Iida Michiko, Mimura Tatsuya, Goto Mari, Kamei Yuko, Kondo Aki, Saito Yusuke, Okuma Hiroko, Matsubara Masao
Department of Ophthalmology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
Open Ophthalmol J. 2015 Mar 31;9:33-5. doi: 10.2174/1874364101509010033. eCollection 2015.
To report the clinical and histopathological findings of a patient who had bilateral persistent pupillary membrane with exotropia and high hyperopia.
A 7-year-old boy presented with a persistent pupillary membrane in both eyes. His best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/32 in the left eye with exotropia of 18 prism diopters. He underwent surgical resection of both membranes. At 5 months postoperatively, BCVA was 20/20 with final bilateral refraction of +6.5 D in both eyes. Exotropia and photophobia showed improvement immediately after surgery. Histopathological examination revealed typical features of normal iris tissue in the excised membranes.
Bilateral persistent pupillary membranes were excised successfully without injury to other ocular tissues, including the crystalline lens. Surgical treatment may be required for the management of persistent pupillary membrane associated with visual impairment such as exotropia or photophobia.
报告一例患有双侧持续性瞳孔膜伴外斜视和高度远视患者的临床及组织病理学检查结果。
一名7岁男孩双眼存在持续性瞳孔膜。其最佳矫正视力(BCVA)右眼为20/20,左眼为20/32,伴有18棱镜度的外斜视。他接受了双侧膜切除术。术后5个月,BCVA为20/20,双眼最终双侧屈光度均为+6.5D。外斜视和畏光在手术后立即有所改善。组织病理学检查显示切除的膜具有正常虹膜组织的典型特征。
双侧持续性瞳孔膜被成功切除,未损伤包括晶状体在内的其他眼组织。对于与视力损害如外斜视或畏光相关的持续性瞳孔膜,可能需要手术治疗。