Epilens membrane simulating cataract in children with uveitis: a report of three cases
| Autor: | Gustavo Salomão, Heloisa Nascimento, Lincoln Lemes Freitas, Roberta Paiva, Cristina Muccioli, Rubens Belfort |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures Crianças medicine.medical_treatment Visual Acuity Intraocular lens Catarata Oftalmia simpática Cataract Diagnosis Differential lcsh:Ophthalmology Ophthalmology Lens Crystalline medicine Humans Child Lens crystalline Membranes Phacoemulsification business.industry Sympathetic ophthalmia Uveomeningoencephalitic Syndrome General Medicine Facoemulsificação medicine.disease eye diseases Surgery Uveíte Membrana epicristaliniana lcsh:RE1-994 Female sense organs Differential diagnosis medicine.symptom business Uveitis |
| Zdroj: | Arquivos Brasileiros de Oftalmologia, Vol 78, Iss 5, Pp 326-327 (2015) |
| ISSN: | 1678-2925 |
| Popis: | Here we present the cases of three female children, of whom two were aged 6 years and one was aged 11 years. Two of the three children had bilateral uveitis and suspected cataract and Vogt-Koyanagi-Harada (VKH) disease. The third one had uveitis and suspected cataract in one eye and sympathetic ophthalmia (SO), and had undergone penetrating keratoplasty in the fellow eye following a trauma. After controlling the inflammation, we planned to perform phacoemulsification without intraocular lens implantation. However, intraoperatively, after removing the epilens membranes, the lenses appeared clear, and therefore phacoemulsification was not performed. During follow-up, the patients did not develop cataract, and visual acuity levels ranged from 20/30 to 20/100. Fundoscopy revealed VKH disease and SO. Ophthalmologists should not always assume that patients with uveitis have cataract; a transparent lens may exist behind the epilens membrane, allowing a less aggressive therapeutic approach. |
| Databáze: | OpenAIRE |
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