Gupta A K, Ghosh B, Mazumdar S, Gupta A
Maulana Azad Medical College, New Delhi, India.
Acta Ophthalmol Scand. 1996 Apr;74(2):200-1. doi: 10.1111/j.1600-0420.1996.tb00072.x.
Retained intraocular cilia embedded in the retina are extremely rare. A report of an unusual case of cilia embedded in posterior retina is presented along with a review of available literature. A 22-year-old male presented with a history of diminished vision and metamorphopsia 1 month after the successful repair of an ocular perforation. Anterior segment examination revealed a sutured superotemporal limbal tear with a surgical iris coloboma and a normally positioned clear lens. Ophthalmoscopic examination revealed a normal optic disc, macular striations and 2 cilia embedded in the retina approximately 2 disc diameters superotemporal to fovea. Vitrectomy with removal of cilia and endolaser was performed. This unusual case shows that cilia may become embedded intraocularly during an ocular perforation and that transvitreal removal may be a preferred mode of therapy with the availability of sophisticated vitreoretinal instrumentation.
嵌顿于视网膜内的眼内睫状体极为罕见。本文报告了一例睫状体嵌顿于视网膜后部的罕见病例,并对现有文献进行了综述。一名22岁男性在眼穿孔成功修复1个月后出现视力下降和视物变形的症状。眼前节检查发现颞上缘角膜缘有缝合的撕裂伤,伴有手术性虹膜缺损,晶状体位置正常且透明。眼底检查显示视盘正常,黄斑有条纹,在黄斑中心凹颞上方约2个视盘直径处有2根睫状体嵌顿于视网膜内。遂行玻璃体切割术以取出睫状体并行眼内激光光凝。这一罕见病例表明,睫状体可能在眼穿孔时嵌顿于眼内,并且在有先进的玻璃体视网膜手术器械的情况下,经玻璃体取出可能是一种首选的治疗方式。