[Glucocorticoid cataract and intraocular lens implantation].
13 cases (21 eyes) of patients with glucocorticoid cataract due to topical or systemical administration of dexamethasone or prednisone were reported. The patients comprised 10 men and 3 women, averaging 34 years of age (ranged from 11 to 64 years). Average time of administrating glucocorticoid was 7.1 years (ranged from 6 months to thirty years). The clinical type was posterior subcapsular cataract (PSC). After the treatment of discontinuation of the glucocorticoid drugs, cataract was not improved. 7 cases (11 eyes) of the patients underwent extracapsular cataract extraction and posterior chamber intraocular lens implantation. In 91.1% of the eyes, the postoperative corrected visual acuity achieved 0.5 or better, and 88.9% of the ECCE eyes achieved the same level. There were no significant differences between them. The study shows that posterior chamber intraocular lens implantation is an effective way for glucocorticoid cataract.
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, China.
Y
Y
Zheng
Z
Z
Lin
D000293:Adolescent; D000328:Adult; D002386:Cataract / Q000139:chemically induced*; D002387:Cataract Extraction; D002648:Child; D003907:Dexamethasone / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011241:Prednisone / Q000009:adverse effects*
D003907:Dexamethasone; D011241:Prednisone