Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 66-69.doi: 10.6040/j.issn.1673-3770.0.2022.185

• 临床研究 • Previous Articles    

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

REN Qing, ZHANG Feng   

  1. Department of Ophthalmology, Binzhou People's Hospital, Shandong First Medical University, Binzhou 256610, Shandong, China
  • Published:2022-12-07

Abstract: 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 A 66-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 his 1-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.

Key words: Oculocutaneous albinism, Complicated cataract, Lens phacoemulsification, Intraocular lens, Nystagmus, Iris transillumination defect

CLC Number: 

  • R776.1
[1] 张颖珍, 靳彩虹, 李东禄. 白化病临床症状及分子机制研究进展[J]. 国际遗传学杂志, 2022, 45(1): 31-37. doi:10.3760/cma.j.cn231536-20210722-00096.?倓 ZHANG Yingzhen, JIN Caihong, LI Donglu. Research progress of clinical symptoms and molecular mechanism of albinism[J]. International Journal of Genetics, 2022, 45(1): 31-37. doi:10.3760/cma.j.cn231536-20210722-00096.
[2] Kuht HJ, Thomas MG, McLean RJ, et al. Abnormal foveal morphology in carriers of oculocutaneous albinism[J]. Br J Ophthalmol, 2022: bjophtha2020-318192. doi:10.1136/bjophthalmol-2020-318192.
[3] 葛坚. 眼科学[M].3版. 北京:人民卫生出版社, 2016:225-227.
[4] Dávila PJ, Ulloa-Padilla JP, Izquierdo NJ. Phacoemulsification and intraocular lens implantation in patients with oculocutaneous albinism[J]. Ophthalmic Genet, 2017, 38(2): 157-160. doi:10.3109/13816810.2016.1151899.
[5] 何雯雯, 卢奕, 竺向佳. 眼皮肤白化病合并白内障一例[J]. 中华眼科杂志, 2021, 57(10): 787-790. doi:10.3760/cma.j.cn112142-20210518-00235.
[6] Hayasaka S, Noda S, Setogawa T. Posterior chamber intraocular lens implantation in a patient with oculocutaneous albinism[J]. J Cataract Refract Surg, 1992, 18(5): 527-529. doi:10.1016/s0886-3350(13)80112-5.
[7] 刘露, 梁皓. 中老年白内障人群角膜散光的分布规律[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 75-77. doi: 10.6040/j.issn.1673-3770.0.2016.059. LIU Lu, LIANG Hao. Distribution of corneal astigmatism among middle aged and senior citizens with cataract[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2016, 30(6): 75-77. doi: 10.6040/j.issn.1673-3770.0.2016.059.
[8] Farahi A, Hashemi H, Mehravaran S. Combined cataract surgery and aniridia ring implantation in oculocutaneous albinism[J]. J Cataract Refract Surg, 2015, 41(11): 2438-2443. doi:10.1016/j.jcrs.2015.05.037.
[9] Ye, H., K. Mao, P. Zhao, Oculocutaneous Albinism[J]. Asia Pac J Ophthalmol(Phila), 2022. doi:10.1097/APO.0000000000000506.
[10] 肖健江, 罗晓刚, 刘斌等, 眼皮肤白化病的临床表现及研究进展[J]. 中国眼耳鼻喉科杂志, 2008(2): 122-123. doi:10.3969/j.issn.1671-2420.2008.02.031.
[1] DUAN Lian, MENG FanlanReview,DANG GuangfuGuidance. Effect of dry eye on refractive cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 1-6.
[2] SUN JiOverview,LI CanGuidance. Prediction and stability of axial intraocular lens position after cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 7-12.
[3] HUANG ZiyanOverview,DUAN GuopingGuidance. Effect of higher-order aberrations on visual quality after cataract intraocular lens implantation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 13-18.
[4] HUANG ZiyanOverview,DUAN GuopingGuidance. Effects of tilt and decentration on visual quality after various intraocular lens implantations [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 26-31.
[5] SUN Lu, ZHANG Shunhua, WU Yuzhou, CHEN Lulu, CAO Di, GAN Linyang. Short-term clinical outcomes of regional refractive intraocular lens implantation in patients with an angle alpha of 0.5-0.8 mm [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 32-37.
[6] YU Tengfei, LI Yansong, LIU Zhen, ZHOU Weiwei, ZHU Yan, ZHU Yuguang. Effect of brimonidine tartrate 0.2% on visual quality after phaco and extended depth of focus intraocular lens implantation with dysphotopsia under mesopic condition [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 45-50.
[7] LI Jing, ZHANG Hui, WANG Jing. A clinical study on the effect of using different intraocular lens implants on visual quality [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 90-95.
[8] LI Bin, FANG Xuejun, WU De, HUANG Min. Agreement study of implantable collamer lens based on NK and KS formulas in the early stage after surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 33-41.
[9] WEI Peipei,LI Can. Visual quality and complications after implantation of multifocal intraocular lens [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 141-146.
[10] . Study of the relationship of dizziness and vertigo sensations with the nystagmus intensity [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 56-60.
[11] LI Ying, JIANG Yang. A discussion on the choice of surgical methods for correction of myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 1-6.
[12] TAN Yan, LI Can. Progress in the research of intraocular lens power calculation formulas [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 95-98.
[13] LIN Jia, LIAO Xuan, LAN Changjun, TAN Qingqing, WEN Baiwei, TIAN Jing. Visual quality research on a custom selection of aspheric intraocular lenses in cataract patients [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 109-114.
[14] JIANG Xiuying, LI Yuanbin. Clinical analysis of posterior intraocular lens dislocation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 105-110.
[15] CHEN Ying, LI Yuanbin. Progress in the treatment of congenital cataract [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 143-148.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!