Mansour Hana A, Mansour Ahmad M
Ophthalmology, American University of Beirut Faculty of Medicine, Beirut, Lebanon.
Ophthalmology, American University of Beirut Faculty of Medicine, Beirut, Lebanon
BMJ Case Rep. 2021 Jan 20;14(1):e238970. doi: 10.1136/bcr-2020-238970.
This 75-year-old woman had phacomorphic angle closure, dense nuclear sclerosis, deep set eye, miotic pupil and tight corneal wound during phacoemulsification. Phacoemulsification wound burn was noted at the end of surgery. Tenon was harvested from the inferior conjunctiva, placed over the gape and anchored by two radial corneoscleral 10-0 nylon. Ten days later, anterior optical coherence tomography showed good wound apposition and sutures were removed with visual recovery to 20/25 (6/7.5) without astigmatism.
这位75岁女性患有晶状体膨胀性房角关闭、致密核硬化、眼深陷、瞳孔缩小以及白内障超声乳化手术期间角膜伤口紧密。手术结束时发现白内障超声乳化伤口灼伤。从下结膜采集Tenon囊,覆盖在伤口裂开处,并用两根放射状角膜巩膜10-0尼龙线固定。十天后,眼前段光学相干断层扫描显示伤口对合良好,拆除缝线后视力恢复到20/25(6/7.5),且无散光。