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 |
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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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