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Dupuytren's and cataracts
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05/15/2010 20:28
jimh 
05/15/2010 20:28
jimh 
Dupuytren's and cataracts

I have agressive Dupuytren's and have also developed cataracts in both eyes. At 58 it's somewhat early for advance cataracts, and I suspect a connection with Dupuytren's.

Have any other posters with Dupuytren's also developed cataracts at a relatively early age?

05/16/2010 08:42
wach 

Administrator

05/16/2010 08:42
wach 

Administrator

Re: Dupuytren's and cataracts

Jim, I never heard of a connection between cataract and Dupuytren's, althought hat doesn't exclude that there is one.

Specifically when you are young I believe it is important that the new liquid inserted into the eye is not fully transparent. They used to insert clear liquid but then found out that the clear liquid did not protect the background of the eye sufficiently and light caused damage there on a long term.

I would wait as long as possible with having cataract surgery. Not because that surgery is very difficult, it is not, but personally I believe that the new fluid might wear out out cause damage on a long term and you might need another surgery. But I am no expert on this but my mother had cataract and I expect developing it, too.

Wolfgang

05/16/2010 18:30
jimh 
05/16/2010 18:30
jimh 
Re: Dupuytren's and cataracts

A statistical link may have been noted in 1973 - unfortunately I can't find the text of this letter:
http://www.ncbi.nlm.nih.gov/pubmed/4759838


More recently, it's been shown at at least some cataracts are caused by myofibroblasts producing collagen - the same thing that's happening with Dupuytren's:
http://www.springerlink.com/content/g726l130300t6432/
http://www.springerlink.com/content/k311480172183873/



I've already had the surgery (lens replacement) on one eye and will eventually need it on the other.

Edited 05/16/10 21:32

07/20/2010 15:42
wach 

Administrator

07/20/2010 15:42
wach 

Administrator

Re: Dupuytren's and cataracts

Jim,

please excuse my late comment: myofibroblasts are involved in wound healing and do this by contrcating tissue and producing collagen. They are not specific to Dupuytren's disease but are all over the body. Nothing wrong with myofibroblasts per se, the issue with Dupuytren's is that they are accumualting in a tumor like fashion for unknown reason.

Wolfggang

07/20/2010 19:34
jimh 
07/20/2010 19:34
jimh 
Re: Dupuytren's and cataracts

Correct. I should have said, myofibroblasts erroneously producing collagen in inappropriate locations, or something like that.

07/21/2010 01:44
Macman 
07/21/2010 01:44
Macman 
Re: Dupuytren's and cataracts

Well maybe it is simple as ones body trying to heal one area and in doing so the signals for repair are getting to our extremities ( hands and feet) and giving confused messages to the myofibroblasts in those areas which produce collagen causing DD?

This might be happening in conjunction with the healing in the other area or not. The healing may be a problematic fix (causative) or genetic trigger.

If this was the case then a local myofibroblast inhibitor could stem the tide. Maybe this is how RT works? Could one could then assume that a healthy body would not need to heal and therefore minimise those triggers?

07/21/2010 03:05
flojo 
07/21/2010 03:05
flojo 
Re: Dupuytren's and cataracts

Macman, Interesting ideas!

07/25/2010 05:21
Adrian

not registered

07/25/2010 05:21
Adrian

not registered

Re: Dupuytren's and cataracts

Sorry but there is some poor info in this thread. I am a Consultant Ophthalmologist with 25 yrs experience of cataract surgery. There are no fibroblasts of any kind in the human lens and no significant evidence of an association between DD and cataract. They both affect a greater percentage of people with age so some people get both. Another confounding factor may be that smoking and excess alcohol are risk factors for both conditions. If you have cataract you should not delay surgery once it starts to cause you practical problems. The intraocular lens which is used to replace the cloudy natural lens does not deteriorate over time.

07/25/2010 06:30
wach 

Administrator

07/25/2010 06:30
wach 

Administrator

Re: Dupuytren's and cataracts

Adrian, thank you for your clarifying comment!

Wolfgang

07/25/2010 09:49
ray

not registered

07/25/2010 09:49
ray

not registered

Re: Dupuytren's and cataracts

My left hand has been affected by Dupuytren's contractures for some 15 years. Now I have developed an abnormality of the vitreous humour of the left eye called asteroid hyalosis. This is an annoying condition where clumps of calcium salts gather together in clumps within the collagen material of the vitreous humour. The clumps are reasonably opaque but in bright light they form shadows on the retina and are thus rendered visible like dark floaters. Anyone been bothered with this problem and Duypuytrens?

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Dupuytren   g726l130300t6432   surgery   Ophthalmologist   confounding   collagen   cataracts   Specifically   k311480172183873   inappropriate   cataract   myofibroblasts   contractures   significant   unfortunately   springerlink   accumualting   myofibroblast   association   sufficiently