Chaniyara Manthan Hasmukhbhai, Pujari Amar, Aron Neelima, Sharma Namrata
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2017 Jul 26;2017:bcr-2017-220579. doi: 10.1136/bcr-2017-220579.
A 12-year-old boy was brought with the chief complaint of diminution of vision in his left eye for the past 1 month. History revealed a blunt trauma to his left eye with a wooden stick 6 weeks ago.Visual acuity was 20/20 and hand movement close to face in right and left eye, respectively, without any relative afferent pupillarydefect. Slit-lamp examination showed a total cataractous lens with signs suggestive of suspected posterior capsular (PC) defect. The PC defect was screened initially using B-scan ultrasound of the posterior segment, followed by confirmation of the same using ultrasound biomicroscopy. Left eye lens aspiration along with limited anterior vitrectomy followed by placement of multipiece intraocular lens in the sulcus was performed. Best-corrected visual acuity at 6 months of follow-up was 20/20.
一名12岁男孩因左眼视力下降1个月前来就诊。病史显示6周前他的左眼被木棍钝击。右眼视力为20/20,左眼仅能在靠近面部处看到手动,均无相对传入性瞳孔障碍。裂隙灯检查显示晶状体完全混浊,有提示后囊(PC)缺损的迹象。最初使用眼部B超筛查后段,随后通过超声生物显微镜检查确诊PC缺损。进行了左眼晶状体吸出术并联合有限的前部玻璃体切除术,随后在睫状沟植入多片式人工晶状体。随访6个月时最佳矫正视力为20/20。