Reddy S C
Department of Ophthalmology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Int J Ophthalmol. 2011;4(3):326-8. doi: 10.3980/j.issn.2222-3959.2011.03.25. Epub 2011 Jun 18.
A case of retained intralenticular iron piece with signs of mild anterior uveitis at the time of presentation is reported in a 45 year-old man. His vision improved with topical cycloplegics and corticosteroids. After six months, his vision deteriorated grossly due to cataract formation. He regained good vision following removal of foreign body, extracapsular extraction with posterior chamber intraocular lens implantation. This case highlights the conservative management of the condition till the patient develops cataract resulting in visual disability; and good visual recovery following cataract surgery with intraocular lens implantation.
报道了一例45岁男性患者，就诊时晶状体内部有铁屑残留并伴有轻度前葡萄膜炎体征。使用局部睫状肌麻痹剂和皮质类固醇后，他的视力有所改善。六个月后，由于白内障形成，他的视力严重恶化。取出异物、行囊外摘除术并植入后房型人工晶状体后，他恢复了良好的视力。该病例强调了在患者因白内障导致视力残疾之前对病情进行保守治疗；以及白内障手术联合人工晶状体植入术后良好的视力恢复情况。
