Mutoh Tetsuya, Tien Thomas, Horie Megumi, Matsumoto Yukihiro, Chikuda Makoto
Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan.
Clin Ophthalmol. 2012;6:261-3. doi: 10.2147/OPTH.S28990. Epub 2012 Feb 17.
We report a case of bilateral complete dislocation of lenses into the vitreous cavities due to elder abuse in a patient with senile dementia. According to the patient's son, bilateral complete lens dislocation occurred after he hit his father in the head with socks in order to control his violent behavior. Although the patient was taken to our ophthalmological ward for a planned vitrectomy, restlessness and inability to remain in his room during the night led to his leaving the hospital. The patient has not returned but did receive a vitrectomy at another clinic. While the number of patients with senile dementia has dramatically increased, no specific remedy is currently available. When treating medical concerns of seniors with unknown backgrounds, elder abuse needs to be considered as a potential cause of such injuries.
我们报告一例因虐待老人导致患有老年痴呆症的患者双侧晶状体完全脱位至玻璃体腔的病例。据患者儿子称，为控制其暴力行为，他用袜子击打父亲头部后，患者双侧晶状体发生了完全脱位。尽管该患者被送至我们的眼科病房计划进行玻璃体切除术，但夜间的烦躁不安和无法待在病房导致他离开了医院。患者未再回来，但在另一家诊所接受了玻璃体切除术。虽然老年痴呆症患者数量急剧增加，但目前尚无特效疗法。在治疗背景不明的老年人的医疗问题时，需要考虑虐待老人是此类损伤的潜在原因。
