Department of Ophthalmology, Narayana Nethralaya Eye Institute, Bangalore, Karnataka, India.
Indian J Ophthalmol. 2020 Dec;68(12):3072-3074. doi: 10.4103/ijo.IJO_2905_20.
Ocular trauma can range from trivial to significant, with varying implications on the visual acuity and prognosis. A 32-year-old woman presented with complaints of blurring of vision following blunt ocular trauma with a previous history of having undergone implantable phakic contact lens (IPCL V2.0) implantation 2 years back. The corrected distance visual acuity (CDVA) was 20/20 in the right eye and 20/30 in the left eye. Slit-lamp examination revealed a prolapse of inferonasal IPCL footplate into the anterior chamber with pupillary entrapment. No corneal endothelial touch was noted. Immediate repositioning of the IPCL was performed and the patient regained a CDVA of 20/20 in the left eye, postoperatively. Traumatic dislocation of IPCL is a rare occurrence, which can be successfully managed by prompt surgery, thus avoiding further complications like corneal endothelial decompensation.
眼部创伤的严重程度不一，对视力和预后的影响也各不相同。一名 32 岁女性因钝挫伤就诊，2 年前曾行有晶状体眼人工晶状体（ICPL V2.0）植入术。右眼矫正视力（CDVA）为 20/20，左眼为 20/30。裂隙灯检查显示鼻下方 IPCL 足板部分脱出至前房，瞳孔被嵌顿。未观察到角膜内皮接触。立即对 ICPL 进行复位，术后左眼 CDVA 恢复至 20/20。ICPL 外伤性脱位较为罕见，及时手术可成功治疗，从而避免角膜内皮失代偿等进一步并发症。
