RESUMO

Os autores relatam o caso raro de paciente diabético com rubeosis iridis submetido à cirurgia de catarata com implante de lente intra-ocular, em que houve o crescimento de neovasos na cápsula posterior do cristalino.

Descritores: Neovascularização, patológica; Diabetes mellitus; Lentes intra-oculares; Complicações pós-operatórias; Extração de catarata; Doenças da íris

ABSTRACT

The authors report a rare case of a diabetic patient with rubeosis iridis who had cataract extraction with intraocular lens implantation, in whom neovascularization developed within the posterior lens capsule.

Keywords: Neovascularization, pathologic; Diabetes mellitus; Lenses, intraocular; Postoperative complications; Cataract extraction; Iris diseases

REFERÊNCIAS

1. Stanila A. Diabetes and extracapsular extraction of the crystalline lens. Oftalmologia 1996;40:377-82.        

2. Klein BE, Klein R, Moss SE. Prevalence of cataracts in a population-based study of persons with diabetes mellitus. Ophthalmology 1985;92:1191-6.        

3. Nielsen NV, Vinding T. The prevalence of cataract in insulin-dependent and non-insulin dependent diabetes mellitus. Acta Ophthalmol (Copenh) 1984;62:595-602.        

4. Cunnliffe IA, Flanagan DW, George ND, Aggarwaal RJ, Moore AT. Extracapsular cataract surgery with lens implantation in diabetics with and without proliferative retinopathy. Br J Ophthalmol 1991;75:9-12.        

5. Benson WE, Brown GC, Tasman W, McNamara JA, Vander JF. Extracapsular cataract extraction with placement of a posterior chamber lens in patients with diabetic retinopathy. Ophthalmology 1993;100:730-8.        

6. Vignanelli M. Progression of diabetic retinopathy following cataract extaction. Klin Monatsbl Augenheilkd 1990;196:334-7.        

7. Brown N, Hungerford J. The influence of the size of the lens in ocular disease. Trans Ophthalmol Soc UK 1982;102:359-63.        

8. Sparrow JM, Bron AJ, Phelps Brown NA, Neil HA. Biometry of the crystalline lens in late onset diabetes: the importance of diabetic type. Br J Ophthalmol 1992;76:428-33.        

9. Zaczek A, Zetterström C. Cataract surgery and pupil size in patients with diabetes mellitus. Acta Ophthalmol Scand 1997;75:429-32.        

10. Zaczek A, Zetterström C. Aqueous flare intensity after phacoemulsification in patients with diabetes mellitus. J Cataract Refract Surg 1998;24:1099-104.        

11. Kodama T, Hayasaka S, Setogawa T. Plasma glucose levels, postoperative complications, and progression of retinopathy in diabetic patients undergoing intra-ocular lens implantation. Graefes Arch Clin Exp Ophthalmol 1993; 231:439-43.        

12. Menchini U, Bandello F, Brancato R, Camesasca FI, Galdini M. Cystoid macular oedema after extracapsular cataract extraction and intraocular lens implantation in diabetic patients without retinopathy. Br J Ophthalmol 1993;77:208-11.        

13. Detry-Morel M. Neovascular glaucoma in the diabetic patient. Bull Soc Belge Ophtalmol 1995;256:133-41.        

14. Sadiq SA, Chatterjee A, Vernon AS. Progression of diabetic retinopathy and rubeotic glaucoma following cataract surgery. Eye 1995;9:728-38.        

15. Eifrig DE, Hermsen V, McManus P, Cunningham R. Rubeosis capsulare. J Cataract Refract Surg 1990;16:633-6.        

¹ Médico Estagiário do Setor de Retina e Vítreo do Departamento de Oftalmologia da Faculdade de Medicina da Universidade de São Paulo.
² Médico Assistente do Setor de Retina e Vítreo do Departamento de Oftalmologia da Faculdade de Medicina da Universidade de São Paulo.
³ Médico Pós-Graduando do Departamento de Oftalmologia da Faculdade de Medicina da Universidade de São Paulo.
⁴ Professor Livre Docente de Oftalmologia da Escola Paulista de Medicina - UNIFESP.

Endereço para correspondência: Alexandre A. M. Rosa - Rua Afonso de Freitas 66/Ap. 51 - São Paulo (SP) CEP 04006-050
E-mail: [email protected]

Recebido para publicação em 02.10.2001
Aceito para publicação em 04.03.2002