Takayama Kohei, Yasukawa Tsutomu, Okada Morio, Sumida Aki, Watanabe Norio, Uchida Sunao
Department of Ophthalmology, Kurashiki Central Hospital, Kurashiki, Japan.
Ophthalmic Surg Lasers Imaging. 2008 May-Jun;39(3):242-5. doi: 10.3928/15428877-20080501-20.
Eyes with scleral rupture after blunt trauma are often complicated by proliferative vitreoretinopathy. A 56-year-old man sustained blunt trauma to his left eye. Visual acuity was light perception. The fundus was obscured by hyphema. Computed tomography imaging and the presence of extensive subconjunctival hemorrhage suggested scleral rupture. Prompt primary surgery to repair a 25-mm scleral rupture was performed under general anesthesia. No retinal detachment developed. Two years postoperatively, visual acuity increased to 12/20. This case shows that retinal detachment and proliferative vitreoretinopathy may not complicate extensive scleral ruptures under certain circumstances.
钝挫伤后巩膜破裂的眼睛常并发增殖性玻璃体视网膜病变。一名56岁男性左眼遭受钝挫伤。视力为光感。眼底被前房积血遮挡。计算机断层扫描成像及广泛结膜下出血提示巩膜破裂。在全身麻醉下迅速进行了一期手术，修复了25毫米的巩膜破裂。未发生视网膜脱离。术后两年，视力提高到12/20。该病例表明，在某些情况下，广泛的巩膜破裂可能不会并发视网膜脱离和增殖性玻璃体视网膜病变。
