Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Eur J Ophthalmol. 2022 Sep;32(5):NP64-NP66. doi: 10.1177/11206721211016982. Epub 2021 May 13.
A 45-year-old male presented with a slowly progressive, painless swelling in his right eye for the past 6 months. He had undergone an open globe injury repair 10 years back and an eventful cataract surgery 5 years back. The presenting visual acuity in the affected eye was perception of light with inaccurate projection of rays. The intraocular pressure was 44 mm Hg with advanced glaucomatous cupping. The swelling was identified to be a communicating sub-tenon cyst secondary to scleral wound dehiscence from secondary angle closure glaucoma. Wound re-suturing, cyst excision and diode laser cyclophotocoagulation was performed in a single sitting, with explained poor visual prognosis.
一位 45 岁男性,因右眼进行性无痛性肿胀就诊,病史长达 6 个月。他曾于 10 年前接受过开放性眼球损伤修复术,5 年前接受过一次复杂的白内障手术。患眼目前的视力仅为光感,光定位不准。眼压 44mmHg,伴有晚期青光眼性杯状凹陷。肿胀被确定为巩膜伤口裂开导致的交通性皮下囊,继发闭角型青光眼。在一次手术中进行了伤口重新缝合、囊肿切除和二极管激光睫状体光凝,并向患者解释了较差的视力预后。