Pujari Amar, Swamy Deepa R, Selvan Harathy, Chawla Rohan
Department of Ophthalmology, Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, Delhi, New Delhi, India.
BMJ Case Rep. 2017 Aug 3;2017:bcr-2017-221210. doi: 10.1136/bcr-2017-221210.
A 15-year-old male patient with the history of bilateral operated congenital cataract surgery 5 years back now presents with gradual painless diminution of visual acuity in left eye following a blunt trauma with a fist. Ocular examination showed a well-defined slightly bluish-tinged limbal-based conjunctival cyst without any irregularities in the anterior chamber/pupil. Intraocular pressures were 16 mm Hg in the right eye and 10 mm Hg in the left eye; retinal examination showed findings consistent with hypotonic maculopathy. Anterior segment ultrasound biomicroscopy revealed a well-defined limbal cyst with anterior chamber communication. Under local anaesthesia, the cyst was completely excised with the reconstruction of the sclerocorneal defect. At the end of 6 months, the patient is symptom-free with pretraumatic visual acuity.
一名15岁男性患者，5年前曾接受双侧先天性白内障手术，现因拳击钝器伤后左眼视力逐渐无痛性下降前来就诊。眼部检查发现，有一个边界清晰、略带蓝色的角膜缘结膜囊肿，前房/瞳孔无任何异常。右眼眼压为16毫米汞柱，左眼眼压为10毫米汞柱；视网膜检查结果符合低张性黄斑病变。前段超声生物显微镜检查显示有一个边界清晰的角膜缘囊肿与前房相通。在局部麻醉下，完整切除囊肿并重建巩膜角膜缺损。6个月末，患者无症状，视力恢复至受伤前水平。
