Cataract extraction in eyes with Fuchs’endothelial dystrophy in China

作     者：Ann Mei-Chi Chiu 

作者机构：Shandong Eye Institute Qingdao 266071 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2005年第118卷第13期

页      面：1127-1130页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：fuchs' endothelial dystrophy cataract extraction phacoemulsification 

摘      要：It is a common belief that Fuchs endothelial dystrophy predominantly affectsCaucasians but rarely Asians. However, in one Japanese study, primary corneal guttae (first stageof Fuchs dystrophy) were found in four of 107 cataract patients. With the growing popularity ofphacoemulsification in China in the past decade, the increased incidence of endothelialdecompensation may be due to learning curves among surgeons as well as that the prevalence of Fuchs dystrophy among Chinese is higher than we thought. Low index of suspicion for Fuchs dystrophy mayresult in missing of diagnosis and occurrence of endothelial decompensation, particularly when noextra protection is provided for endothelial cells during phacoemulsification. This study was aimedat improving our knowledge about Fuchs dystrophy among Chinese population and reminding surgeons ofextra endothelial protection during cataract surgery for patients with Fuchs dystrophy.