alport综合征引起的双眼前圆锥形晶状体的超乳治疗一例

alport综合征引起的双眼前圆锥形晶状体的超乳治疗一例

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时间:2018-11-19

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1、TheJournalofInternationalMedicalResearch2008;36:1440–1444ClearLensPhacoemulsificationwith ContinuousCurvilinearCapsulorhexis andFoldableIntraocularLensImplantationfortheTreatmentofaPatientwithBilateralAnteriorLenticonusduetoAlportSyndromeYBLIU1,SJTAN1,ZYSUN2,XLI1,BYHUANG1A

2、NDQMHU11DepartmentofOphthalmology,and2DepartmentofPlasticSurgery,FirstAffiliated HospitalofGuangxiMedicalUniversity,Nanning,ChinaThecaseofa29-year-oldmanisreportedlenscapsule,surgicaltreatmentwaswhopresentedwithagraduallyrequired.Clearlensphacoemulsificationprogressive,pain

3、lessdecreaseinvisionwithcontinuouscurvilinearcapsulorhexisover10years.Anteriorsegmentandfoldableintraocularlensexaminationwithaslitlamprevealedimplantationwereperformedineacheyeanteriorlenticonusinbotheyes.The2daysapart.Oneweekaftersurgery,patienthadpreviouslybeendiagnosed

4、visualacuitywasexcellentinbotheyes.withbilateralsensorineuraldeafness,Clearlensphacoemulsificationwithhoweverinvestigationsrevealedcontinuouscurvilinearcapsulorhexisandmicroscopichaematuriaandrenalfoldableintraocularlensimplantationinsufficiencythatsubsequentlyledtoawasasa

5、feandeffectivetherapeuticchoicediagnosisofclassicalAlportsyndrome.inthispatientforthemanagementofSincethepatient’squalityofvisionwasanteriorlenticonusduetoAlportseverelyaffectedbythebulginganteriorsyndrome.KEYWORDS:ALPORTSYNDROME;ANTERIORLENTICONUS;PHACOEMULSIFICATION;INTR

6、AOCULARLENSIMPLANTATIONIntroductionAlportsyndromeconsistsoftheclinicaltriadmorphologicalcriteria.AccordingtoFlinterandChantler,2atleastthreeofthefollowingofhereditaryprogressivenephritis,criterianeedtobepresent:apositivefamilysensorineuraldeafnessandocularhistoryofhaematur

7、iawithorwithout abnormalities.1ThediagnosisofAlportprogressiontoend-stagerenaldisease;syndromeisbasedonclinicalandprogressivesensorineuralhearingloss;1440YBLiu,SJTan,ZYSunetal.SurgicaltreatmentofanteriorlenticonusduetoAlportsyndromecharacteristicocularchanges(anteriorexami

8、nationwithaslitlamprevealedlenticonusand/ormaculopathy);andnormalcorneasandanteriorlentic

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