Bin Mohammad Salmi Muhammad Syamil, Mahmud Mazaya Binti, Razali Amirah Binti, Md Salleh Rafidah Binti
Department of Ophthalmology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
Cureus. 2022 Jun 13;14(6):e25898. doi: 10.7759/cureus.25898. eCollection 2022 Jun.
Soemmering's ring and spontaneous lens absorption are two distinct conditions that are uncommon and unlikely to occur simultaneously. We report a case of a 67-year-old man who presented with blurred vision in his left eye and has had poor eyesight since birth. His right and left eye visual acuities were 6/7.5 and hand movement (HM), respectively. There was no relative afferent pupillary defect (RAPD). The right eye's examination was unremarkable. The left eye revealed a spontaneous rupture of the anterior lens capsule with partially absorbed lens material and the presence of Soemmering's ring. There was no evidence of phacodonesis. The left fundus appeared slightly hazy, while the retina appeared flat. Extraction of the left eye lens was performed for the patient, and he was left aphakic. In this case, the patient's Soemmering's ring was linked to the ruptured anterior lens capsule followed by spontaneous partial absorption of lens material, which caused deposition of residual lens filaments near the equator of the capsule sac. In addition to ocular trauma, patients with congenital rubella infection of the eye, uveitis, and Morgagnian cataract have reported spontaneous absorption of lens material. The exact mechanism by which cataracts dissolve spontaneously is unlikely to be the same in all patients. This patient who has had an unsightly left eye since birth is presumed to have been born with an ocular infection complicated by amblyopia. The presence of both the Soemmering's ring and spontaneous lens absorption is unusual in this case. Early attention to the precious fellow eye is critical to ensure that the other unaffected eye maintains an adequate vision and allows independent patient mobility.
泽默林环和晶状体自发吸收是两种不同的情况,较为罕见且不太可能同时发生。我们报告一例67岁男性病例,该患者左眼视力模糊,自出生以来视力一直不佳。他的右眼和左眼视力分别为6/7.5和手动(HM)。没有相对传入性瞳孔障碍(RAPD)。右眼检查未见异常。左眼显示前囊膜自发破裂,晶状体物质部分吸收,存在泽默林环。没有晶状体震颤的证据。左眼眼底略显模糊,视网膜看起来扁平。为该患者进行了左眼晶状体摘除术,术后他成为无晶状体眼。在本病例中,患者的泽默林环与前囊膜破裂有关,随后晶状体物质自发部分吸收,导致残留晶状体细丝沉积在囊袋赤道附近。除眼外伤外,眼部先天性风疹感染、葡萄膜炎和莫尔加尼白内障患者也有晶状体物质自发吸收的报道。白内障自发溶解的确切机制在所有患者中不太可能相同。该患者自出生以来左眼外观不佳,推测出生时患有眼部感染并伴有弱视。在本病例中同时出现泽默林环和晶状体自发吸收的情况并不常见。早期关注宝贵的另一只眼对于确保另一只未受影响的眼睛保持足够视力并使患者能够独立活动至关重要。