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Grå stær, katarakt: Diagnosen

Sykehistorien er typisk. Det er særlig viktig for legen å kjenne til eventuelle risikofaktorer, slik som nevnt ovenfor.

Tilstanden påvises ved at legen undersøker øyet og linsens klarhet med et oftalmoskop. Fordunklinger i linsen vil ses som mørke partier i det røde øyet.

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Dersom det blir aktuelt å operere, vil du henvises til øyespesialist. Foruten en grundig øyeundersøkelse, vil legen også vurdere din generelle helsetilstand for å avklare om det er forhold som kan skape problemer under inngrepet.

Dette dokumentet er basert på det profesjonelle dokumentet Katarakt . Referanselisten for dette dokumentet vises nedenfor

  1. Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet 2005; 365: 599-609. PubMed
  2. Sandvig KU, Ødegård MT, Halvorsen F. Katarakt (ekskl. kongenitt katarakt). Norsk kvalitetshåndbok for oftalmologi. Vedtatt 2016. www.helsebiblioteket.no
  3. Bek T, et al. Katarakt. Lægehåndbogen, sist oppdatert 15.05.2019.
  4. Allen D, Vasavada A. Cataract and surgery for cataract. BMJ 2006; 333: 128-32. PubMed
  5. Bourne RR, Jonas JB, Flaxman, et al. Prevalence and causes of vision loss in high-income countries and in Eastern and Central Europe: 1990-2010. Br J Ophtalmol 2014. pmid:24665132 PubMed
  6. WHO fact sheet: Vision impairment and blindness. Updated October 2017. Nettsiden besøkt 13. mars 2018. www.who.int
  7. Solomon R, Donnenfeld ED. Recent advances and future frontiers in treating age-related cataracts. JAMA 2003; 290: 248 - 51. PubMed
  8. Varma SD, Hedge KR. Susceptibility of the ocular lens to nitric oxide: implications in cataractogenesis. J Ocul Pharmacol Ther 2007;23:188-195. PubMed
  9. Hammond CJ, Duncan DD, Snieder H, et al. The heritability of age-related cortical cataract: the twin eye study. Invest Ophthalmol Vis Sci 2001; 42: 601-05.
  10. Carnahan MC, Goldstein DA. Ocular complications of topical, peri-ocular, and systemic corticosteroids. Curr Opin Ophthalmol 2000; 11: 478-83. PubMed
  11. Leuschen J, Mortensen EM, Frei CR, et al. Association of statin use with cataracts. A propensity score-matched analysis. JAMA Ophtalmol 2013. doi:10.1001/jamaophthalmol.2013.4575 DOI
  12. Keay L, Lindsley K, Tielsch J, et al. Routine preoperative medical testing for cataract surgery. Cochrane Database Syst Rev 2012;(3):CD007293. Cochrane (DOI)
  13. Katz J, Feldman MA, Bass EB, et al. Risks and benefits of anticoagulant and antiplatelet medication use before cataract surgery. Ophthalmology 2003; 110: 1784-8. PubMed
  14. Zaman F, Bach C, Junaid I, et al. The floppy iris syndrome - what urologists and ophthalmologists need to know. Curr Urol 2012; 6: 1-7. PMID: 24917702 PubMed
  15. Findl O, Drexler W, Menapace R, Heinzl H, Hitzenberger CK, Fercher AF. Improved prediction of intraocular lens power using partial coherence interferometry. J Cataract Refract Surg 2001;27: 861-7. PubMed
  16. Aasved H. Kataraktoperasjoner og ventetider i Norge. Tidsskr Nor Legeforen 2008; 128: 466-7. Tidsskrift for Den norske legeforening
  17. Riaz Y, de Silva SR, Evans JR. Manual small incision cataract surgery (MSICS) with posterior chamber intraocular lens versus phacoemulsification with posterior chamber intraocular lens for age-related cataract. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD008813. DOI: 10.1002/14651858.CD008813.pub2 DOI
  18. Calladine D, Evans JR, Shah S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD003169. DOI: 10.1002/14651858.CD003169.pub3 DOI
  19. Ong HS, Evans JR, Allan BDS. Accommodative intraocular lens versus standard monofocal intraocular lens implantation in cataract surgery. Cochrane Database of Systematic Reviews 2014, Issue 5. Art. No.: CD009667. DOI: 10.1002/14651858.CD009667.pub2 DOI
  20. Mathew MC, Ervin AM, Tao J, Davis RM. Antioxidant vitamin supplementation for preventing and slowing the progression of age-related cataract. Cochrane Database of Systematic Reviews 2012, Issue 6. Art. No.: CD004567. DOI: 10.1002/14651858.CD004567.pub2 DOI
  21. Bell CM, Hatch WV, Fischer HD. Association between tamsulosin and serious ophtalmic advers events in older men following catarct surgery. JAMA 2009; 301: 1991-6. Journal of the American Medical Association
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