[Glucocorticoid cataract and intraocular lens implantation]

13 cases (21 eyes) of patients with glucocorticoid cataract due to topical or systemical administration of dexamethasone or prednisone were reported. The patients comprised 10 men and 3 women, averaging 34 years of age (ranged from 11 to 64 years). Average time of administrating glucocorticoid was 7.1 years (ranged from 6 months to thirty years). The clinical type was posterior subcapsular cataract (PSC). After the treatment of discontinuation of the glucocorticoid drugs, cataract was not improved. 7 cases (11 eyes) of the patients underwent extracapsular cataract extraction and posterior chamber intraocular lens implantation. In 91.1% of the eyes, the postoperative corrected visual acuity achieved 0.5 or better, and 88.9% of the ECCE eyes achieved the same level. There were no significant differences between them. The study shows that posterior chamber intraocular lens implantation is an effective way for glucocorticoid cataract.