Wiechens B, Behrendt S, Rochels R
Klinik für Ophthalmologie, Christian-Albrechts-Universität zu Kiel.
Klin Monbl Augenheilkd. 1993 Dec;203(6):430-2. doi: 10.1055/s-2008-1045701.
The posterior lentiglobe is a rare anomaly of the lens shape. Two cases of excentric protuberance of the posterior capsule are presented. To our knowledge, only one description of a similar case exists so far.
An eight-year-old girl (diagnosis by routine examination, V.A. 20/20) and a six-year-old boy (V. A. 20/200, esotropia) are presented. Apart from a persistent hyperplastic primary vitreous and a posterior pole cataract a vitreous cyst adherent to the posterior surface of the lens has to be considered as differential diagnosis. The etiology remains unclear.
In excentric posterior lengtiglobe a good vision is possible. However, if visual acuity is impaired by posterior pole opacity or distortion of the spherical surface, removal of the lens followed by optical correction (contact lens, intraocular lens) of aphakia should be performed.
晶状体后球形突出是一种罕见的晶状体形态异常。本文报告两例后囊偏心性突出病例。据我们所知，目前仅有一例类似病例的描述。
本文介绍了一名8岁女孩（通过常规检查确诊，视力20/20）和一名6岁男孩（视力20/200，内斜视）。除了永存原始玻璃体增生症和后极性白内障外，附着于晶状体后表面的玻璃体囊肿也必须作为鉴别诊断考虑在内。病因尚不清楚。
对于偏心性晶状体后球形突出，视力有可能良好。然而，如果后极性混浊或球面变形导致视力受损，则应摘除晶状体，随后对无晶状体眼进行光学矫正（佩戴隐形眼镜、人工晶状体）。
