Influence of systemic diseases and environmental factors on age at appearance, location and type of acquired cataract.

I Beiran, J Scharf, A Tamir, B Miller
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Abstract

We studied 257 patients scheduled for cataract surgery for possible correlation with systemic diseases, blood chemistry, and environmental exposure. We found that posterior subcapsular cataract appeared in patients 10 years younger on average than those with other types of cataract. Nuclear cataract patients had higher blood levels of uric acid and creatinine and lower blood levels of calcium. We suggest capsular insult as a possible pathophysiological explanation for cataract formation in young age groups (as well as diabetes) and a toxic effect of blood metabolites in patients with renal failure, resulting in earlier and more prevalent sclerosis of lens fibers. No effect of smoking or of exposure to sunlight on the distribution of various types of cataracts was noted.

全身性疾病及环境因素对后天性白内障出现年龄、部位及类型的影响。
我们研究了257例计划进行白内障手术的患者,以了解其与全身性疾病、血液化学和环境暴露的可能相关性。我们发现后囊膜下白内障患者比其他类型的白内障患者平均年轻10岁。核性白内障患者血尿酸和肌酐水平较高,血钙水平较低。我们认为,包膜损伤可能是年轻人群(以及糖尿病)白内障形成的病理生理学解释,以及肾衰竭患者血液代谢物的毒性作用,导致晶状体纤维更早和更普遍的硬化。没有注意到吸烟或暴露在阳光下对各种类型白内障的分布有影响。
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