Skopiński Piotr, Szulborski Kamil, Struzik Ewa, Ambroziak Anna M, Langwińska-Wośko Ewa
Department of Ophthalmology, Medical University of Warsaw, Warsaw, Poland; Department of Histology and Embryology, Biostructure Center, Medical University of Warsaw, Warsaw, Poland.
Department of Ophthalmology, Medical University of Warsaw, Warsaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2016 Jan;10(4):589-92. doi: 10.5114/wiitm.2015.55690. Epub 2015 Nov 20.
We present a case of diagnostic and surgical management in an amblyopic eye following penetrating trauma in childhood. The 75-year-old female patient experienced the trauma at the age of 4. The eye was amblyopic, but after thorough investigations (ultrasonography, ultrabiomicroscopy, visual evoked potentials) the eye underwent anterior segment reconstruction. Visual evoked potentials allowed us to assess optic nerve function, while ultrabiomicroscopy allowed us to plan the surgical procedure. Although we observed quite a small visual acuity improvement, the subjective improvement reported by the patient was fairly significant (NEI VFQ-25 questionnaire). The cosmetic effect of the black pupil was also important.
我们介绍了一例儿童期穿透性创伤后弱视眼的诊断和手术治疗病例。这位75岁的女性患者在4岁时遭受了创伤。患眼为弱视,但经过全面检查(超声检查、超声生物显微镜检查、视觉诱发电位)后,该眼接受了前段重建手术。视觉诱发电位使我们能够评估视神经功能,而超声生物显微镜检查则有助于我们规划手术过程。尽管我们观察到视力仅有小幅提高,但患者报告的主观改善相当显著(使用NEI VFQ - 25问卷评估)。黑色瞳孔的美容效果也很重要。