Zhou Dan-Dan, Gao Ling, Guo Kai-Min, Hao Ji-Long, Lu Cheng-Wei
Department of Radiology, The First Hospital of Jilin University, Changchun, China.
Department of Radiation Oncology, The First Hospital of Jilin University, Changchun, China.
Case Rep Ophthalmol. 2015 Aug 11;6(2):269-71. doi: 10.1159/000439021. eCollection 2015 May-Aug.
To describe a case of free migration of intraocular glass in aphakia after glaucoma surgery.
We report the case of a 27-year-old man with a history of perforating injury to the right eye 10 years previously and glaucoma surgery 1 year previously presenting with 1 month of pain and frequent floaters in front of the right eye. On examination, the glass fragment was seen to lie free in the anterior chamber or migrate backwards through the pupil, remaining mobile on the inferior retinal surface when the patient was prone or supine, respectively.
The fragment was surgically removed.
Late migration of glass intraocular foreign bodies is a rare clinical entity, and the exact mechanism causing the migration of intraocular glass remains controversial. Early intervention must be weighed against the hazards of removal and the necessity of close follow-up.
描述青光眼手术后无晶状体眼内玻璃异物自由移动的一例病例。
我们报告了一名27岁男性的病例，该患者10年前右眼有穿孔伤史，1年前接受了青光眼手术，现出现右眼疼痛1个月且眼前常有漂浮物。检查发现，玻璃碎片在前房内自由游动，或通过瞳孔向后移动，患者俯卧或仰卧时，碎片分别在视网膜下表面保持移动。
通过手术取出了碎片。
玻璃体内眼内异物的晚期移动是一种罕见的临床情况，导致眼内玻璃移动的确切机制仍存在争议。必须权衡早期干预与取出的风险以及密切随访的必要性。
