Hashmani Nauman, Saleem Mariam, Rajani Hina, Hashmani Sharif
Dow Medical College.
Hashmanis Hospital, Karachi.
J Pak Med Assoc. 2017 Jul;67(7):1124-1126.
We are presenting a traumatic dislocation of a Phakic intraocular lens (PIOL) secondary to a blunt trauma to the right eye. The patient presented with a sudden blurring of vision with no other associated injury. His slit lamp examination showed disenclavation of the temporal clip and pre-operatively his best spectacle-corrected visual acuity (BSCVA) was 6/36. The patient was brought to the operating room where his lens was repositioned and re-enclaved. He had a complete restoration of vision with a BSCVA of 6/9 and an endothelial cell count of 2786/mm2. We conclude that a traumatic dislocation of an iris-claw PIOL can be successfully corrected without immediate postoperative complications and endothelial cell count loss.
我们报告一例因右眼钝挫伤导致的有晶状体眼人工晶状体（PIOL）外伤性脱位。患者表现为视力突然模糊，无其他相关损伤。裂隙灯检查显示颞侧夹片脱离，术前其最佳矫正视力（BSCVA）为6/36。患者被送往手术室，术中人工晶状体被重新定位并重新固定。术后其视力完全恢复，BSCVA为6/9，内皮细胞计数为2786/mm²。我们得出结论，虹膜爪型PIOL外伤性脱位可以成功矫正，且术后无即刻并发症和内皮细胞计数丢失。
