复杂晶状体不全脱位1例  

A case of complex lens subluxation

作　　者：王倩怡 陈佳惠 蒋永祥 WANG Qianyi;CHEN Jiahui;JIANG Yongxiang(Department of Ophthalmology,Eye&ENT Hospital,Fudan University,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2021年第S01期56-60,共5页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：57岁女性,因"右眼木棍击伤后无痛性视力下降1年"入院。患者右眼晶状体混浊C3N2P1、轻度震颤,超声生物显微镜(UBM)提示睫状体分离;光学相干层析成像(OCT)提示视网膜水肿、中心凹处椭圆体带中断和视网膜色素上皮(RPE)萎缩。诊断为右眼睫状体分离、外伤性晶状体不全脱位、外伤性白内障、视网膜挫伤,行白内障超声乳化及囊袋内张力环植入联合改良囊袋张力环睫状沟内顶压术治疗。讨论体会:外伤后睫状体脉络膜脱离同时伴有低眼压要考虑睫状体分离存在可能;合并白内障的睫状体分离患者,改良囊袋张力环睫状沟内顶压联合超声乳化术是一种安全、有效、可选择的术式。A 57-year-old woman was admitted to hospital with“painless vision loss for 1 year after a stick injury to her right eye”.The right eye lens was C3N2P1 and slightly shaken,UBM suggested“cyclodialysis cleft”,and OCT suggested“retinal edema,disruption of ellipsoid zone in fovea and RPE atrophy”.The diagnosis was“cyclodialysis cleft,traumatic lens subluxation,traumatic cataract,retinal contusion”.The surgery for cyclodialysis cleft repair and cataract management by phacoemulsification combined with internal tamponade using modified capsular tension ring insertion was performed.Discussion and experience:the possibility of cyclodialysis cleft should be considered after traumatic ciliochoroidal detachment and low intraocular pressure.For patients with cyclodialysis cleft complicated with cataract,phacoemulsification combined with modified capsular tension ring insertion might be safe,effective and optional.

关 键 词：睫状体分离 晶状体不全脱位 改良囊袋张力环 

分 类 号：R779.6[医药卫生—眼科]