PDF(Pubmed)
Abstract：
This case study highlights the advances in fetal ultrasonography, illustrating its role in early detection and management of congenital cataracts. We present the case of a male infant with a family history of congenital cataracts, where an in-utero ultrasound examination at 25 weeks of gestation revealed potential cataracts. His mother and brother underwent cataract surgery. After birth examination revealed that the infant was diagnosed with bilateral congenital cataracts at two days. Bilateral lens aspiration and anterior vitrectomy without intraocular lens insertion were done. Postnatal examinations and surgical interventions, including bilateral lens phacoemulsification and anterior vitrectomy without intraocular lens insertion, were conducted. This study discusses the importance of early detection, especially in familial cases, and the role of prenatal and postnatal care in managing congenital cataracts. It underscores the need for collaboration between ophthalmologists and obstetricians and the value of psychological support for the parents. The findings advocate for proactive fetal monitoring, particularly in genetically predisposed cases, to facilitate early diagnosis and treatment planning.
摘要：
这个案例研究突出了胎儿超声检查的进展，说明其在先天性白内障的早期检测和管理中的作用。我们介绍了一个有先天性白内障家族史的男婴的病例，妊娠25周时的子宫内超声检查显示潜在的白内障。他的母亲和兄弟接受了白内障手术。出生检查后，婴儿在两天内被诊断出患有双侧先天性白内障。进行了双侧晶状体抽吸和不插入人工晶状体的前玻璃体切除术。产后检查和手术干预，包括双侧晶状体超声乳化和前路玻璃体切除术，不插入人工晶状体，进行了。这项研究讨论了早期发现的重要性，尤其是家族性病例,以及产前和产后护理在治疗先天性白内障中的作用。它强调了眼科医生和产科医生之间合作的必要性以及对父母的心理支持的价值。这项发现提倡主动监测胎儿，特别是在有遗传倾向的情况下，促进早期诊断和治疗计划。
