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家庭暴力受害者晶状体脱位至前房的处理

Management of crystalline lens dislocation into the anterior chamber in a victim of domestic violence.

作者信息

Georgalas Ilias, Ladas Ioannis, Papacostantinou Dimitris, Taliatzis Sergios, Koutsandrea Chryssanthi

机构信息

Department of Ophthalmology, G.Gennimatas Hospital of Athens, University of Athens, Athens, Greece.

出版信息

Clin Exp Optom. 2012 Jan;95(1):113-5. doi: 10.1111/j.1444-0938.2011.00637.x. Epub 2011 Oct 21.

DOI:10.1111/j.1444-0938.2011.00637.x
PMID:22017674
Abstract

A 53-year-old woman presented with a right eye injury due to domestic violence. The crystalline lens in that eye was completely dislocated into the anterior chamber, fixated by the cornea and the iris. Fundoscopy showed a mild vitreous haemorrhage and a giant retinal tear. A modified lensectomy with a fragmatome was performed. During this procedure the capsule was preserved first to minimise the risk of corneal damage and second to reduce vitreous traction, which would repair the giant retinal tear.

摘要

一名53岁女性因家庭暴力导致右眼受伤。该眼的晶状体完全脱位至前房,被角膜和虹膜固定。眼底检查显示轻度玻璃体出血和巨大视网膜裂孔。采用晶状体切割器进行了改良晶状体切除术。在此手术过程中,首先保留晶状体囊以尽量降低角膜损伤风险,其次减少玻璃体牵引,从而修复巨大视网膜裂孔。

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