眼皮肤白化病合并双眼白内障1例并文献复习

A case of oculocutaneous albinism combined with bilateral complicated cataract and literature review

目的 报道1例白内障超声乳化联合人工晶状体(IOL)一期植入术在眼皮肤白化病(OCA)合并双眼白内障患者中的应用。方法 1例因双眼视力渐进性下降半年,患有OCA的66岁男性患者就诊眼科,经全身查体、视力、眼压、裂隙灯检查、眼科B超等眼科辅助检查及胸部CT平扫,诊断为双眼并发性白内障,先后行双眼白内障超声乳化联合IOL一期植入术治疗。术中左眼应用吲哚菁绿辅助囊膜染色。结果 术后双眼视力均提高,IOL位正,白内障术中及术后1个月随访均未出现并发症,患者满意术后效果。结论 应用白内障超声乳化联合IOL一期植入术治疗OCA并发性白内障有效,可提高视力、改善生活质量。诊治过程中,OCA患者的心理负担也应得到高度重视。

Objective This study aimed to report a case of phacoemulsification and one-stage intraocular lens(IOL)implantation in a patient with oculocutaneous albinism(OCA),complicated with bilateral cataracts. Methods A66-year-old male patient with OCA presented with a half-year history of progressive decline of binocular vision. After a general physical examination,visual acuity testing,intraocular pressure testing,slit lamp examination,ophthalmic B-ultrasound,other ophthalmic auxiliary examinations,and a chest computed tomography scan,the patient was diagnosed with bilateral complicated cataracts. He underwent bilateral cataract phacoemulsification and IOL implantation. His left eye was stained with an indocyanine green-assisted capsule. Results The patient’s visual acuity improved after postoperative. The position of the IOL was correct,and no postoperative complication was observed in his1-month follow-up. The patient was satisfied with the postoperative results. Conclusion The application of cataract phacoemulsification,combined with a one-stage IOL implantation,is effective in treating OCA-complicated cataracts,improving the patients’ vision and quality of life. The psychological burden of OCA patients should also be considered in their diagnosis and treatment.