Mansour Ahmad M, Jaroudi Mahmoud O, Hamam Rola N, Maalouf Fadi C
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
Clin Ophthalmol. 2014 Nov 28;8:2403-7. doi: 10.2147/OPTH.S73990. eCollection 2014.
Closed-globe traumatic cataract is not uncommon in males in the pediatric age group. However, there is a relative paucity of literature on isolated posterior lens capsule rupture associated with closed-globe traumatic cataract. We report a case of a 6-year-old boy who presented with white cataract 1 day after blunt trauma to the forehead associated with posterior capsular rupture that was detected by B-scan ultrasonography preoperatively. No stigmata of trauma outside the posterior capsule could be detected by slit-lamp exam, funduscopy, and optical coherence tomography. Phacoemulsification with posterior chamber intraocular lens implant was performed 24 hours after trauma, with the patient achieving 6/6 visual acuity 1 week and 6 months after surgery. Our case is unique, being the youngest (amblyogenic age) to be reported, with prompt surgical intervention, and with no signs of trauma outside the posterior capsule.
闭合性眼球外伤所致白内障在小儿男性中并不少见。然而，关于与闭合性眼球外伤白内障相关的孤立性晶状体后囊破裂的文献相对较少。我们报告一例6岁男孩，在前额钝挫伤1天后出现白色白内障，术前经B超检查发现伴有后囊破裂。裂隙灯检查、眼底镜检查和光学相干断层扫描均未发现后囊外的外伤痕迹。外伤后24小时进行了超声乳化白内障吸除联合后房型人工晶状体植入术，术后1周和6个月患者视力达到6/6。我们的病例很独特，是报道中年龄最小（易致弱视年龄）的，手术干预及时，且后囊外无外伤迹象。
