Sankara Nethralaya, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2011 Sep-Oct;59(5):396-8. doi: 10.4103/0301-4738.83623.
A 55-year-old woman, with history of cataract surgery 1 year back, presented with features of ocular inflammation for last 3 months. She had no history of any other intraocular surgery. On examination, anterior segment showed frothy material in the inferior angle with moderate anterior chamber reaction (cells+/flare+) and sulcus intraocular lens with large posterior capsule rent. Fundoscopy showed multiple, small to medium-sized transparent bubbles of perfluorocarbon liquid (PFCL) with membranes in the vitreous cavity. Ultrasonography confirmed the presence of PFCL in the vitreous cavity. Pars plana vitrectomy with anterior chamber wash was done which led to good visual recovery. To conclude, retained PFCL can cause late onset fibrinous inflammation after a quiescent period but surgical intervention may lead to good visual outcome.
一位 55 岁女性,1 年前行白内障手术,3 个月来出现眼部炎症表现。她没有其他眼内手术史。检查发现前节下角有泡沫状物质,伴有中等程度的前房反应(细胞+/闪光+)和巩膜内眼晶状体伴大后囊撕裂。眼底镜检查显示玻璃体腔内有多个小至中等大小的氟碳液体(PFCL)透明气泡和膜。超声检查证实玻璃体腔内存在 PFCL。行睫状体平坦部玻璃体切除术联合前房冲洗,视力恢复良好。总之,PFCL 残留可在静止期后引起迟发性纤维蛋白炎症,但手术干预可能导致良好的视力结果。