and their importance of hypermature cataract, in order to guide clinical practice.
引文
1施雪涛,徐千等.超声乳化与囊外摘除术治疗过熟期白内障. [J].眼外伤职业眼病杂志, 2009, 31(6): 449-452
2袁长明,陈再洪等.蓝域在成熟、过熟老年性白内障手术中的应用.重庆医学. 2008, 37(3): 308-309
3温利辉,岳江心,陈旭.吲哚青绿在成熟期白内障前囊膜染色撕囊中的应用.广东医学杂志. 2006, 27(1): 86-87
4 Blumethal, Assia E, Neumann D.The round capsulorhexis capsulotomy and the rationale for 11. Omm diameter IOL. Eur J Implant Ref Surg, 1990, 2: 15
5 Vajayee R B, Angra S K, Honavar S G, et al. Capsulotomy for phacoemulsification in hypermature cataracts. J Cataract Refract Drug, 1995, 21: 612
6 Mansour A M. Anterior capsulorhexis in hypermature cataracts [letter]. [J] cataract Refract Surg, 1993, 19: 117
7王峰.超声乳化白内障摘除联合人工晶体植入术治疗晶状体半脱位观察[J].眼科研究, 2004, 22(5): 525-526
8张远平,查旭,赵学英等.预植入人工晶体治疗过熟期白内障伴晶状体半脱位.昆明医学报, 2009, (5): 131-133
9孟云.小切口非超声乳化手术治疗晶状体半脱位白内障[J].眼外伤职业眼病杂志, 2008, 30(5): 358-360
10惠延年.眼科学[M].第6版.北京:人民卫生出版社, 2004: 126
11林振德,李绍珍.小切口白内障手术[M].北京:人民卫生出版社. 2002: 97-131
12 Foster RE, Lowder CR, Meisler DM, Zakou ZN. Extracapsular cataract extraction and posterior chamber intraocular lens implantation in uveitis patients. Ophthalmology, 1992; 99: 1234-1241
13杨明明.葡萄膜炎并发白内障的手术摘出.眼外伤职业眼病志, 2004, 26(2): 131
14黄瑞华,王梅芳,汪金方等.葡萄膜炎并发性白内障31例的手术治疗.国际眼科杂志, 2005, 5(3): 555-557
15陈雅.并发性白内障人工晶状体手术的临床应用.临床医学, 2009, 29(8): 78-79
16谢立信,李绍伟,董晓光等.葡萄膜炎并发性白内障的手术方法探讨.中华眼科杂志, 1998; 34(6): 457-458
17柳林,刘志勇,唐维强等.葡萄膜炎患者的白内障手术.国际眼科杂志, 2003, 3(2): 58-59
1韦企平.视乳头水肿.实用医学进修杂志, 2008, 36(4): 193-204
2葛坚主编《眼科学》.北京:人民卫生出版社. 2005: 326-327
3 Van-Stavern, GP. Optic disc edema. [J]. Seminars in Neurology, 2007, vol. 27(no.3)
4 Brodsky MC. Congenital anomalies of the optic disc. In: Miller NR, Newman NJ, eds. Walsh and Hoyt’s Clinical Neuro-Ophthalmology. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005: 151–197
5 Mullie MA, Sanders MD. Scleral canal size and optic nerve head drusen. Am J Ophthalmol 1985; 99: 356–359
6吴德正,龙时先等.临床计算机视野学.北京:北京科学技术出版社. 2004: 305-307
7 Rosenberg MA, Savino PJ, Glaser JS. A clinical analysis of pseudopapilledema: I. Population, laterality, acuity, refractive error, ophthalmoscopic characteristics, and coincident disease. Arch Ophthalmol. 1979, 97: 65–70
8梁树今等.眼底荧光血管造影释义(上、下册).石家庄:河北人民出版社. 1980: 149-154
9宰春和等.神经眼科学.北京:人民卫生出版社. 1987: 390
10 A shworth B, et al1Clinical neuro- ophthalmology. Blackwell Ascientific Pub, 1981: 35-36
11吴学今,赖小玲,白海琴.眼底荧光血管造影对视乳头水肿诊断的意义(附45例分析).广西医学. 1998, 20(3): 357
12 Giacomo Savini, Costantino Bellusci. Detection and Quantification of Retinal Nerve Fiber Layer Thickness in Optic Disc Edema Using Stratus OCT. Arch Ophthalmol. 2006, 124(8): 1111-1117
13 Chen J, Lee L. Clinical applications and new developments of opticalcoherence tomography: an evidence-based review. Clin Exp Optom 2007, 90: 317-335
14 Sakata LM, Deleon-Ortega J, Sakata V, Girkin CA. Optical coherence tomography of the retina and optic nerve-a review. Clin Experiment Ophthalmol, 2009, 37: 90-99
15 E Z Karam, T R Hedges. Optical coherence tomography of the retinal nerve fibre layer in mild papilloedema and pseudopapilloedema. Br J Ophthalmol, 2005, 89: 294-298
16 Rebolleda G, Munoz-Negrete FJ. Follow-up of mild papilledema in idiopathic intracranial hypertension with optical coherence tomography. Invest Ophthalmol Vis Sci 2008. [Epub ahead of print] This study is one of the early investigations on the use of OCT in PTC.
17 Jern Yee Chen MBBS, Deepa A Taranath MS(Ophth), Angela J Chappell BAS(Photography), Brian P Brophy FRACS and Jamie E Craig D Phil, FRANZCO: Objective monitoring of papilloedema using confocal scanning laser ophthalmoscopy. Letters to the Editor 2007, 8: 863-865
18李立新等.眼部超声诊断图谱.北京:人民卫生出版社.2003: 141-143
19韦企平.实用医学进修杂志. 2008, 36(4): 193-200
20张汉君等.眼科光学相干断层扫描应用图谱.北京:化学工业出版社. 2008: 188-191
21 Bellusci C, Savini G, Carbonelli M, et al. Retinal nerve fiber layer thickness in nonarteritic anterior ischemic optic neuropathy: OCT characterization of the acute and resolving phases. Graefes Arch Clin Exp Ophthalmol 2008, 246: 641-647
22 Chan CK, Cheng AC, Leung CK, et al. Quantitative assessment of optic nerve head morphology and retinal nerve fibre layer in nonarteritic anterior ischaemic optic neuropathy with optical coherence tomography and confocal scanning laser ophthalmoloscopy. Br J Ophthalmol 2009, 93: 731-735
23 E Z Karam, T R Hedges. Optical coherence tomography of the retinal nerve fibre layer in mild papilloedema and pseudopapilloedema. Br JOphthalmol , 2005, 89: 294-298
24 Auw-Haedrich C,Staubach F, Witschel H.Optic disk drusen.Surv Ophthalmol, 2002, 47: 515-532
25 Wilkins JM, Pomeranz HD. Visual manifestations of visible and buried optic disc drusen. J Neuroophthalmol, 2004, 24: 125-129
26张汉君等.眼科光学相干断层扫描应用图谱.北京:化学工业出版社. 2008: 186-189
27 Roh S, Noecker RJ, Schuman J S, et al. Effect of optic nerve head drusen on nerve fiber layer thickness. Ophthalmology, 1998, 105: 878- 885
28 Ocakoglu O, Ustundag C, Koyluoglu N, et al. Long term follow up of retinal nerve fiber layer thickness in eyes with optic nerve head drusen. Curr Eye Res, 2003, 26: 277-280
29 Roh S, Noecker RJ, Schuman J S. Evaluation of coexisting optic nerve head drusen and glaucoma with optical coherence tomography. Comment in: Ophthalmology, 1998, 105: 761
30 Mustonen E, Nieminen H. Optic disc drusen-aphotographic study. II. Retinal nerve fiber layer photography. Acta Ophthalmol (Copenh), 1982, 60: 859-872
31 Johnson LN, Diehl ML, Hamm CW, et al. Differentiating optic disc edema from optic nerve head drusen on optical coherence tomography. Arch Ophthalmol 2009; 127: 45-49
2袁长明,陈再洪等.蓝域在成熟、过熟老年性白内障手术中的应用.重庆医学. 2008, 37(3): 308-309
3温利辉,岳江心,陈旭.吲哚青绿在成熟期白内障前囊膜染色撕囊中的应用.广东医学杂志. 2006, 27(1): 86-87
4 Blumethal, Assia E, Neumann D.The round capsulorhexis capsulotomy and the rationale for 11. Omm diameter IOL. Eur J Implant Ref Surg, 1990, 2: 15
5 Vajayee R B, Angra S K, Honavar S G, et al. Capsulotomy for phacoemulsification in hypermature cataracts. J Cataract Refract Drug, 1995, 21: 612
6 Mansour A M. Anterior capsulorhexis in hypermature cataracts [letter]. [J] cataract Refract Surg, 1993, 19: 117
7王峰.超声乳化白内障摘除联合人工晶体植入术治疗晶状体半脱位观察[J].眼科研究, 2004, 22(5): 525-526
8张远平,查旭,赵学英等.预植入人工晶体治疗过熟期白内障伴晶状体半脱位.昆明医学报, 2009, (5): 131-133
9孟云.小切口非超声乳化手术治疗晶状体半脱位白内障[J].眼外伤职业眼病杂志, 2008, 30(5): 358-360
10惠延年.眼科学[M].第6版.北京:人民卫生出版社, 2004: 126
11林振德,李绍珍.小切口白内障手术[M].北京:人民卫生出版社. 2002: 97-131
12 Foster RE, Lowder CR, Meisler DM, Zakou ZN. Extracapsular cataract extraction and posterior chamber intraocular lens implantation in uveitis patients. Ophthalmology, 1992; 99: 1234-1241
13杨明明.葡萄膜炎并发白内障的手术摘出.眼外伤职业眼病志, 2004, 26(2): 131
14黄瑞华,王梅芳,汪金方等.葡萄膜炎并发性白内障31例的手术治疗.国际眼科杂志, 2005, 5(3): 555-557
15陈雅.并发性白内障人工晶状体手术的临床应用.临床医学, 2009, 29(8): 78-79
16谢立信,李绍伟,董晓光等.葡萄膜炎并发性白内障的手术方法探讨.中华眼科杂志, 1998; 34(6): 457-458
17柳林,刘志勇,唐维强等.葡萄膜炎患者的白内障手术.国际眼科杂志, 2003, 3(2): 58-59
1韦企平.视乳头水肿.实用医学进修杂志, 2008, 36(4): 193-204
2葛坚主编《眼科学》.北京:人民卫生出版社. 2005: 326-327
3 Van-Stavern, GP. Optic disc edema. [J]. Seminars in Neurology, 2007, vol. 27(no.3)
4 Brodsky MC. Congenital anomalies of the optic disc. In: Miller NR, Newman NJ, eds. Walsh and Hoyt’s Clinical Neuro-Ophthalmology. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005: 151–197
5 Mullie MA, Sanders MD. Scleral canal size and optic nerve head drusen. Am J Ophthalmol 1985; 99: 356–359
6吴德正,龙时先等.临床计算机视野学.北京:北京科学技术出版社. 2004: 305-307
7 Rosenberg MA, Savino PJ, Glaser JS. A clinical analysis of pseudopapilledema: I. Population, laterality, acuity, refractive error, ophthalmoscopic characteristics, and coincident disease. Arch Ophthalmol. 1979, 97: 65–70
8梁树今等.眼底荧光血管造影释义(上、下册).石家庄:河北人民出版社. 1980: 149-154
9宰春和等.神经眼科学.北京:人民卫生出版社. 1987: 390
10 A shworth B, et al1Clinical neuro- ophthalmology. Blackwell Ascientific Pub, 1981: 35-36
11吴学今,赖小玲,白海琴.眼底荧光血管造影对视乳头水肿诊断的意义(附45例分析).广西医学. 1998, 20(3): 357
12 Giacomo Savini, Costantino Bellusci. Detection and Quantification of Retinal Nerve Fiber Layer Thickness in Optic Disc Edema Using Stratus OCT. Arch Ophthalmol. 2006, 124(8): 1111-1117
13 Chen J, Lee L. Clinical applications and new developments of opticalcoherence tomography: an evidence-based review. Clin Exp Optom 2007, 90: 317-335
14 Sakata LM, Deleon-Ortega J, Sakata V, Girkin CA. Optical coherence tomography of the retina and optic nerve-a review. Clin Experiment Ophthalmol, 2009, 37: 90-99
15 E Z Karam, T R Hedges. Optical coherence tomography of the retinal nerve fibre layer in mild papilloedema and pseudopapilloedema. Br J Ophthalmol, 2005, 89: 294-298
16 Rebolleda G, Munoz-Negrete FJ. Follow-up of mild papilledema in idiopathic intracranial hypertension with optical coherence tomography. Invest Ophthalmol Vis Sci 2008. [Epub ahead of print] This study is one of the early investigations on the use of OCT in PTC.
17 Jern Yee Chen MBBS, Deepa A Taranath MS(Ophth), Angela J Chappell BAS(Photography), Brian P Brophy FRACS and Jamie E Craig D Phil, FRANZCO: Objective monitoring of papilloedema using confocal scanning laser ophthalmoscopy. Letters to the Editor 2007, 8: 863-865
18李立新等.眼部超声诊断图谱.北京:人民卫生出版社.2003: 141-143
19韦企平.实用医学进修杂志. 2008, 36(4): 193-200
20张汉君等.眼科光学相干断层扫描应用图谱.北京:化学工业出版社. 2008: 188-191
21 Bellusci C, Savini G, Carbonelli M, et al. Retinal nerve fiber layer thickness in nonarteritic anterior ischemic optic neuropathy: OCT characterization of the acute and resolving phases. Graefes Arch Clin Exp Ophthalmol 2008, 246: 641-647
22 Chan CK, Cheng AC, Leung CK, et al. Quantitative assessment of optic nerve head morphology and retinal nerve fibre layer in nonarteritic anterior ischaemic optic neuropathy with optical coherence tomography and confocal scanning laser ophthalmoloscopy. Br J Ophthalmol 2009, 93: 731-735
23 E Z Karam, T R Hedges. Optical coherence tomography of the retinal nerve fibre layer in mild papilloedema and pseudopapilloedema. Br JOphthalmol , 2005, 89: 294-298
24 Auw-Haedrich C,Staubach F, Witschel H.Optic disk drusen.Surv Ophthalmol, 2002, 47: 515-532
25 Wilkins JM, Pomeranz HD. Visual manifestations of visible and buried optic disc drusen. J Neuroophthalmol, 2004, 24: 125-129
26张汉君等.眼科光学相干断层扫描应用图谱.北京:化学工业出版社. 2008: 186-189
27 Roh S, Noecker RJ, Schuman J S, et al. Effect of optic nerve head drusen on nerve fiber layer thickness. Ophthalmology, 1998, 105: 878- 885
28 Ocakoglu O, Ustundag C, Koyluoglu N, et al. Long term follow up of retinal nerve fiber layer thickness in eyes with optic nerve head drusen. Curr Eye Res, 2003, 26: 277-280
29 Roh S, Noecker RJ, Schuman J S. Evaluation of coexisting optic nerve head drusen and glaucoma with optical coherence tomography. Comment in: Ophthalmology, 1998, 105: 761
30 Mustonen E, Nieminen H. Optic disc drusen-aphotographic study. II. Retinal nerve fiber layer photography. Acta Ophthalmol (Copenh), 1982, 60: 859-872
31 Johnson LN, Diehl ML, Hamm CW, et al. Differentiating optic disc edema from optic nerve head drusen on optical coherence tomography. Arch Ophthalmol 2009; 127: 45-49