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钝性眼外伤后晶状体后囊破裂伴晶状体碎片疝出。

Posterior capsule rupture with herniation of lens fragment following blunt ocular trauma.

作者信息

Choudhary Neeru, Verma Sameer R, Sagar Shubhda, Fatima Eram

机构信息

Department of Radiodiagnosis and Imaging, Subharti Medical College, Meerut, Uttar Pradesh, India.

出版信息

Int Med Case Rep J. 2016 Sep 30;9:305-307. doi: 10.2147/IMCRJ.S117911. eCollection 2016.

Abstract

Posterior capsule rupture with herniated lens fragment in the vitreous cavity on magnetic resonance imaging has not been reported in India until now; however, it has been reported in other countries. Therefore, this study reports the case of a 15-year-old boy presenting with posttraumatic loss of vision in the right eye due to posterior capsular rupture and herniation of lens material into the vitreous cavity, which was detected by B-scan ultrasonography and magnetic resonance imaging as no ophthalmic examination was possible due to the posttraumatic cataract. The patient was treated by lens aspiration with anterior chamber vitrectomy and placement of posterior chamber intraocular lens, with the patient achieving 6/6 visual acuity postoperatively. This case is unusual due to the rarity of the findings, and it highlights the crucial role of imaging in achieving timely diagnosis and surgery to restore vision in the affected eye.

摘要

在印度,磁共振成像显示后囊破裂并伴有晶状体碎片疝入玻璃体腔的情况此前尚未见报道;然而,其他国家已有相关报道。因此,本研究报告了一例15岁男孩的病例,该男孩因后囊破裂和晶状体物质疝入玻璃体腔导致右眼创伤后视力丧失,由于创伤性白内障无法进行眼科检查,通过B超超声检查和磁共振成像检测到了上述情况。患者接受了晶状体抽吸联合前房玻璃体切除术,并植入了后房型人工晶状体,术后视力达到6/6。该病例因这些发现的罕见性而不同寻常,它凸显了成像在及时诊断和手术以恢复患眼视力方面的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9865/5053389/3b37c7bc52f5/imcrj-9-305Fig1.jpg

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