Grewal D S, Jain R, Brar G S, Grewal S P S
Grewal Eye Institute, Madhya Marg, Chandigarh - India; and Bascom Palmer Eye Institute, Palm Beach Gardens, FL - USA.
Eur J Ophthalmol. 2008 May-Jun;18(3):453-5. doi: 10.1177/112067210801800323.
To report the Scheimpflug and clinical findings in a case of pediatric posterior capsule rupture due to blunt ocular trauma.
Interventional case report. Analysis of Scheimpflug findings and review of literature.
An 11-year-old boy presented 2 days after blunt trauma to the left eye with a slingshot. On examination his best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/400 in the left. Slitlamp examination (left eye) revealed a Vossius ring, traumatic cataract, and traumatic posterior capsular rupture (TPCR).The contour of the posterior bulge corresponded to the edges of the TPCR. Scheimpflug imaging (Pentacam 70700: Oculus, Wetzlar, Germany) confirmed traumatic cataract in region of TPCR evidenced by increased lens density at cortex-vitreous interface, absence of vitreous prolapse into the anterior chamber, and the amount of residual nucleus. The extent of the TPCR in the greatest and least dimensions was documented before and after intraocular lens (IOL) implantation. Intraoperatively, TPCR was evident and phacoemulsification with IOL implant was performed. Postoperatively, his BCVA improved to 20/20 in the left eye with a well-centered in-thebag IOL as found on slit lamp and Scheimpflug images.
This report highlights the use of Scheimpflug imaging in isolated posterior capsule rupture following closed globe injury, to visualize and quantify the size of posterior capsule rupture and its role in management.
报告1例因钝性眼外伤导致小儿后囊破裂的眼前节分析和临床检查结果。
介入性病例报告。分析眼前节分析结果并进行文献复习。
一名11岁男孩在左眼被弹弓钝性外伤2天后就诊。检查发现，其右眼最佳矫正视力（BCVA）为20/20，左眼为20/400。裂隙灯检查（左眼）发现有Vossius环、外伤性白内障和外伤性后囊破裂（TPCR）。后凸的轮廓与TPCR的边缘相对应。眼前节分析成像（Pentacam 70700：德国韦茨拉尔奥culus公司）证实TPCR区域存在外伤性白内障，表现为皮质-玻璃体界面处晶状体密度增加、无玻璃体脱垂入前房以及残余核的量。记录了人工晶状体（IOL）植入前后TPCR在最大和最小维度上的范围。术中，TPCR明显，遂行超声乳化白内障吸除联合IOL植入术。术后，裂隙灯和眼前节分析图像显示其左眼BCVA提高到20/20，IOL位于囊袋中央且位置良好。
本报告强调了眼前节分析成像在闭合性眼球损伤后孤立性后囊破裂中的应用，可用于观察和量化后囊破裂的大小及其在治疗中的作用。
