Grenet T, Streho M, Nicolon L, Puech M, Chaine G
Service d'ophtalmologie, hôpital Avicenne, 125, rue de Stalingard, 93000 Bobigny, France.
J Fr Ophtalmol. 2011 Feb;34(2):127.e1-4. doi: 10.1016/j.jfo.2010.09.024. Epub 2010 Dec 4.
We present a case report on a young man complaining of transient myopia following a blunt trauma. Clinical and paraclinical (ultrasound) follow-up allowed us to discuss the different physiopathological mechanisms involved. We observed anterior lens displacement, increased lens thickness probably due to lens edema, choroidal detachment, and ciliary body edema. Progression was positive with full regression of the myopia. Ultrasound analysis also underlined an iridocorneal angle closure that could have led to angle-closure glaucoma (preventive peripheric iridotomy was discussed). The spontaneous progression showed spontaneous angle reopening on the main meridians.
我们报告一例年轻男性在钝器伤后出现短暂性近视的病例。通过临床及辅助检查（超声）随访，我们探讨了其中涉及的不同病理生理机制。我们观察到晶状体前脱位、晶状体厚度增加（可能由于晶状体水肿）、脉络膜脱离和睫状体水肿。近视完全消退，病情呈正向进展。超声分析还显示虹膜角膜角关闭，这可能导致闭角型青光眼（讨论了预防性周边虹膜切开术）。自发进展显示主要子午线上的房角自发重新开放。
