Čabrić Emir, Zvorničanin Jasmin, Jusufović Vahid
Policlinic Doboj-Jug, Matuzići, 2Eye Clinic, University Clinical Centre of Tuzla, Tuzla; Bosnia and Herzegovina.
Med Glas (Zenica). 2013 Feb;10(1):188-90.
A 24-year old man presented to the Policlinic with severe visual impairment in his left eye. The patient had been treated earlier with Iodine-125 brachytherapy due to iris melanoma. Clinical examination revealed low visual acuity, filtration device, iris atrophy, posterior synachiae and completely white cataract. Ultrasonography revealed scleral thinning with no signs of retinal detachment. The patient underwent synechiolysis, trypan blue capsule staining, phacoemulsification and implantation of 23D intraocular lens Alcon AcrySof (MA60BM). Phacoemulsification went uneventful and early postoperative recovery was successful. Visual acuity improved to 0,2 and fundus examination revealed radiation retinopathy with diffuse retinal scaring.
一名24岁男性因左眼严重视力障碍前往门诊就诊。该患者此前因虹膜黑色素瘤接受了碘-125近距离放射治疗。临床检查发现视力低下、滤过装置、虹膜萎缩、后部粘连以及完全性白色白内障。超声检查显示巩膜变薄，无视网膜脱离迹象。患者接受了粘连松解术、台盼蓝囊膜染色、超声乳化术以及植入爱尔康AcrySof 23D人工晶状体（MA60BM）。超声乳化术过程顺利，术后早期恢复成功。视力提高到0.2，眼底检查显示放射性视网膜病变伴弥漫性视网膜瘢痕形成。
