Congenital anterior polar cataract: a review of 63 cases.
Congenital anterior polar cataract: a review of 63 cases.
复制标题
先天性前极白内障：63 例回顾。
DOI：
10.1016/s0161-6420(84)34297-x
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发表时间：
1984
期刊：
影响因子：
13.7
通讯作者：
R. Robb
中科院分区：
文献类型：
--
作者：
M. Jaafar;R. Robb
在波士顿儿童医院观察了63例先天性前极性白内障患者15年，以确定其临床病程和视力结果。超过三分之一的患者被发现有斜视、屈光性屈光参差或某种形式的弱视。另外7名患者有其他眼部病理，影响其视力预后。1例患者表现为进行性透镜混浊，最终需要进行白内障手术。这些发现表明先天性前极性白内障的良性预后比一般描述的要差。在我们的系列早期眼科检查并不总是让我们预测以后的视力残疾。因此，我们建议对所有患有前极性白内障的儿童进行定期随访，直到可以对视力进行安全的评估。
Sixty-three patients with congenital anterior polar cataracts seen over a period of 15 years at The Children's Hospital, Boston, were reviewed to determine their clinical course and visual outcome. Over one-third of the patients were found to have strabismus, refractive anisometropia, or some form of amblyopia. Seven other patients had additional ocular pathology which affected their visual prognosis. One patient manifested progressive lens opacification that eventually warranted cataract surgery. These findings suggest a less benign prognosis for congenital anterior polar cataracts than has generally been described. In our series early ophthalmological examination did not always allow us to forecast later visual disability. We therefore recommend regular follow-up of all children with anterior polar cataracts until a secure assessment of vision can be made.