微創傷口之超音波晶體乳化術提供外傷性白內障合併水晶體內異物個案良好視力之個案報告

Abstract

背景與目的：眼內異物會因為不同的情況影響到視力的預後，包含受傷的機轉、異物的構成、位置等。創傷性白內障合併水晶體內異物為罕見眼科急症，我們提出一個水晶體內異物的案例，在階段性手術後得到良好視力預後‧方法：回溯性個案報告‧結果：這是一位59歲女性，因鐵屑噴入右眼視力模糊一天後就醫。檢查後發現角膜全層穿刺傷，水晶體內異物，以及嚴重的創傷性白內障。儘管就醫時嚴重的視力不良，經過超音波晶體乳化術和二次人工水晶體置入後，病患視力得到良好的恢復。結論：在嚴重創傷合併水晶體內異物個案，仔細評估考量病人的病史和檢查結果，可以提供不同的手術選擇，讓病人得到良好的預後。  Purpose: Intraocular foreign body (IOFB) injuries can lead to different clinical outcomes as a result of various factors, including the mechanism of injury, character-istics of the IOFB, and the location of the IOFB. We report a rare case of a patient with an intralenticular foreign body who was able to achieve substantial visual recov-ery after phacoemulsification was performed. Observation: A woman aged 59 years presented with blurred vision in the right eye for 1 day after being splashed in the eye with iron dust. On examination, the patient was noted to have an intralenticular for-eign body with a resultant visually significant cataract. Despite poor visual acuity up-on admission, she made a good visual recovery after removal of the IOFB, phacoemulsification, and secondary intraocular lens implantation. Conclusions and importance: This report highlights that in order to provide complete patient care, a detailed history and physical examination of the patient should be performed. Phacoemulsification and sequential intraocular lens implantation may be associated with faster visual recovery in selected cases.