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Cataract surgery in mentally deficient persons with habitual self-traumatism Tadahisa Higaki 1 , Nobuhiko Ueda 1 , Yasuhito Suzukr 2 , Takaharu Yasunari 2 1Dept of Ophthalmol, Osaka Prefectual Rehabilitation Center 2Dept of Ophthalmol, Osaka City Univ Med Sch pp.517-521
Published Date 2002/4/15
DOI https://doi.org/10.11477/mf.1410907676
  • Abstract
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We performed cataract surgery on 8 eyes of 5 mentally deficient persons. All had a habit to repeatedly rub or push the eye. Their ages ranged from 17 to 50 years, average 33 years. Cataract extraction was performed on 3 eyes of 2 persons. Additional intraocular lens implantation was performed on 5 eyes of 3 persons. Following improved visual acuity after surgery, all the persons discontinued acts of self-traumatism to the eye. Self-traumatism recurred in 2 persons, following retinal detachement 2 months after surgery in one and visual deterioration due to corneal degenera-tion 18 months after surgery in another. According to the report by the staff of institutions where the patients were staying, there was no difference in the behavior in daily life between aphakic and pseudophakic persons. The findings show that self-traumatism to the eye may be induced by decreased vision in mentally deficient persons, suggesting the need of early visual rehabilitation in such cases.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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