AN COMPREHENSIVE INVESTIGATION OF ATOPIC CATARACTS FREQUENCY AND VISUAL OUTCOME AFTER CATARACT OPERATION
Project/Area Number |
07671919
|
Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Ophthalmology
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Research Institution | KOBE UNIVERSITY |
Principal Investigator |
YAMAMOTO Misao KOBE UNIV.SCHOOL OF MEDICINE,PROFESSOR, 医学部, 教授 (40182654)
|
Co-Investigator(Kenkyū-buntansha) |
SEKIYA Yoshibumi KOBE UNIV.HOSPITAL,ASSOCIATE PROF., 医学部・附属病院, 講師 (20226666)
|
Project Period (FY) |
1995 – 1997
|
Project Status |
Completed (Fiscal Year 1997)
|
Budget Amount *help |
¥2,400,000 (Direct Cost: ¥2,400,000)
Fiscal Year 1997: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1996: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1995: ¥1,400,000 (Direct Cost: ¥1,400,000)
|
Keywords | Atopic dermatitis / Atopic cataract / Atopic retinal detachment / IOL (Intraocular lens) / CCC (continuous circular capsulorrhexis) |
Research Abstract |
An actual survey of atopic cataracts carried out in Hyogo prefecture revealed that the clinical exposure was more in the urban areas. Ophthalmologists are still not very well aware of the fact that atopy is exceptionally frequent in Japan. In addition, there is considerable variability between atopic cataract surgery procedure and postoperative visual rehabilitation among individual facilities. A comparison of the facilities outside the prefecture with abundant experience in atopic cataracts has also been carried out. Surgical approach and methods of visual function rehabilitation were not alike. Despite these circumstances, awareness of atopic complications is gradually increasing due to enthusiastic presentations in related congress symposiums. A repeat questionnaire performed in Hyogo prefecture showed that even facilities with no previous experience were subject to an increase in the number of cases. There were more facilities which performed CCC for anterior capsulectomy and which
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carried out IOL implantations excluding younger patients and cases with complications like retinal detachment. An analysis of atopic cataract patients operated at our department was also performed. The number of cases was seen to keep increasing. Initial extracapsular cataract surgery was replaced by phacoemulsification and simultaneous IOL implantation. Although there were cases with postoperative retinal detachment, a few were related to the surgical procedures. Continuous CL wear was observed to be difficult, when IOL implantation has not been done for visual rehabilitation. Therefore, we think that IOL implantation should be imposed aggresively. Although postoperative complications like retinal detachment tended to increase, IOL implantation through an anterior capsulotomy in the form of CCC as in routine cataract surgery was thought to be the best approach in atopic cataract cases without any complications. However, completing CCC is difficult and requires skill. A long term and a careful follow up together with the control of skin inflammation is necessary. Less
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Report
(4 results)
Research Products
(7 results)