Ahuja Nisha, Maherda Lakshita, Dubey Karishma
Ophthalmology, Sankara Academy of Vision, Anand, IND.
Ophthalmology, Sankara Eye Hospital, Anand, IND.
Cureus. 2024 Dec 9;16(12):e75416. doi: 10.7759/cureus.75416. eCollection 2024 Dec.
This study details two cases of traumatic cataracts with a history of blunt trauma. Both presented with progressive vision loss, mydriasis, and zonular dialysis. The surgical intervention involved complete cataractous lens removal, anterior vitrectomy, iris cerclage with 10-0 prolene sutures, and retropupillary iris-claw lens fixation. Postoperative outcomes showed significant visual acuity improvements: vision reached 6/12 with correction in both cases. These findings suggest that combining iris cerclage with retropupillary iris-claw lens implantation is a safe, faster, and effective strategy for managing traumatic cataracts, offering substantial visual rehabilitation with minimal complications.
本研究详细介绍了两例有钝器伤史的外伤性白内障病例。两例患者均表现为进行性视力丧失、瞳孔散大及晶状体悬韧带脱离。手术干预包括完全摘除白内障晶状体、前部玻璃体切除术、用10-0普理灵缝线进行虹膜环扎以及瞳孔后虹膜爪状晶状体固定术。术后结果显示视力有显著改善：两例患者经矫正后视力均达到6/12。这些发现表明，将虹膜环扎术与瞳孔后虹膜爪状晶状体植入术相结合是治疗外伤性白内障的一种安全、快速且有效的策略，能以最少的并发症实现显著的视力康复。
