【平稳白内障手术后10个月前房异物】。

Nippon Ganka Gakkai zasshi Pub Date : 2016-04-01
Yuki Katabami, Rei Sakata, Megumi Honjo, Jiro Numaga
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引用次数: 0

摘要

摘要目的:无缝合白内障手术10个月后发现前房异物。病例报告:对74岁老年性白内障患者行透明角膜超声乳化术及人工晶状体植入术。在顺利的手术后,术后过程似乎没有任何问题。观察:术后10个月,患者出现视力模糊。裂隙灯检查发现人工晶状体表面有一个油滴,直径约1mm,令人联想起异物。视力问题没有恶化,眼睛的前段保持完整。虽然我们取出了异物,但由于尸体已经腐烂,无法进行定性检测。结论:一例罕见的前房内异物,在顺利植入人工晶状体后10个月。我们认为,尸体可能是由手术结束时结膜囊输送的眼药膏组成的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Foreign Body in the Anterior Chamber 10 Months after Uneventful Cataract Surgery].

Purpose: A foreign body detected in the anterior chamber 10 months after uneventful sutureless cataract surgery.

Case report: Clear corneal phacoemulsification and intraocular lens placement (PEA + IOL) were performed on a 74-year-old man suffering from vision loss caused by senile cataracts. After uneventful surgery, the postoperative course appeared to be problem-free.

Observation: However, 10 months after the operation, the patient reported blurred vision. Slit-lamp examination revealed an oil droplet, reminiscent of a foreign body, about 1 mm in diameter, on the IOL surface. The visual acuity problem did not become exacerbated and the anterior segment of the eye remained intact. Although we removed the foreign body, qualitative testing was impossible because the body disintegrated.

Conclusions: A rare case of a foreign body in the anterior chamber 10 months after uneventful PEA + IOL. We are of the view that the body may have been composed of ophthalmic ointment delivered from the conjunctival sac at the end of surgery.

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