Song Jong-Suk, Moon Hyun Seung, Shyn Kyung Hwan
Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, Guro-dong, Seoul, Korea.
J Cataract Refract Surg. 2005 Sep;31(9):1831-3. doi: 10.1016/j.jcrs.2005.01.024.
A 33-year-old woman visited our clinic with blurry vision and periorbital swelling after experiencing blunt trauma to left eye. Ten months earlier, she had implantable contact lens (ICL) implantation in the left eye. Biomicroscopic examination showed that that 1 footplate of the ICL was entrapped in the pupillary aperture at the 7 o'clock position and the ICL was placed vertically. The patient had limited ocular movement in lateral gaze, and the computed tomography showed a medial orbital wall fracture. Pupillary capture of the ICL was surgically corrected with an iris manipulator under topical anesthesia. After the ICL was repositioned, the patient's uncorrected visual acuity was restored to 20/32, as before the injury. Pupillary capture of the ICL may occur after blunt ocular trauma.
一名33岁女性在左眼遭受钝挫伤后，出现视力模糊和眶周肿胀，前来我院就诊。10个月前，她接受了左眼植入式隐形眼镜（ICL）植入术。生物显微镜检查显示，ICL的一个脚板卡在瞳孔开口7点钟位置，且ICL呈垂直放置。患者向外侧凝视时眼球运动受限，计算机断层扫描显示眶内侧壁骨折。在局部麻醉下，使用虹膜操纵器对ICL的瞳孔捕获进行了手术矫正。ICL重新定位后，患者的未矫正视力恢复到受伤前的20/32。钝性眼外伤后可能会发生ICL的瞳孔捕获。
