血液透析患者の白内障に対する人工レンズ挿入術の成績

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  • Results of lntraocular lens implantation in hemodialysis patients

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There are several reports, including those by Ito et al. of our own hospital, on the results of cataract operations (intracapsular cataract extraction: ICCE) in patients undergoing hemodialysis. However, hemodialysis patients are already socially handicapped, and there would be many problems if they are burdened with the additional handicaps of aphakic patients. The results of planned extracapsular cataract extraction (p-ECCE) and intraocular lens implantation (IOL) in such patients are reported.<br>P-ECCE and IOL were performed in eight cases, i.e., in 13 eyes of hemodialysis patients with indications for cataract operations, who requested implantation IOL, in the period from September, 1983 to April, 1986.<br>No abnormal findings were noted in the postoperative course which has ranged from a minimum of 2 months to a maximum of 2 years and 9 months, paticularly compared with the natural course of the aphakic eye thus far. Preoperative visual acuity was 0.1 the light sense meaning and postoperative acuity was 0.1 to 1.2, all the cases having improved. Compared with the report of Ito et al. in 1984 on ICCE, p-EECE and IOL are considered to be a safe operations not at all less advantageous than the former ICCE, and especially advantageous with respect to the daily life activities of patients with dialysis who have handicaps.

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