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  Česky / Czech version Čes. a slov. Oftal., 58, No. 5, p. 298 - 306
 
Spontaneous Reduction and Absorption of Cataracts in Childhood 
Krásný J.1, Kuchynka P.1, Lomíčková H.3, Šach J.2 

1Oční klinika FN Královské Vinohrady a 3. LF UK, Praha, přednosta prof. MUDr. P. Kuchynka, CSc. 2Ústav patologie 3. LF UK, Praha, přednosta doc. MUDr. V. Mandys, CSc. 3Emeritní přednostka Dětské oční kliniky FN Motol a 2. LF UK, Praha
 


Summary:

       Theauthors giveanaccountonspontaneousreductionandabsorption of cataracts in nine children. The initial symptom where leukocoria predominated was as a rule detected already in infant age. In one case the affection was bilateral and was manifested by partial pseudoaphakia. The observation comprised also classical secondary aphakia in a 4-year-old girl. Resorption of lenticular masses of cataracts into the shape of membranous discs or reduced masses of a fibrous character tookonaverage 18monthsonseveneyesandthisprocesswasassociated with vascular activity in four lenses. In two of these patients during resorption panuveitis was observed with a hyperergic response in humoral and cellular immunity without obvious general antigenic action which caused atrophy of the optic nerve. Surgical solution of cataract was used in four eyes, PC IOL was implantated in one patient which had a favourable effect on visual function. Histological examination was successful of the extracted reduced lens only in one case. Inside the lenticular capsulewasamixture of the original fibrotically altered cataract masses with ingrowing vascular tissue.

        Key words: lens, childhood, cataract, spontaneous absorption, spontaneous reduction, uveitis
       

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