Lau Stephen V, Kansakar Prerana, Limbu Ben
University of Sheffield Medical School, Sheffield, UK.
Nepal J Ophthalmol. 2014 Jul-Dec;6(2):230-3. doi: 10.3126/nepjoph.v6i2.11714.
Few cases have been reported describing anterior lens capsule ruptures secondary to blunt trauma.
We present an unusual case of anterior lens capsule ruptures following minor trauma from a human elbow with a two-year history of minimal-change glomerulopathy in a 17-year-old male. In addition to having bilateral posterior subcapsular cataracts, he developed an anterior subcapsular cataract underlying the anterior lens rupture in the right eye. He was managed conservatively.
The current case differs from those of the existing literature in terms of the characteristics of the physical insult and the eye on presentation. We suggest there could be a predisposing anterior capsule weakness secondary to the minimal-change glomerulopathy or the associated drug therapy, but there needs to be more evidence to confirm or refute our claim.
Anterior lens capsule may rupture following minor trauma on a background of minimal-change glomerulopathy.
很少有病例报告描述钝性创伤继发的晶状体前囊破裂。
我们报告一例不同寻常的病例,一名17岁男性因被人肘部轻微撞击而导致晶状体前囊破裂,该患者有两年的微小病变型肾小球病病史。除双侧后囊下白内障外,他右眼晶状体前破裂下方还出现了前囊下白内障。对其进行了保守治疗。
当前病例在身体损伤特征和就诊时眼部情况方面与现有文献中的病例不同。我们认为,微小病变型肾小球病或相关药物治疗可能导致晶状体前囊预先存在薄弱,但需要更多证据来证实或反驳我们的观点。
在微小病变型肾小球病背景下,轻微创伤可能导致晶状体前囊破裂。