Baur Isabella Diana, Mayer Christian Steffen, Storr Julia, Khoramnia Ramin
Department of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.
Ophthalmology Clinic and Polyclinic, Technical University of Munich, Munich, Germany.
Am J Ophthalmol Case Rep. 2022 Apr 20;26:101545. doi: 10.1016/j.ajoc.2022.101545. eCollection 2022 Jun.
We present the case of a severe golf related ocular injury that affected the anterior and posterior segment. Treatment included primary surgical closure of the traumatic wound and secondary reconstruction of the iris-lens-diaphragm to correct aphakia and traumatic mydriasis and iridodialysis.
A 62-year-old woman presented to our clinic with severe ocular contusion after she had been hit by a golf ball in the right eye. We observed iridodialysis, traumatic mydriasis and luxation of the crystalline lens into the vitreous body as well as Berlin's edema and retinal tears. The patient underwent primary surgical closure of the traumatic wound and, 6 months later, combined Intraocular lens (IOL) and Customflex Artificial (AI, HumanOptics, Erlangen, Germany) implantation. Uncorrected distance visual acuity was hand movement after primary surgical closure of the traumatic wound. After secondary reconstruction of the iris-lens-diaphragm, corrected distance visual acuity was 0.30 logMAR. Subjective impairment from glare could effectively be reduced and the patient was very satisfied with the aesthetic result.
Combined AI and IOL implantation can successfully restore visual acuity and reduce sensitivity to glare while providing an excellent aesthetic result in patients with a history of severe blunt ocular trauma, even in cases with a poor visual acuity prognosis.
我们报告一例与高尔夫运动相关的严重眼外伤病例，该外伤累及眼前段和眼后段。治疗包括对创伤伤口进行一期手术缝合，以及对虹膜 - 晶状体 - 隔膜进行二期重建，以矫正无晶状体、外伤性瞳孔散大及虹膜根部离断。
一名62岁女性因右眼被高尔夫球击中后出现严重眼挫伤前来我院就诊。我们观察到虹膜根部离断、外伤性瞳孔散大、晶状体脱位至玻璃体腔，以及柏林水肿和视网膜裂孔。患者接受了创伤伤口的一期手术缝合，6个月后，进行了人工晶状体（IOL）与Customflex人工晶状体（AI，德国爱尔朗根HumanOptics公司）联合植入。创伤伤口一期手术缝合后，未矫正的远视力为手动。虹膜 - 晶状体 - 隔膜二期重建后，矫正远视力为0.30 logMAR。眩光引起的主观不适得到有效减轻，患者对美学效果非常满意。
对于有严重钝性眼外伤史的患者，即使视力预后较差，联合植入AI和IOL仍可成功恢复视力、降低眩光敏感度，并提供出色的美学效果。
