9. CATARACTE PATOLOGICE ÎN CADRUL UNOR BOLI SISTEMICE
Catalina Corbu, Vasile Potop, Mihaela Tatu, Cristina Popescu
REZUMAT
Scopul lucrarii: Prezentarea mecanismelor fiziopatologice care conduc la aparitia cataractei patologice, a tipurilor de cataracta si a aspectelor clinice ale afectiunilor sistemice in cadrul carora a aparut cataracta dar si a dificultatilor intraoperatorii.
Material si metoda: Studiu retrospectiv care include 22 de pacienti internati in clinica cu diagnosticul de cataracta patologica aparuta in cadrul urmatoarelor boli sistemice:diabet zaharat, afectiuni dermatologice, afectiuni endocrine, afectiuni ale sistemului nervos central.
Rezultate: Pacientii au prezentat in general cataracta subcapsulara posterioara sau cataracta nucleara si subcapsulara posterioara cu progresie rapida spre cataracta intumescenta. La toti pacientii s-a intervenit chirurgical practicindu-se extractia extracapsulara a cristalinului prin facoemulsificare cu implant de cristalin artificial de camera posterioara. Evolutia intraoperatorie a decurs fara incidente iar postoperator nu s-au inregistrat complicatii.
Concluzii: Dificultatea interventiei a fost legata de riscul ruperii capsulei posterioare (majoritatea cazurilor fiind cataracte moi) si de realizarea capsulorexisului in cazul cataractelor intumescente, evolutia postoeratorie nu s-a diferentiat de cea a unei cataracte obisnuite.
CUVINTE CHEIE:
cataracta patologica,
afectiuni sistemice,
facoemulsificare,
complicatii intraoperatorii.
Inapoi Sumar Precedentul Urmatorul
SUMMARY
Purpose: to show the phytopathological mechanisms which determines the appearance of the pathological cataract and types of cataract and clinical manifestations of the systemic disease and operative complications.
Method: retrospective study that includes 22 patients hospitalized in clinic with pathological cataract diagnosis, appeared in following systemic disease: diabetes mellitus, skin disease, endocrine disease, SNC disease.
Results: generally the patients had posterior subcapsular cataract or nuclear and posterior subcapsular cataract with fast evolution to intumescent cataract. Phacoemulsification with IOLCP performed at all patients. Evolution was good and there weren't post surgery complications.
Conclusions: The difficult of the surgery was connected with the risk of the posterior capsular break ( the majority cases were soft cataract) and also connected with the capsularhexis making in intumescent cataracts. The post surgery evolution wasn't different by usually cataract.
KEY WORDS:
pathological cataract,
systemic disease,
phacoemulsification,
operative complications.